X-INEFFICIENCY IN US HOSPITALS
X-INEFFICIENCY IN US HOSPITALS
批准号:
2911105
负责人:
MICHAEL D ROSKO
金额:
$2.51万
依托单位:
依托单位国家:
美国
项目类别:
财政年份:
1999
资助国家:
美国
项目状态:
已结题
起止时间:
1999-04-01 至 2000-03-31
中文摘要
拟议研究的具体目标是:(1)研究
美国医院X-低效的相关性和(2)验证
随机前沿分析(SFA)的低效估计X-
低效率是最优性能和实际性能之间的差异
性能。X-低效可能占高达18%的
美国医院的费用。对过度支出的担忧
引起了人们长期以来对了解
美国医疗保健组织的效率低下。大多数研究都是
试图研究市场力量的影响或
关于医院效率的规定使用了成本作为间接的
效率的衡量标准。隐含的假设是,如果成本
都在减少,效率必须提高。这一假设可能不是
对,是这样。除了提高效率外,还可以控制成本
通过减少服务或将产品组合从更昂贵改为更低
昂贵的产出。因此,一项直接衡量医院状况的检查
效率很重要,因为它减少了对脆弱的依赖
假设,从而澄清环境因素对
这是医院绩效的一个重要方面。
拟议的研究将应用SFA来开发低效措施。
在美国的医院。低效的稳定性和有效性
估算值将通过双变量分析进行评估。估计
无效率指数将作为多变量中的因变量
分析与低效相关的因素。独立的
变量将被用来检验关于经济衰退影响的假设
医院效率低下的后续问题:教学任务、所有权状况、
监管压力、竞争压力、医疗保健组织普及率,以及
无偿护理1997年1,700多个大都市的横截面
医院将被分析。主要数据源包括HCFA、AHA和
ARF(区域资源文件)。
英文摘要
The specific goals of the proposed research are to: (1) examine the
correlates of X-inefficiency in U.S. hospitals and (2) validate
inefficiency estimates from Stochastic Frontier Analysis (SFA) X-
inefficiency is the difference between optimal performance and actual
performance. X-inefficiency may account for as much as 18 percent of
the expenses in U.S. hospitals. Concerns about excessive expenditures
have created a long standing interest in understanding the causes of
inefficiency in U.S. health care organizations. Most of the studies
that have attempted to examine the impact of market forces or
regulations on hospital efficiency have used costs as an indirect
measure of efficiency. The implicit assumption has been that if costs
are decreasing, efficiency must increasing. This assumption may not be
correct. In addition to increasing efficiency, costs can be contained
by reducing services or changing product mix from more expensive to less
expensive outputs. Thus, an examination of a direct measure of hospital
efficiency is important because it reduces reliance on tenuous
assumptions, thereby clarifying the impact of environmental factors on
an important dimension of hospital performance.
The proposed research will apply SFA to develop measures of inefficiency
in U. S. hospitals. The stability and validity of the inefficiency
estimates will be evaluated by bivariate analysis. The estimated
inefficiency index will serve as the dependent variable in multivariate
analysis of the factors associated with inefficiency. Independent
variables will be used to test hypotheses about the impact of the
following on hospital inefficiency: teaching mission, ownership status,
regulatory pressures, competitive pressures, HMO penetration, and
uncompensated care A 1997 cross-section of over 1,700 metropolitan
hospitals will be analyzed. Primary data sources include HCFA, AHA, and
ARF (Area Resource File).
期刊论文(2)
专著(0)
科研奖励(0)
会议论文
HEALTH ADMINISTRATION TRAINEESHIPS & SPECIAL PROJECTS
-
批准号:2056676
-
项目类别:
-
资助金额:$0.0万
-
财政年份:1996
-
负责人:MICHAEL D ROSKO
-
依托单位:
HEALTH ADMINISTRATION TRAINEESHIPS & SPECIAL PROJECTS
-
批准号:2056636
-
项目类别:
-
资助金额:$0.0万
-
财政年份:1995
-
负责人:MICHAEL D ROSKO
-
依托单位:
HEALTH ADMINISTRATION TRAINEESHIPS & SPECIAL PROJECTS
-
批准号:2056603
-
项目类别:
-
资助金额:$0.0万
-
财政年份:1994
-
负责人:MICHAEL D ROSKO
-
依托单位:
HEALTH ADMINISTRATION TRAINEESHIPS & SPECIAL PROJECTS
-
批准号:3002305
-
项目类别:
-
资助金额:$0.0万
-
财政年份:1993
-
负责人:MICHAEL D ROSKO
-
依托单位:
HEALTH ADMINISTRATION TRAINEESHIPS
-
批准号:3002274
-
项目类别:
-
资助金额:$0.0万
-
财政年份:1992
-
负责人:MICHAEL D ROSKO
-
依托单位:
HEALTH ADMINISTRATION TRAINEESHIPS
-
批准号:3002229
-
项目类别:
-
资助金额:$0.0万
-
财政年份:1991
-
负责人:MICHAEL D ROSKO
-
依托单位:
TRAINEESHIPS FOR STUDENTS IN GRADUATE HEALTH ADMIN
-
批准号:3002187
-
项目类别:
-
资助金额:$0.0万
-
财政年份:1990
-
负责人:MICHAEL D ROSKO
-
依托单位:
TRAINEESHIPS FOR STUDENTS IN GRADUATE HEALTH ADMIN PROGS
-
批准号:3002150
-
项目类别:
-
资助金额:$0.0万
-
财政年份:1989
-
负责人:MICHAEL D ROSKO
-
依托单位:
TRAINEESHIPS FOR STUDENTS IN GRADUATE HEALTH ADMIN
-
批准号:3002119
-
项目类别:
-
资助金额:$0.0万
-
财政年份:1988
-
负责人:MICHAEL D ROSKO
-
依托单位:
GRANTS FOR GRADUATE PROGRAMS IN HEALTH ADMINISTRATION
-
批准号:3020477
-
项目类别:
-
资助金额:$0.0万
-
财政年份:1985
-
负责人:MICHAEL D ROSKO
-
依托单位:
GRANTS FOR GRADUATE PROGRAMS IN HEALTH ADMINISTRATION
-
批准号:3020476
-
项目类别:
-
资助金额:$0.0万
-
财政年份:1985
-
负责人:MICHAEL D ROSKO
-
依托单位:
GRANTS FOR GRADUATE PROGRAMS IN HEALTH ADMINISTRATION
-
批准号:3020480
-
项目类别:
-
资助金额:$0.0万
-
财政年份:1985
-
负责人:MICHAEL D ROSKO
-
依托单位:
GRANTS FOR GRADUATE PROGRAMS IN HEALTH ADMINISTRATION
-
批准号:3020479
-
项目类别:
-
资助金额:$0.0万
-
财政年份:1985
-
负责人:MICHAEL D ROSKO
-
依托单位:
GRANTS FOR GRADUATE PROGRAMS IN HEALTH ADMINISTRATION
-
批准号:3020481
-
项目类别:
-
资助金额:$0.0万
-
财政年份:1985
-
负责人:MICHAEL D ROSKO
-
依托单位:
GRANTS FOR GRADUATE PROGRAMS IN HEALTH ADMINISTRATION
-
批准号:3020478
-
项目类别:
-
资助金额:$0.0万
-
财政年份:1985
-
负责人:MICHAEL D ROSKO
-
依托单位: