ArticleHealth services research1993
A national study of the efficiency of hospitals in urban markets.
Article in Health services research, 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.
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.
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.
Who cites it
40 citing papers in PubMed, 139 citations in OpenAlex.
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- Determinants of Severe Financial Distress in U.S. Acute Care Hospitals: A National Longitudinal Study.Healthcare (Basel, Switzerland) · 2026Article
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- COVID-19 as an opportunity to reveal the impact of large hospital expansion on the healthcare delivery system: evidence from Shanghai, China.Annals of translational medicine · 2021Article
- Investigating the link between medical urgency and hospital efficiency - Insights from the German hospital market.Health care management science · 2020Article
- Determinants of efficiency growth of county-level public hospitals-evidence from Chongqing, China.BMC health services research · 2019Article
- Productivity growth and quality changes of hospitals in Taiwan: does ownership matter?Health care management science · 2019Article
- Identifying congestion levels, sources and determinants on intensive care units: the Portuguese case.Health care management science · 2018Article
- Decomposition of potential efficiency gains from hospital mergers in Greece.Health care management science · 2017Article
- Bootstrapping data envelopment analysis of efficiency and productivity of county public hospitals in Eastern, Central, and Western China after the public hospital reform.Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban · 2017Article
- A window-DEA based efficiency evaluation of the public hospital sector in Greece during the 5-year economic crisis.PloS one · 2017Article
- Should inpatients be adjusted by their complexity and severity for efficiency assessment? Evidence from Portugal.Health care management science · 2016Article
- An examination of competition and efficiency for hospital industry in Turkey.Health care management science · 2015Article
- Technical efficiency and productivity of Chinese county hospitals: an exploratory study in Henan province, China.BMJ open · 2015Article
- Efficiency, ownership, and financing of hospitals: the case of Austria.Health care management science · 2014Article
- Efficiency of U.S. dialysis centers: an updated examination of facility characteristics that influence production of dialysis treatments.Health services research · 2014Article
- How efficient are Greek hospitals? A case study using a double bootstrap DEA approach.The European journal of health economics : HEPAC : health economics in prevention and care · 2013Article
- Employing post-DEA cross-evaluation and cluster analysis in a sample of Greek NHS hospitals.Journal of medical systems · 2011Article
- The challenge of corporatisation: the experience of Portuguese public hospitals.The European journal of health economics : HEPAC : health economics in prevention and care · 2010Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Using a sample of 3,000 urban hospitals, this article examines the contributions of selected hospital characteristics to variations in hospital technical efficiencies, while it accounts for multiple products and inputs, and controls for local environmental variations. Four hospital characteristics are examined: hospital size, membership in a multihospital system, ownership, and payer mix (managed care contracts, percent Medicare, and percent Medicaid). Ownership and percent Medicare are consistently found to be related significantly to hospital efficiency. Within the ownership variable, government hospitals tend to be more efficient and for-profit hospitals less efficient than other hospitals. Higher percentages of Medicare payment are negatively related to efficiency. While not consistently significant across all five of the MSA size categories in which the analyses are conducted, possession of managed care contracts, membership in a multihospital system, and size all are consistently related positively to hospital technical efficiency. These variables are also all significant when the hospitals are examined in a combined analysis. Percent Medicaid was not significant in any of the analyses. Implications for policy and the need for methodological work are discussed.
Indexed as
Identifiers
8428810PMC1069910W38564267What 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.