ArticleHealth care management science2011
Efficiency and quality of care in nursing homes: an Italian case study.
Article in Health care management science, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Literature Review of Efficiency Measurement in Nursing Homes.International journal of environmental research and public health · 2019Pooled it
- Capacity utilization of China's elderly care service industry during 2010-2022.Cost effectiveness and resource allocation : C/E · 2026Article
- Evaluation of the Climate Impact and Nutritional Quality of Menus in an Italian Long-Term Care Facility.Nutrients · 2024Article
- Non-human and human service efficiency of long-term care facilities in China.Frontiers in public health · 2023Article
- Assessing the Distribution of Elderly Requiring Care: A Case Study on the Residents in Barcelona and the Impact of COVID-19.International journal of environmental research and public health · 2020Article
- Quantitative thresholds based decision support approach for the home health care scheduling and routing problem.Health care management science · 2020Article
- Evaluating the technical efficiency of care among long-term care facilities in Xiamen, China: based on data envelopment analysis and Tobit model.BMC public health · 2019Article
- Technical efficiency of nursing homes: do five-star quality ratings matter?Health care management science · 2018Article
- Technical and scale efficiency in public and private Irish nursing homes - a bootstrap DEA approach.Health care management science · 2018Article
- Article
- Using nonparametric conditional approach to integrate quality into efficiency analysis: empirical evidence from cardiology departments.Health care management science · 2017Article
- Factors Related to Healthcare Service Quality in Long-term Care Hospitals in South Korea: A Mixed-methods Study.Osong public health and research perspectives · 2017Article
- Cost efficiency of nursing homes: do five-star quality ratings matter?Health care management science · 2017Article
- Are performance measurement systems useful? Perceptions from health care.BMC health services research · 2017Article
- Should inpatients be adjusted by their complexity and severity for efficiency assessment? Evidence from Portugal.Health care management science · 2016Article
- Decomposing Cost Efficiency in Regional Long-term Care Provision in Japan.Global journal of health science · 2015Article
- Intertemporal analysis of organizational productivity in residential aged care networks: scenario analyses for setting policy targets.Health care management science · 2014Article
- Article
- Managing for efficiency in health care: the case of Greek public hospitals.The European journal of health economics : HEPAC : health economics in prevention and care · 2013Article
- Measuring the efficiencies of visiting nurse service agencies using data envelopment analysis.Health care management science · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study investigates efficiency and quality of care in nursing homes. By means of Data Envelopment Analysis (DEA), the efficiency of 40 nursing homes that deliver their services in the north-western area of the Lombardy Region was assessed over a 3-year period (2005-2007). Lombardy is a very peculiar setting, since it is the only Region in Italy where the healthcare industry is organised as a quasi-market, in which the public authority buys health and nursing services from independent providers-establishing a reimbursement system for this purpose. The analysis is conducted by generating bootstrapped DEA efficiency scores for each nursing home (stage one), then regressing those scores on explanatory variables (stage two). Our DEA model employed two input (i.e. costs for health and nursing services and costs for residential services) and three output variables (case mix, extra nursing hours and residential charges). In the second-stage analysis, Tobit regressions and the Kruskall-Wallis tests of hypothesis to the efficiency scores were applied to define what are the factors that affect efficiency: (a) the ownership (private nursing houses outperform their public counterparts); and (b) the capability to implement strategies for labour cost and nursing costs containment, since the efficiency heavily depends upon the alignment of the costs to the public reimbursement system. Lastly, even though the public institutions are less efficient than the private ones, the results suggest that public nursing homes are moving towards their private counterparts, and thus competition is benefiting efficiency.
Indexed as
Identifiers
20922483What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.