Technical Efficiency in the Secondary Medical Service Region
This paper uses Data Envelopment Analysis (DEA) to measure technical efficiency of the Secondary Medical Service Region in Japan. A regression model is also employed to examine what causes a region to provide inefficient medical service. Possible factors influencing the efficiency are population and...
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| Published in | Iryo To Shakai Vol. 15; no. 2; pp. 2_39 - 2_50 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Health Care Science Institute
2005
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0916-9202 1883-4477 1883-4477 |
| DOI | 10.4091/iken.15.2_39 |
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| Abstract | This paper uses Data Envelopment Analysis (DEA) to measure technical efficiency of the Secondary Medical Service Region in Japan. A regression model is also employed to examine what causes a region to provide inefficient medical service. Possible factors influencing the efficiency are population and space size, the number of medical staffs and beds, among others. Results highlight the significant effects of regional population and the space size on the technical efficiency. |
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| AbstractList | This paper uses Data Envelopment Analysis (DEA) to measure technical efficiency of the Secondary Medical Service Region in Japan. A regression model is also employed to examine what causes a region to provide inefficient medical service. Possible factors influencing the efficiency are population and space size, the number of medical staffs and beds, among others. Results highlight the significant effects of regional population and the space size on the technical efficiency. |
| Author | Kubo, Rikizo Ogawa, Hikaru |
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| References | Jacobs R (2001) "Alternative Methods to Examine Hospital Efficiency: Data Envelopment Analysis and Stochastic Frontier Analysis," Health Care Management Science. 4: 103-115. Puig-Junoy J (1998b) "Technical Efficiency in the Clinical Management of Critically Ill Patients," Health Economics. 7: 263-277. Parkin D and Hollingsworth B (1997) "Measuring Production Efficiency of Acute Hospitals in Scotland, 1991-94: Validity Issues in Data Envelopment Analysis," Applied Economics. 29: 1425-1433. 刀根薫（1994）『経営効率性の測定と改善―包絡分析法DEAによる―』日科技連出版社 Leibenstein H and Maital S (1992) "Empirical Estimation and Partitioning of X-inefficiency: A Data Envelopment Approach," American Economic Review. 82: 428-433. Farrell M (1957) "The Measurement of Production Efficiency," Journal of the Royal Statistical Society, Series A (General). 120: 253-281. Ganley JA and Cubbin JS (1992) Public Sector Efficiency Measurement: Applications of Data Envelopment Analysis. North-Holland. 星旦二，府川哲夫，中原俊隆，石井敏弘，林正幸，高林幸司，郡司篤晃（1996）「県内第二次医療圏での高齢者入院医療費格差の規定要因」『日本公衆誌』41: 724-739 Hollingsworth B (2003) "Non-parametric and Parametric Applications Measuring Efficiency in Health Care," Health Care Management Science. 6: 203-218. Puig-Junoy J (1998a) "Measuring Health Production Performance in the OECD," Applied Economics Letters. 5: 255-259. 星旦二，中原俊隆，府川哲夫，高林幸司，郡司篤晃（1997）「全国12県81第二次医療圏における高齢者入院医療費の構造分析」『日本公衆誌』42: 869-876 中山徳良（2003）「パラメトリックな方法とノンパラメトリックな方法による距離関数の比較：日本の公立病院の例」『医療と社会』13: 83-95 Hofmarcher MM, Paterson I and Riedel M (2002) "Measuring Hospital Efficiency in Austria -A DEA Approach," Health Care Management Science. 5: 7-14. Steinmann L and Zweifel P (2003) "On the (In) efficiency of Swiss Hospitals," Applied Economics. 35: 361-370. Banker RD, Charnes A and Cooper WW (1984) "Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis," Management Science. 30: 1078-1092. Olesen OB and Petersen NC (2002) "The Use of Data Envelopment Analysis with Probabilistic Assurance Regions for Measuring Hospital Efficiency," Journal of Productivity Analysis. 17: 83-109. 南商亮，郡司篤晃（1994）「医療機関における効率性評価に関する研究: DEAによる自治体病院の人的資源の効率性評価」『病院管理』31: 33-39 Hollingsworth B, Dawson PJ and Maniadakis N (1999) "Efficiency Measurement of Health Care: A Review of Non-parametric Methods and Applications," Health Care Management Science. 2: 161-172. Zere E, McIntyre D and Addison T (2001) "Technical Efficiency and Productivity of Public Sector Hospitals in Three South African Provinces," South African Journal of Economics. 69: 336-358. Puig-Junoy J (2000) "Partitioning Input Cost Efficiency into its Allocative and Technical Components: An Empirical DEA Application to Hospitals," Socio-Economic Planning Sciences. 34: 199-218. Charnes A, Cooper WW and Rhodes EL (1978) "Measuring the Efficiency of Decision Making Units," European Journal of Operational Research. 2: 429-444. Valdmanis V (1992) "Sensitivity Analysis for DEA Models: An Empirical Example Using Public vs. NFP Hospitals," Journal of Public Economics. 48: 185-205. Ozcan YA, Luke RD and Haksever C (1987) "Ownership and Organizational Performance: A Comparison of Technical Efficiency across Hospital Types," Medical Care. 30: 781-794. Grosskopf S and Valdmanis V (1987) "Measuring Hospital Performance: A Non-parametric Approach," Journal of Health Economics. 6: 89-107. Register CA and Brunning ER (1987) "Profit Incentives and Technical Efficiency in the Production of Hospital Care," Southern Economic Journal. 53: 899-914. Dalmau E and Puig-Junoy J (1998) "Market Structure and Hospital Efficiency: Evaluating Potential Effects of Deregulation in a National Health Service," Review of Industrial Organization. 13: 447-466. Byrnes P and Valdmanis V (1994) "Analyzing Technical and Allocative Efficiency of Hospitals," in Data Envelopment Analysis: Theory, Methodology and Application; ed. by Charnes A, Cooper W, Lewin AY, and Seiford LM. Kluwer Farrell M and Fieldhouse M (1962) "Estimating Efficient Productions under Increasing Returns to Scale," Journal of the Royal Statistical Society, Series A (General). 125: 252-267. 中原俊隆，宮城島一明，針田哲（1994）「人口と面積からみた２次医療圏の現状」『厚生の指標』41: 3-8 Fizel JL and Nunnikhoven TS (1992) "Technical Efficiency of For-profit and Non-profit Nursing Homes," Managerial and Decision Economics. 13: 429-439. 根本二郎（2004）「公的事業体の運営効率評価」『経済科学』52: 1-15 青木研，漆博雄（1994）「Data Envelopment Analysisと公私病院の技術的効率性」『上智経済論集』39: 56-73 22 23 24 25 26 27 28 29 30 31 10 11 12 13 14 15 16 17 18 19 1 2 3 4 5 (32) 1994; 31 6 7 8 9 20 21 |
| References_xml | – reference: Ganley JA and Cubbin JS (1992) Public Sector Efficiency Measurement: Applications of Data Envelopment Analysis. North-Holland. – reference: 星旦二，府川哲夫，中原俊隆，石井敏弘，林正幸，高林幸司，郡司篤晃（1996）「県内第二次医療圏での高齢者入院医療費格差の規定要因」『日本公衆誌』41: 724-739 – reference: 星旦二，中原俊隆，府川哲夫，高林幸司，郡司篤晃（1997）「全国12県81第二次医療圏における高齢者入院医療費の構造分析」『日本公衆誌』42: 869-876 – reference: Puig-Junoy J (1998b) "Technical Efficiency in the Clinical Management of Critically Ill Patients," Health Economics. 7: 263-277. – reference: Ozcan YA, Luke RD and Haksever C (1987) "Ownership and Organizational Performance: A Comparison of Technical Efficiency across Hospital Types," Medical Care. 30: 781-794. – reference: Hollingsworth B, Dawson PJ and Maniadakis N (1999) "Efficiency Measurement of Health Care: A Review of Non-parametric Methods and Applications," Health Care Management Science. 2: 161-172. – reference: Register CA and Brunning ER (1987) "Profit Incentives and Technical Efficiency in the Production of Hospital Care," Southern Economic Journal. 53: 899-914. – reference: Puig-Junoy J (1998a) "Measuring Health Production Performance in the OECD," Applied Economics Letters. 5: 255-259. – reference: 中山徳良（2003）「パラメトリックな方法とノンパラメトリックな方法による距離関数の比較：日本の公立病院の例」『医療と社会』13: 83-95 – reference: Steinmann L and Zweifel P (2003) "On the (In) efficiency of Swiss Hospitals," Applied Economics. 35: 361-370. – reference: Banker RD, Charnes A and Cooper WW (1984) "Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis," Management Science. 30: 1078-1092. – reference: Parkin D and Hollingsworth B (1997) "Measuring Production Efficiency of Acute Hospitals in Scotland, 1991-94: Validity Issues in Data Envelopment Analysis," Applied Economics. 29: 1425-1433. – reference: 中原俊隆，宮城島一明，針田哲（1994）「人口と面積からみた２次医療圏の現状」『厚生の指標』41: 3-8 – reference: Farrell M (1957) "The Measurement of Production Efficiency," Journal of the Royal Statistical Society, Series A (General). 120: 253-281. – reference: Farrell M and Fieldhouse M (1962) "Estimating Efficient Productions under Increasing Returns to Scale," Journal of the Royal Statistical Society, Series A (General). 125: 252-267. – reference: Hollingsworth B (2003) "Non-parametric and Parametric Applications Measuring Efficiency in Health Care," Health Care Management Science. 6: 203-218. – reference: Olesen OB and Petersen NC (2002) "The Use of Data Envelopment Analysis with Probabilistic Assurance Regions for Measuring Hospital Efficiency," Journal of Productivity Analysis. 17: 83-109. – reference: 南商亮，郡司篤晃（1994）「医療機関における効率性評価に関する研究: DEAによる自治体病院の人的資源の効率性評価」『病院管理』31: 33-39 – reference: Dalmau E and Puig-Junoy J (1998) "Market Structure and Hospital Efficiency: Evaluating Potential Effects of Deregulation in a National Health Service," Review of Industrial Organization. 13: 447-466. – reference: 根本二郎（2004）「公的事業体の運営効率評価」『経済科学』52: 1-15 – reference: Valdmanis V (1992) "Sensitivity Analysis for DEA Models: An Empirical Example Using Public vs. NFP Hospitals," Journal of Public Economics. 48: 185-205. – reference: Fizel JL and Nunnikhoven TS (1992) "Technical Efficiency of For-profit and Non-profit Nursing Homes," Managerial and Decision Economics. 13: 429-439. – reference: Puig-Junoy J (2000) "Partitioning Input Cost Efficiency into its Allocative and Technical Components: An Empirical DEA Application to Hospitals," Socio-Economic Planning Sciences. 34: 199-218. – reference: Byrnes P and Valdmanis V (1994) "Analyzing Technical and Allocative Efficiency of Hospitals," in Data Envelopment Analysis: Theory, Methodology and Application; ed. by Charnes A, Cooper W, Lewin AY, and Seiford LM. Kluwer – reference: Hofmarcher MM, Paterson I and Riedel M (2002) "Measuring Hospital Efficiency in Austria -A DEA Approach," Health Care Management Science. 5: 7-14. – reference: Charnes A, Cooper WW and Rhodes EL (1978) "Measuring the Efficiency of Decision Making Units," European Journal of Operational Research. 2: 429-444. – reference: Jacobs R (2001) "Alternative Methods to Examine Hospital Efficiency: Data Envelopment Analysis and Stochastic Frontier Analysis," Health Care Management Science. 4: 103-115. – reference: Zere E, McIntyre D and Addison T (2001) "Technical Efficiency and Productivity of Public Sector Hospitals in Three South African Provinces," South African Journal of Economics. 69: 336-358. – reference: Leibenstein H and Maital S (1992) "Empirical Estimation and Partitioning of X-inefficiency: A Data Envelopment Approach," American Economic Review. 82: 428-433. – reference: 青木研，漆博雄（1994）「Data Envelopment Analysisと公私病院の技術的効率性」『上智経済論集』39: 56-73 – reference: 刀根薫（1994）『経営効率性の測定と改善―包絡分析法DEAによる―』日科技連出版社 – reference: Grosskopf S and Valdmanis V (1987) "Measuring Hospital Performance: A Non-parametric Approach," Journal of Health Economics. 6: 89-107. – ident: 24 doi: 10.1111/j.1813-6982.2001.tb00016.x – ident: 21 doi: 10.2307/1059684 – ident: 29 doi: 10.1026/0933-6885.15.1.52a – ident: 13 doi: 10.1023/A:1011453526849 – ident: 2 doi: 10.1007/978-94-011-0637-5_7 – ident: 5 doi: 10.2307/2343100 – ident: 17 doi: 10.1080/000368497326255 – ident: 16 – ident: 23 doi: 10.1016/0047-2727(92)90026-C – ident: 14 – ident: 31 – ident: 20 doi: 10.1016/S0038-0121(99)00024-5 – ident: 28 doi: 10.4091/iken1991.13.1_83 – ident: 3 doi: 10.1016/0377-2217(78)90138-8 – ident: 8 doi: 10.1016/0167-6296(87)90001-4 – ident: 9 – ident: 26 – ident: 6 doi: 10.2307/2982329 – ident: 4 doi: 10.1023/A:1007775616593 – ident: 15 doi: 10.1023/A:1013536404737 – ident: 10 doi: 10.1023/A:1013292801100 – ident: 22 doi: 10.1080/00036840210167183 – ident: 19 doi: 10.1002/(SICI)1099-1050(199805)7:3<263::AID-HEC320>3.0.CO;2-I – ident: 11 doi: 10.1023/A:1026255523228 – ident: 30 doi: 10.1037/004697 – volume: 31 start-page: 33 issn: 0386-9571 issue: 1 year: 1994 ident: 32 – ident: 12 doi: 10.1023/A:1019087828488 – ident: 18 doi: 10.1080/135048598354933 – ident: 1 doi: 10.1287/mnsc.30.9.1078 – ident: 7 doi: 10.1002/mde.4090130507 – ident: 27 – ident: 25 |
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| Title | Technical Efficiency in the Secondary Medical Service Region |
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