ArticlePloS one2018
Quality and resource efficiency in hospital service provision: A geoadditive stochastic frontier analysis of stroke quality of care in Germany.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Efficiency assessment and demand forecasting in China's primary healthcare system: a comprehensive SBM-DDF-GML analysis.Frontiers in public health · 2026Article
- Is there any difference in organizational commitment between general hospitals and specialized hospitals? Empirical evidence from public hospitals in Beijing, China.BMC health services research · 2023Article
- Measuring efficiency of public hospitals under the impact of Covid-19: the case of Türkiye.Cost effectiveness and resource allocation : C/E · 2023Article
- Comparing Hospital Efficiency: An Illustrative Study of Knee and Hip Replacement Surgeries in Spain.International journal of environmental research and public health · 2023Article
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- Non-human and human service efficiency of long-term care facilities in China.Frontiers in public health · 2023Article
- Can competition improve hospital quality of care? A difference-in-differences approach to evaluate the effect of increasing quality transparency on hospital quality.The European journal of health economics : HEPAC : health economics in prevention and care · 2022Article
- The Core of Healthcare Efficiency: A Comprehensive Bibliometric Review on Frontier Analysis of Hospitals.Healthcare (Basel, Switzerland) · 2022Review
- Article
- Provision of health care services and regional diversity in Germany: insights from a Bayesian health frontier analysis with spatial dependencies.The European journal of health economics : HEPAC : health economics in prevention and care · 2020Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We specify a Bayesian, geoadditive Stochastic Frontier Analysis (SFA) model to assess hospital performance along the dimensions of resources and quality of stroke care in German hospitals. With 1,100 annual observations and data from 2006 to 2013 and risk-adjusted patient volume as output, we introduce a production function that captures quality, resource inputs, hospital inefficiency determinants and spatial patterns of inefficiencies. With high relevance for hospital management and health system regulators, we identify performance improvement mechanisms by considering marginal effects for the average hospital. Specialization and certification can substantially reduce mortality. Regional and hospital-level concentration can improve quality and resource efficiency. Finally, our results demonstrate a trade-off between quality improvement and resource reduction and substantial regional variation in efficiency.
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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.