ArticleHealth economics review2017
Technical efficiency of selected hospitals in Eastern Ethiopia.
Article in Health economics review, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Approach in inputs & outputs selection of Data Envelopment Analysis (DEA) efficiency measurement in hospitals: A systematic review.PloS one · 2024Pooled it
- The state and significant drivers of health systems efficiency in Africa: A systematic review and meta-analysis.Journal of global health · 2023Pooled it
- A systematic review on hospital inefficiency in the Eastern Mediterranean Region: sources and solutions.BMC health services research · 2019Pooled it
- Prevalence and determinants of depression, anxiety, and perceived stress among patients with chronic comorbidity attending outpatient clinics in Addis Ababa during the COVID-19 pandemic.PLOS global public health · 2026Article
- The efficiency of secondary-level hospitals in hard-to-reach and non-hard-to-reach areas in Bangladesh: a data envelopment analysis approach.BMC health services research · 2025Article
- Level of technical efficiency and associated factors among health centers in East Gojjam Zone, Northwest Ethiopia: an application of the data envelopment analysis.BMC health services research · 2024Article
- Analysis of factors influencing technical efficiency of public district hospitals in KwaZulu-Natal province, South Africa.Human resources for health · 2022Article
- Hospital efficiency measurement in the west of Iran: data envelopment analysis and econometric approach.Cost effectiveness and resource allocation : C/E · 2022Article
- Data envelopment analysis for ambulance services of different service providers in urban and rural areas in Ministry of Health Malaysia.Frontiers in public health · 2022Article
- Article
- Inefficiency of public hospitals: a multistage data envelopment analysis in an Italian region.BMC health services research · 2021Article
- Efficiency and Productivity of Public Hospitals in Serbia Using DEA-Malmquist Model and Tobit Regression Model, 2015-2019.International journal of environmental research and public health · 2021Article
- Article
- Levels, trends and determinants of technical efficiency of general hospitals in Uganda: data envelopment analysis and Tobit regression analysis.BMC health services research · 2020Article
- Technical efficiency and productivity of public district hospitals in KwaZulu-Natal province, South Africa.Journal of public health research · 2020Article
- Technical efficiency and its affecting factors in Tehran's public hospitals: DEA approach and Tobit regression.Medical journal of the Islamic Republic of Iran · 2020Article
- A hybrid data envelopment analysis and game theory model for performance measurement in healthcare.Health care management science · 2019Article
- Technical Efficiency of Maternal and Reproductive Health Services in Public Hospitals of Oromia Regional State, Ethiopia.Health services insights · 2019Article
- Hospital Efficiency Measurement Before and After Health Sector Evolution Plan in Southwest of Iran: a DEA-Panel Data Study.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2018Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study examines the relative technical efficiency of 12 hospitals in Eastern Ethiopia. Using six-year-round panel data for the period between 2007/08 and 2012/13, this study examines the technical efficiency, total factor productivity, and determinants of the technical inefficiency of hospitals. Data envelopment analysis (DEA) and DEA- based Malmquist productivity index used to estimate relative technical efficiency, scale efficiency, and total factor productivity index of hospitals. Tobit model used to examine the determinants of the technical inefficiency of hospitals. The DEA Variable Returns to Scale (VRS) estimate indicated that 6 (50%), 5 (42%), 3 (25%), 3 (25%), 4 (33%), and 3 (25%) of the hospitals were technically inefficient while 9 (75%), 9 (75%), 7 (58%), 7 (58%), 7 (58%) and 8 (67%) of hospitals were scale inefficient between 2007/08 and 2012/13, respectively. On average, Malmquist Total Factor Productivity (MTFP) of the hospitals decreased by 3.6% over the panel period. The Tobit model shows that teaching hospital is less efficiency than other hospitals. The Tobit regression model further shows that medical doctor to total staff ratio, the proportion of outpatient visit to inpatient days, and the proportion of inpatients treated per medical doctor were negatively related with technical inefficiency of hospitals. Hence, policy interventions that help utilize excess capacity of hospitals, increase doctor to other staff ratio, and standardize number of inpatients treated per doctor would contribute to the improvement of the technical efficiency of hospitals.
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