Evidence map›Paper›PMID 35366861›Full record

ArticleBMC health services research2022

Evaluating the comparative efficiency of medical centers in Taiwan: a dynamic data envelopment analysis application.

Cheng-Ming Chiu, Ming-Shu Chen, Chung-Shun Lin, Wei-Yu Lin, Hui-Chu Lang

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. A Dynamic DEA Analysis of Health Output Efficiencies of Cities and Counties in Taiwan.International journal of environmental research and public health · 2023
    Article
  9. Article
  10. Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Cheng-Ming Chiu *Department of Rehabilitation, Far Eastern Memorial Hospital, No.21, Sec. 2, Nanya S. Rd., Banciao Dist., New Taipei City, 220, Taiwan.
Ming-Shu Chen *Department of Healthcare Administration, College of Healthcare & Management, Asia Eastern University of Science and Technology, No.58, Sec. 2, Sichuan Rd., Banciao Dist., New Taipei City, 220, Taiwan.
Chung-Shun LinDepartment of Rehabilitation, Far Eastern Memorial Hospital, No.21, Sec. 2, Nanya S. Rd., Banciao Dist., New Taipei City, 220, Taiwan.
Wei-Yu LinInstitute of Hospital and Health Care Administration, National Yang Ming Chiao Tung University, No. 155, Sec.2, Li-Nong St., Taipei, 112, Taiwan.
Hui-Chu LangInstitute of Hospital and Health Care Administration, National Yang Ming Chiao Tung University, No. 155, Sec.2, Li-Nong St., Taipei, 112, Taiwan. hclang@nycu.edu.tw.

Funding

Far Eastern Memorial Hospital 108DN16
6 · The paper itself

Abstract

backgroundPeople in Taiwan enjoy comprehensive National Health Insurance coverage. However, under the global budget constraint, hospitals encounter enormous challenges. This study was designed to examine Taiwan medical centers' efficiency and factors that influence it.

methodsWe obtained data from open sources of government routine publications and hospitals disclosed by law to the National Health Insurance Administration, Ministry of Health and Welfare, Taiwan. The dynamic data envelopment analysis (DDEA) model was adopted to estimate all medical centers' efficiencies during 2015-2018. Beta regression models were used to model the efficiency level obtained from the DDEA model. We applied an input-oriented approach under both the constant returns-to-scale (CRS) and variable returns-to-scale (VRS) assumptions to estimate efficiency.

resultsThe findings indicated that 68.4% (13 of 19) of medical centers were inefficient according to scale efficiency. The mean efficiency scores of all medical centers during 2015-2018 under the CRS, VRS, and Scale were 0.85, 0.930, and 0.95,respectively. Regression results showed that an increase in the population less than 14 years of age, assets, nurse-patient ratio and bed occupancy rate could increase medical centers' efficiency. The rate of emergency return within 3-day and patient self-pay revenues were associated significantly with reduced hospital efficiency (p < 0.05). The result also showed that the foundation owns medical center has the highest efficiency than other ownership hospitals.

conclusionsThe study results provide information for hospital managers to consider ways they could adjust available resources to achieve high efficiency.

Indexed as

Efficiency, OrganizationalHospitalsHumansOwnershipTaiwanBeta regressionData envelopment analysisDynamic efficiencyHospital performanceProjections

Identifiers

PMID35366861
PMCPMC8976980

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.