Measuring efficiency in clinical departments.

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Measuring efficiency in clinical departments. Abstract Text:

OBJECTIVES: This paper explores the possibilities and limitations of obtaining and interpreting efficiency measurement on the level of the clinical department. We discuss the limitations of case-mix groupings such as the diagnosis related groups on this level. METHODS: Hospital costs are allocated to clinical departments and efficiency measured using data envelopment analysis (DEA). Outputs are measured as number of discharges adjusted for case-mix using DRGs. The effect of department vs. hospital on the level of measured efficiency is analysed using a simple fixed effects regression model. RESULTS: We find that measured efficiency depends critically on the chosen model specification. Some department types, notably children's departments have systematically lower levels of measured efficiency. CONCLUSIONS: : Our findings have implications for the monitoring and financing of clinical departments. DRG type instruments should be applied with caution both for monitoring and financing purposes on the departmental level.

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PUBLICATION TYPE: Journal Article

Journal: Health policy (Amsterdam, Netherlands)

VOLUME: 87

Page Numbers: 1-7

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ISSN: 0168-8510

DAY: 5

MONTH: 11

YEAR: 2007

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LANGUAGE: eng

NlmUniqueID: 8409431

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AFFILIATION: Department of Public Health and General Practice, Norwegian University of Technology and Science (NTNU), 7489 Trondheim, Norway.

Country: Ireland

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MEDLINETA: Health Policy

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