ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2007
Incorporating efficiency in hospital-capacity planning in Germany.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Frontier-based techniques in measuring hospital efficiency in Iran: a systematic review and meta-regression analysis.BMC health services research · 2013Pooled it
- A Competing-Risk Approach for Modeling Length of Stay in Severe Malaria Patients in South-East Asia and the Implications for Planning of Hospital Services.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018Trial
- Capacity Planning for Small Hospitals and Departments Illustrated Using Maternity and Paediatrics Departments: Roles for Weighted Population Density, Seasonality and Size, Myths Around Length of Stay and Factors Influencing Costs and Funding.International journal of environmental research and public health · 2026Article
- Does increasing the number of beds or health workers contribute to the rational use of scarce public health resources?Global health & medicine · 2023Article
- Do hospitals need to establish multiple hospital districts? A hospital-based perspective on the benefits of scale.Frontiers in public health · 2023Article
- The Core of Healthcare Efficiency: A Comprehensive Bibliometric Review on Frontier Analysis of Hospitals.Healthcare (Basel, Switzerland) · 2022Review
- Prediction of hospital bed capacity during the COVID- 19 pandemic.BMC health services research · 2021Article
- Flexibility and Bed Margins of the Community of Madrid's Hospitals during the First Wave of the SARS-CoV-2 Pandemic.International journal of environmental research and public health · 2021Article
- Financial Performance of Public Hospitals: A Cross-Sectional Study among Polish Providers.International journal of environmental research and public health · 2020Article
- Models and methods for determining the optimal number of beds in hospitals and regions: a systematic scoping review.BMC health services research · 2020Article
- Measuring individual physician clinical productivity in an era of consolidated group practices.Healthcare (Amsterdam, Netherlands) · 2019Article
- The use of Data Envelopment Analysis (DEA) in healthcare with a focus on hospitals.Health care management science · 2019Review
- Measuring the Efficiency of a Hospital based on the Econometric Stochastic Frontier Analysis (SFA) Method.Electronic physician · 2016Article
- How efficient are Greek hospitals? A case study using a double bootstrap DEA approach.The European journal of health economics : HEPAC : health economics in prevention and care · 2013Article
- Hospital capacity planning: from measuring stocks to modelling flows.Bulletin of the World Health Organization · 2010Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hospital occupancy is a key metric in hospital-capacity planning in Germany, even though this metric neglects important drivers of economic efficiency, for example treatment costs and case mix. We suggest an alternative metric, which incorporates economic efficiency explicitly, and illustrate how this metric can be used in the hospital-capacity planning cycle. The practical setting of this study is the hospital capacity planning process in the German federal state of Rheinland-Pfalz. The planning process involves all 92 acute-care hospitals of this federal state. The study is based on standard hospital data, including annual costs, number of cases--disaggregated by medical departments and ICD codes, respectively--length-of-stay, certified beds, and occupancy rates. Using the developed metric, we identified 18 of the 92 hospitals as inefficient and targets for over-proportional capacity cuts. On the upside, we identified 15 efficient hospitals. The developed model and analysis has affected the federal state's most recent medium term planning cycle.
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