Ownership and technical efficiency of hospitals: Evidence from Ghana using data envelopment analysis

Cost Effectiveness and Resource Allocation

Volumn 12, Issue 1, 2014, Pages

  Jehu Appiah, Caroline ^a   Sekidde, Serufusa ^b   Adjuik, Martin ^c   Akazili, James ^c   Almeida, Selassi D ^d   Nyonator, Frank ^e   Baltussen, Rob ^f   Asbu, Eyob Z ^g   Kirigia, Joses M ^d  

^a AFRICAN DEVELOPMENT BANK   (Tunisia)

^b Oxford Policy Management   (United Kingdom)

^c NAVRONGO HEALTH RESEARCH CENTRE   (Ghana)

^d WORLD HEALTH ORGANIZATION   (Switzerland)

^e MINISTRY OF HEALTH   (Ghana)

^f RADBOUD UNIVERSITY NIJMEGEN   (Netherlands)

^g Health Authority Abu Dhabi   (United Arab Emirates)

Author keywords

Data envelopment analysis; Hospitals; Ownership; Scale efficiency; Technical efficiency

Indexed keywords

ARTICLE; DATA ANALYSIS; DATA ENVELOPMENT ANALYSIS; GHANA; GOVERNMENT; HEALTH SERVICE; HOSPITAL ORGANIZATION; HUMAN; ORGANIZATION AND MANAGEMENT; OUTPATIENT CARE; PERFORMANCE; POLICY; PRIVATE HOSPITAL; PRODUCTIVITY; PUBLIC HOSPITAL; RETROSPECTIVE STUDY; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HOSPITAL BED CAPACITY; HOSPITAL MANAGEMENT; HOSPITAL PATIENT; INFORMATION PROCESSING; LABORATORY; MEDICAL STAFF; QUALITY CONTROL; STANDARDIZATION;

EID: 84899103041     PISSN: None     EISSN: 14787547     Source Type: Journal    
DOI: 10.1186/1478-7547-12-9     Document Type: Article

References (42)

1. WHO AFRO Health financing: A strategy for the African Region 2006, Brazzaville, WHO AFRO.
2. Kirigia JM, Emrouznejad A, Cassoma B, Asbu EZ, Barry S. A performance assessment method for hospitals: the case of Municipal Hospitals in Angola. J Med Syst 2008, 32:509-519. 10.1007/s10916-008-9157-5, 19058655.
3. Zere E, Mbeeli T, Shangula K, Mandlhate C, Mutirua K, Tjivambi B, Kapenambili W. Technical efficiency of district hospitals: evidence from Namibia using data envelopment analysis. Cost Eff Resour Alloc 2006, 4:5. 10.1186/1478-7547-4-5, 1524815, 16566818.
4. Tlotlego N, Nonvignon J, Sambo LG, Asbu EZ, Kirigia JM. Assessment of productivity of hospitals in Botswana: a DEA application. Int Arch Med 2010, 3:1-14. 10.1186/1755-7682-3-1, 2820448, 20150988.
5. Masiye F. Investigating health system performance: an application of data envelopment analysis to Zambian hospitals. BMC Health Serv Res 2007, 7:58. 10.1186/1472-6963-7-58, 1878476, 17459153.
6. Kirigia JM, Emrouznejad A, Sambo LG. Measurement of technical efficiency of public hospitals in Kenya: using Data Envelopment Analysis. J Med Syst 2002, 26:39-45. 10.1023/A:1013090804067, 11777310.
7. Zere E, Mcintyre D, Addison T. Hospital efficiency and productivity in three provinces of South Africa. South Afr J Econ 2005, 69:336-358.
8. Kirigia JM, Sambo LG, Scheel H. Technical efficiency of public clinics in Kwazulu-Natal Province of South Africa. East Afr Med J 2001, 78(3 Suppl):S1-S13.
9. Marschall P, Flessa S. Assessing the efficiency of rural health centres in Burkina Faso: an application of Data Envelopment Analysis. J Public Health 2008, 17:87-95.
10. Ichoku HE, Fonta WM, Onwujekwe OE, Kirigia JM. Evaluating the Technical Efficiency of Hospitals in Southeastern Nigeria. Eur J Bus Manag 2011, 3:24-37.
11. Kirigia JM, Emrouznejad A, Vaz RG, Bastiene H, Padayachy J. A comparative assessment of performance and productivity of health centres in Seychelles. Int J Prod Perform Manag 2008, 57:72-92.
12. Kirigia JM, Sambo LG, Renner A, Alemu W, Seasa S, Bah Y. Technical efficiency of primary health units in Kailahun and Kenema districts of Sierra Leone. Int Arch Med 2011, 4:1-14. 10.1186/1755-7682-4-1, 3024247, 21223602.
13. Kirigia JM, Lambo E, Sambo L. Are public hospitals in Kwazulu-Natal Province of South Africa technically efficient?. Afr J Heal Sci 2000, 7:25-32.
14. Barbetta GP, Turati G, Zago AM. Behavioral differences between public and private not-for-profit hospitals in the Italian National Health Service. Health Econ 2007, 16:75-96. 10.1002/hec.1143, 16929498.
15. Spector WD, Selden TM, Cohen JW. The impact of ownership type on nursing home outcomes. Health Econ 1998, 7:639-653. 10.1002/(SICI)1099-1050(1998110)7:7<639::AID-HEC373>3.0.CO;2-0, 9845257.
16. Ghana Health Services The health sector in Ghana: Facts and Figures 2010, Accra,Ghana: GHS, Ghana Health Services.
17. Osei D, D' Almeida S, George MO, Kirigia JM, Mensah AO, Kainyu LH. Technical efficiency of public district hospitals and health centres in Ghana: a pilot study. Cost Eff Resour Alloc 2005, 3:9. 10.1186/1478-7547-3-9, 1253524, 16188021.
18. Ghana Health Service Ghana Health Service 2000, Accra,Ghana: GHS, Ghana Health Service.
19. Farrell MJ. The measurement of productive efficiency. J R Stat Soc 1957, 120:253-290.
20. Charnes A, Clark CT, Cooper W, Golany B. A developmental study of data envelopment analysis in measuring the efficiency of maintenance units in the US air forces. Ann Oper Res 2:95-112.
21. Jacobs R. Alternative Methods to Examine Hospital Efficiency: Data Envelopment Analysis and Stochastic Frontier Analysis. Health Care Manag Sci 2001, 4(2):103-15. 10.1023/A:1011453526849, 11393739.
22. Hollingsworth B, Wildman J. The efficiency of health production: re-estimating the WHO panel data using parametric and non-parametric approaches to provide additional information. Health Econ 2003, 12:493-504. 10.1002/hec.751, 12759918.
23. Efron B. The Jackknife, the Bootstrap, and Other Resampling Plans 1982, Philadelphia, Pa: Society for Industrial and Applied Mathematics, [CBMS-NSF Regional Conference Series in Applied Mathematics, vol. 38].
24. Chilingerian J. Exploring why some physicians' hospital practices are more efficient: taking DEA inside the hospital. data envelopment analysis. Theory, Methodology, and Applications 1994, 167-193.
25. Kooreman P. Data envelopment analysis and parametric frontier estimation: complementary tools. J Health Econ 1994, 13:345-346.
26. Statacorp Stata Statistical Software. Release 10 Statacorp.
27. Hsu J. The relative efficiency of public and private service delivery. World Health Report Background Paper 39.
28. Grosskopf S, Valdmanis V, 201028 Measuring hospital performance. A non-parametric approach. J Health Econ 1987, 6:89-107. 10.1016/0167-6296(87)90001-4, 10312167, 201028.
29. Ozcan YA, Luke RD, Haksever C. Ownership and organizational performance. A comparison of technical efficiency across hospital types. Med Care 1992, 30:781-794. 10.1097/00005650-199209000-00003, 1518311.
30. Rosko MD. Impact of internal and external environmental pressures on hospital inefficiency. Health Care Manag Sci 1999, 2:63-74. 10.1023/A:1019031610741, 10916603.
31. Helmig B, Lapsley I. On the efficiency of public, welfare and private hospitals in Germany over time: a sectoral data envelopment analysis study. Heal Serv Manag Res Off J Assoc Univ Programs Heal Adm Hsmc Aupha 2001, 14:263-274.
32. Steinmann L, Zweifel P. On the (in) efficiency of Swiss hospitals. Appl Econ 2003, 35:361-370.
33. Staat M. Efficiency of hospitals in Germany: a DEA-bootstrap approach. Appl Econ 2006, 38:2255-2263.
34. Akazili J, Adjuik M, Jehu-Appiah C, Zere E. Using data envelopment analysis to measure the extent of technical efficiency of public health centres in Ghana. Bmc Int Heal Hum Rights 2008, 8:11.
35. World Bank World Development Report 1993 Investing in Health, Volume1 1993, Washington, D.C: The World Bank, World Bank.
36. Setting a new health policy for Ghana 2005, Accra, Ghana: Ministry of Health.
37. Jeon B, Kwon S. Effect of private health insurance on health care utilization in a universal public insurance system: a case of South Korea. Health policy 2013, 113(1-2):69-76. 10.1016/j.healthpol.2013.05.007, 23786992.
38. Simar L, Wilson PW. Estimation and inference in two-stage, semi-parametric models of production processes. J Econ 2007, 136:31-64.
39. Ramalho EA, Ramalho JJS, Henriques PD. Fractional regression models for second state DEA efficiency analyses. J Product Anal 2010, 34:239-255.
40. McDonald J. Using least squares and tobit in second stage DEA efficiency analyses. Eur J Oper Res 2009, 197:792-798.
41. Ruggiero J. Performance evaluation in education: modelling educational production. Handbook on Data Envelopment Analysis 2004, 265-298. Boston: Kluwer Academic Publishers, Cooper WW, Seiford LM, Zhu J.
42. Afonso A, Aubyn M. Assessing health efficiency across countries with a two-step and bootstrap analysis. Appl Econ Lett 2011, 18(15):1427-1430.