ArticleHealth care management science2013
Technical efficiency of Critical Access Hospitals: an application of the two-stage approach with double bootstrap.
Article in Health care management science, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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.
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Who cites it
8 citing papers in PubMed.
- Technical efficiency of public health facilities in Punjab, Pakistan: application of a two-stage data envelopment analysis.BMC health services research · 2026Article
- Relative efficiency of psychiatric clinics in treating cases without coercion and achieving symptom reduction.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- New Public Management and hospital efficiency: the case of Norwegian public hospital trusts.BMC health services research · 2024Article
- Homogeneity and Best Practice Analyses in Hospital Performance Management: An Analytical Framework.Health care management science · 2022Article
- Efficiency, quality, and management practices in health facilities providing outpatient HIV services in Kenya, Nigeria, Rwanda, South Africa and Zambia.Health care management science · 2021Article
- Investigating the link between medical urgency and hospital efficiency - Insights from the German hospital market.Health care management science · 2020Article
- The use of Data Envelopment Analysis (DEA) in healthcare with a focus on hospitals.Health care management science · 2019Review
- Does integration of HIV and sexual and reproductive health services improve technical efficiency in Kenya and Swaziland? An application of a two-stage semi parametric approach incorporating quality measures.Social science & medicine (1982) · 2016Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Critical Access Hospital (CAH) Program has offered Medicare cost-based reimbursement to small hospitals that meet certain eligibility criteria to improve their financial viability and quality of care. However, cost-based reimbursement has been associated with inefficiency in hospital operations. This study uses a two-stage approach and bootstrap procedures to examine the effects of environmental variables on the technical efficiency of CAHs. The two-stage approach with quality controls significantly improved statistical efficiency of parameter estimates in the second stage bootstrapped truncated regression relative to a similar model without quality controls. Overall, our results suggest that enhanced Medicare reimbursement may not have had detrimental effects on the technical efficiency of CAHs.
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Registered trials
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