Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/121377
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dc.contributor.authorOrtega-Diaz, M. Isabelen_US
dc.contributor.authorMartín Hernández, Juan Carlosen_US
dc.date.accessioned2023-03-20T13:30:53Z-
dc.date.available2023-03-20T13:30:53Z-
dc.date.issued2022en_US
dc.identifier.issn0168-8510en_US
dc.identifier.urihttp://hdl.handle.net/10553/121377-
dc.description.abstractBackground: In Spain the health care cuts have been the norm after the international economic crisis. The aim of this study is fourfold: (1) to measure hospital performance analysing two different perspectives: technical efficiency and quality; (2) to determine how technically efficient hospitals operate when faced with undesirable production; (3) to determine whether a potential trade-off between efficiency and quality exists or not; and (4) to propose a methodology to detect which hospitals could reduce their running costs without jeopardizing the quality of the services provided. Budget cutbacks imposed in Spain should focus solely on these hospitals, unless an increase in undesirable production is considered acceptable. Methods: In this paper a SBM (slacks-based measure) of efficiency model is employed incorporating undesirable outputs using the case-mix adjusted deaths of patients. The study is carried out using information from 232 general hospitals in Spain. Findings: We find four different groups of hospitals based on the relationship between efficiency and undesirable outputs. Conclusion: We show that undesirable outputs affect the measurement of technical efficiency, proposing a tool that allows the identification of hospitals where efficiency can be increased, that is, where budget cuts and/or more production outputs can be implemented without necessarily increasing the undesirable output.en_US
dc.languageengen_US
dc.relation.ispartofHealth Policyen_US
dc.sourceHealth Policy [ISSN 0168-8510], v. 126 (10), p. 1069-1074, (2022)en_US
dc.subject.otherHospitalsen_US
dc.subject.otherTechnical efficiencyen_US
dc.subject.otherUndesirable outputen_US
dc.subject.otherSlacks-based measure of efficiency modelen_US
dc.titleHow to detect hospitals where quality would not be jeopardized by health cost savings? A methodological approach using DEA with SBM analysisen_US
dc.typeinfo:eu-repo/semantics/articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.healthpol.2022.07.010en_US
dc.identifier.pmid35927090-
dc.identifier.scopus2-s2.0-85135405880-
dc.identifier.isiWOS:000863273000015-
dc.contributor.orcid#NODATA#-
dc.contributor.orcid#NODATA#-
dc.description.lastpage1074en_US
dc.identifier.issue10-
dc.description.firstpage1069en_US
dc.relation.volume126en_US
dc.investigacionCiencias Sociales y Jurídicasen_US
dc.type2Artículoen_US
dc.utils.revisionen_US
dc.identifier.ulpgcen_US
dc.contributor.buulpgcBU-ECOen_US
dc.description.sjr1,062
dc.description.jcr3,3
dc.description.sjrqQ1
dc.description.jcrqQ2
dc.description.scieSCIE
dc.description.ssciSSCI
dc.description.miaricds11,0
item.fulltextSin texto completo-
item.grantfulltextnone-
crisitem.author.deptGIR TIDES: Investigación en Turismo y Transporte-
crisitem.author.deptIU de Turismo y Desarrollo Económico Sostenible-
crisitem.author.deptDepartamento de Análisis Económico Aplicado-
crisitem.author.orcid0000-0002-2950-2405-
crisitem.author.parentorgIU de Turismo y Desarrollo Económico Sostenible-
crisitem.author.fullNameMartín Hernández, Juan Carlos-
Colección:Artículos
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