ArticleHealth care management science2016
Health systems: changes in hospital efficiency and profitability.
Article in Health care management science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Integrated Analysis of Healthcare Efficiency: A Systematic Review.Journal of medical systems · 2017Pooled it
- Rural-Urban Differences in the Incorporation of Workforce Planning and Development in the Strategic Planning Process of US Hospitals.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Financial performance of hospitals in Europe - a scoping review.BMC health services research · 2025Article
- Service Changes, Utilization, and Financial Performance After Critical Access Hospitals Join Hospital Systems.Cureus · 2025Article
- Identifying and prioritizing inefficiency causes in Iran's health system.Cost effectiveness and resource allocation : C/E · 2024Article
- Efficiency effects of public hospital closures in the context of public hospital reform: a multistep efficiency analysis.Health care management science · 2024Article
- Relative Efficiency of Radiation Treatment Centers: An Application of Data Envelopment Analysis.Healthcare (Basel, Switzerland) · 2022Article
- The increasing impact of length of stay "outliers" on length of stay at an urban academic hospital.BMC health services research · 2021Article
- Arrangements with the NHS for providing healthcare services: do they improve financial performance of private for-profit hospitals in Spain?Health economics review · 2021Review
- Risk of hospital insolvency and its relationship with income and borrowings from banks: a case-control study with large-scale financial data in Japan.SN business & economics · 2021Article
- Investigating the link between medical urgency and hospital efficiency - Insights from the German hospital market.Health care management science · 2020Article
- Impact of Global Budget Revenue Policy on Emergency Department Efficiency in the State of Maryland.The western journal of emergency medicine · 2019Article
- The use of Data Envelopment Analysis (DEA) in healthcare with a focus on hospitals.Health care management science · 2019Review
- Healthcare efficiency assessment using DEA analysis in the Slovak Republic.Health economics review · 2018Article
- Impact of Health System Affiliation on Hospital Resource Use Intensity and Quality of Care.Health services research · 2018Article
- A comprehensive map of the evidence on the performance evaluation indicators of public hospitals: a scoping study and best fit framework synthesis.Cost effectiveness and resource allocation : C/E · 2018Article
- Comparing the Efficiency of Hospitals in Italy and Germany: Nonparametric Conditional Approach Based on Partial Frontier.Health care management science · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study investigates potential changes in hospital performance after health system entry, while differentiating between hospital technical and cost efficiency and hospital profitability. In the first stage we obtained (bootstrapped) data envelopment analysis (DEA) efficiency scores. Then, genetic matching is used as a novel matching procedure in this context along with a difference-in-difference approach within a panel regression framework. With the genetic matching procedure, independent and health system hospitals are matched along a number of environmental and organizational characteristics. The results show that health system entry increases hospital technical and cost efficiency by between 0.6 and 3.4 % in four alternative post-entry periods, indicating that health system entry has not a transitory but rather a permanent effect on hospital efficiency. Regarding hospital profitability, the results reveal an increase in hospital profitability only 1 year after health system entry, and the estimations suggest that this effect is a transitional phenomenon. Overall, health system entry may serve as an appropriate management instrument for decision makers to increase hospital performance.
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25304876What 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.