ArticleConflict and health2018
Are public hospitals reforming efficiently in West Bank?
Article in Conflict and health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Approach in inputs & outputs selection of Data Envelopment Analysis (DEA) efficiency measurement in hospitals: A systematic review.PloS one · 2024Pooled it
- The novel additive star-NDEA model for hospital performance evaluation.BMC health services research · 2025Article
- Evaluating hospital performance with additive DEA and MPI: the Isfahan University of Medical Science case study.BMC health services research · 2025Article
- Hospital performance evaluation models: A scoping review.Journal of education and health promotion · 2025Review
- Bridging the gap: coordinating equity and efficiency in older people care resource allocation in China.BMC geriatrics · 2024Article
- Experiences of Palestinian patients with hospital services: a mixed-methods study.BMJ open quality · 2023Article
- Equity and efficiency of public hospitals' health resource allocation in Guangdong Province, China.International journal for equity in health · 2022Article
- The Core of Healthcare Efficiency: A Comprehensive Bibliometric Review on Frontier Analysis of Hospitals.Healthcare (Basel, Switzerland) · 2022Review
- The impact of diagnosis related group payment on the performance of public hospitals.American journal of translational research · 2021Article
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2 authors.
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Abstract
backgroundThe structure, function, and capacity of the health care system in the Occupied Palestinian Territories (OPT) had been largely shaped by the complex political history of the country. Since the establishment of the Palestinian Authority in 1994, the reform efforts were subsidized much by the international aids to rebuild the country's institutional capacity. No previous studies have provided a realistic evaluation of Palestinian achievements in the conduct of public healthcare, we examine the relative productive efficiency of public hospitals (their managers' success in the usage of resources) during 2010-2015 within West Bank and Jordan. Then, we estimate the efficiency of policies within which managers operate (the program efficiency) across the two countries.
methodsWe employ the Data Envelopment Analysis (DEA) models to distinguish between within-country managerial efficiencies and public policy "program" efficiencies across the two countries. The study follows two key steps, the first step evaluates managerial efficiencies and explores trends in performance within each country. Then, we examine the program efficiencies across the two countries.
resultsPublic hospitals improved their year-specific overall efficiency from 75 to 80% in the West Bank and from 78 to 86% in Jordan in 2010 and 2015 respectively. Changes in efficiency are driven by scale effects in West Bank and by managerial enhancements in Jordan. Program efficiency in West Bank outperformed Jordan during 2010-2012, there was no significant difference in mean program efficiencies between the two countries during 2013-2015.
conclusionsThis work addresses a gap in the DEA literature by empirically investigating the efficiency of public hospitals as distinct from program efficiency in a developing country, namely, Palestine. Findings stimulate hospital managers to enhance potential improvements, policymakers to allocate resources, and international donors to focus on the right adoption of new technology to get better benefits from their considerable investments in public hospitals.
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