Technical and scale efficiency of district hospitals in Perak using data envelopment analysis

In the recent years, the developed and developing countries has been debate’s about increasing healthcare costs. The Ministry of Health in Malaysia has been implementing various health care sector reforms such as expansion and upgrading of public health facilities in a bid to improve efficiency in h...

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Main Author:	Norzahirah, Mat
Format:	Thesis
Language:	eng eng
Published:	2013
Subjects:	HF5415.33 Consumer Behavior.
Online Access:	https://etd.uum.edu.my/5193/1/s811081.pdf https://etd.uum.edu.my/5193/2/s811081_abstract.pdf
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id	my-uum-etd.5193
record_format	uketd_dc
institution	Universiti Utara Malaysia
collection	UUM ETD
language	eng eng
advisor	Applanaidu, Shri Dewi
topic	HF5415.33 Consumer Behavior.
spellingShingle	HF5415.33 Consumer Behavior. Norzahirah, Mat Technical and scale efficiency of district hospitals in Perak using data envelopment analysis
description	In the recent years, the developed and developing countries has been debate’s about increasing healthcare costs. The Ministry of Health in Malaysia has been implementing various health care sector reforms such as expansion and upgrading of public health facilities in a bid to improve efficiency in health care. In monitoring performance, efficiency study is vital for health care institutions. The purpose of the study is to investigate how well resources have been allocate in producing outputs, thus to measure technical and scale efficiencies of public hospitals in Perak, Malaysia. Data were obtained from ten publics hospital in Perak, as the Decision-Making Units (DMUs), for the year 2008 to 2010. The data were pooled which consist of 30 DMUs altogether with the technique of Data Envelopment Analysis (DEA). The number of doctors, nurses and beds represents the inputs, while the number of outpatients, inpatients, surgeries and delivery represents the outputs. There are three hospitals in year 2009 and 2010 with increasing return to scale (IRS). While in 2008, only two hospitals were faces IRS. Then, for decreasing return to scale (DRS), three hospitals were identified as DRS in year 2009, and one hospital in 2008 and 2010. The findings motivate an examination of the policy implications of these comparative analysis of efficiency in the production of health care. Finally, the hospitals that are more economical in the allocation of resources to health care should be a benchmarking to inefficienct hospitals
format	Thesis
qualification_name	masters
qualification_level	Master's degree
author	Norzahirah, Mat
author_facet	Norzahirah, Mat
author_sort	Norzahirah, Mat
title	Technical and scale efficiency of district hospitals in Perak using data envelopment analysis
title_short	Technical and scale efficiency of district hospitals in Perak using data envelopment analysis
title_full	Technical and scale efficiency of district hospitals in Perak using data envelopment analysis
title_fullStr	Technical and scale efficiency of district hospitals in Perak using data envelopment analysis
title_full_unstemmed	Technical and scale efficiency of district hospitals in Perak using data envelopment analysis
title_sort	technical and scale efficiency of district hospitals in perak using data envelopment analysis
granting_institution	Universiti Utara Malaysia
granting_department	Othman Yeop Abdullah Graduate School of Business
publishDate	2013
url	https://etd.uum.edu.my/5193/1/s811081.pdf https://etd.uum.edu.my/5193/2/s811081_abstract.pdf
_version_	1776103672011292672
spelling	my-uum-etd.51932023-02-02T03:14:55Z Technical and scale efficiency of district hospitals in Perak using data envelopment analysis 2013 Norzahirah, Mat Applanaidu, Shri Dewi Othman Yeop Abdullah Graduate School of Business Othman Yeop Abdullah Graduate School of Business HF5415.33 Consumer Behavior. In the recent years, the developed and developing countries has been debate’s about increasing healthcare costs. The Ministry of Health in Malaysia has been implementing various health care sector reforms such as expansion and upgrading of public health facilities in a bid to improve efficiency in health care. In monitoring performance, efficiency study is vital for health care institutions. The purpose of the study is to investigate how well resources have been allocate in producing outputs, thus to measure technical and scale efficiencies of public hospitals in Perak, Malaysia. Data were obtained from ten publics hospital in Perak, as the Decision-Making Units (DMUs), for the year 2008 to 2010. The data were pooled which consist of 30 DMUs altogether with the technique of Data Envelopment Analysis (DEA). The number of doctors, nurses and beds represents the inputs, while the number of outpatients, inpatients, surgeries and delivery represents the outputs. There are three hospitals in year 2009 and 2010 with increasing return to scale (IRS). While in 2008, only two hospitals were faces IRS. Then, for decreasing return to scale (DRS), three hospitals were identified as DRS in year 2009, and one hospital in 2008 and 2010. The findings motivate an examination of the policy implications of these comparative analysis of efficiency in the production of health care. Finally, the hospitals that are more economical in the allocation of resources to health care should be a benchmarking to inefficienct hospitals 2013 Thesis https://etd.uum.edu.my/5193/ https://etd.uum.edu.my/5193/1/s811081.pdf text eng public https://etd.uum.edu.my/5193/2/s811081_abstract.pdf text eng public masters masters Universiti Utara Malaysia Ahmad Kiadaliri, A., Haghparast- Bidgoli, H., Zarei, A. (2011). Measuring Efficiency of General Hospitals in the South Iran. World Applied Sciences Journal 13 (6) 1310 1316,2011. Applainaidu, S. D., Samsudin, S., Ali, J., Chik, A. R., Dash, U. (2012). Technical and Scale Efficiency of Public Hospitals in Kedah: A Data Envelopment Analysis. International Soft Science Conference (ISSC) 2012. Che Razak, R. (2003). Productivity Measurement of Malaysian Government Hospitals Using Data Envelopment Analysis. Asian Academy of Management Journal, 8(12), 31-43. Coelli, T, Roa, D. S. P., Battese, G. E. (1998). An Introduction to Efficiency and Productivity Analysis. Boston. Kluwer Academic Publishers. Coppola, M.N. (2003). Correlates of military medical treatment facility (MTF) performance : Measuring technical efficiency with the structural adaptation to regain fit (SARFIT) model and data envelopment analysis (DEA), Unpublised doctoral dissertation, Virginia Commonwealth University. 39. Debru, G. (1951). The coefficient of resources utilisation. Econometrica, 19, 273-292. Farrell, M.J. (1957). The measurement of productive efficiency. Journal of the Royal Statistical Society, Series A, CCX, Part 3,253-290. Foo, L. Y., Othman, M., Ab. Karim, M.S. & Ab. Aziz, Y. (2010). Efficiency Measurement of a Malaysian Hotel Chain Using DEA. International Journal of Revenue Management, Vol.4, No 3/4, 327-343. Grosskopf, S., & V. Valdamis. (1987). Measuring hospital performance: A nonparametric approach. Journal of Health Economics, 6(2), 89-107. H. David Sherman, Joe Zhu (2006), Service Productivity Management: Improving Service Performance Using Data Envelopment Analysis. Springer. Indicators For Monitoring and Evaluation of Strategy Health For All. Retrieved August 8, 2013, from http://www.moh.gov.my/ images/gallery/publications/md/hi/hi_2009.pdf. Indicators For Monitoring and Evaluation of Strategy Health For All. Retrieved August 8, 2013, from http://www.moh.gov.my/images/gallery/ publications/md/hi/hi_2010.pdf. Maria M. Hofmarcher, Peterson, I., Riedel, M. (2002). Measuring Hospital Efficiency in Austria – A DEA Approach. Health Care Management Sciences 5, 7-14, 2002. Magnusson, J. (1996) Efficiency measurement and operationalization of hospital production. Health Service Research; 31(1): 21-37. Mohshiri, H., Aljunid, S.M., & Mohd Amin, R.(2010). Hospital Efficiency : Concept, Measurement Techniques and Review of Hospital Efficiency Studies. Malaysian Journal of Public Health Care Medicine 2010, Vol. 10(2): 35-43. Mohshiri, H., Aljunid, S.M, Mohd Amin, R., Dahlui, M., & Ibrahim, W.N. (2011). Measuring Efficiency of Teaching Hospitals in Malaysia. International Journal of Business and Management Vol.6, No.4:April 2011. Nguyen, K.M. & Giang, T.L. (2004). Efficiency Performance of Hospitals and Medical Centres in Vietnam. Munich Personal RcPEc Archieve Paper No. 1533. Osei, D., D’Almeida, S., George , M.O., Kirgia, J.M., Mensah, A.O., & Kainyu, L.H. (2005). Technical efficiency of public district hospitals and health centres in Ghana: A pilot study. Cost Effectiveness and Resource Allocation 3(9). Ozcan, Y.A. & Bannick R.R. Trend in Department of Defence Hospital Efficiency (1994). Journal of Medical System. 18(2), 69-83. Puig-Jonoy, J. (1998). Measuring health production performance in the OECD. Applied economics Letters. 5: 255-25. Turkan, S., Polat, E., & Gunay, S. (2012). Journal Zagreb International Review of Economics and Business. Vol. 15, issue 2, 1-14. Shangula, K., Mbeeli, T. (2006). Technical Efficiency of District Hospital: Evidence from Namibia using DEA. Cost Effectiveness and Resource Allocation 2006, 4:5. Sahin, I. & Ozcan, Y.A. (2000). Public sector hospital efficiency for provincial markets in Turkey. Journal of Medical System. 24(1), 307-320. Sherman, H.D. (1989). Service organization productivity management–Highlight Edition, The Society of Management Accountants of Canada, Hamilton, Ontario, Canada. Seiford, L.M and J. Zhu (1999c). Infeasibility of super efficiency data envelopment analysis models. INFOR, Information Systems & Operational Research, Vol. 37, No.2, 174-187. Thrall, R.M. (1996). Duality, Classification and Slacks in DEA. Annals of Operation Research, Vol. 66, 109-138. Umakant Dash, S.D. Vaishnavi, V.R. Muraleedharan (2010). Technical Efficiency and Scale Efficiency of District Hospitals : A Case Study. Journal of Health Management 2010 12: 231. V. Valdamis, Sensitivity analysis for DEA models, Journal of Public Economics 47 (1992) 185-205. Zhang, N., Hu, A., Zheng, J. (2007). Using Data Envelopment Analysis Approach to Estimate The Health Production Efficiencies in China. Front. Econ. China 2007, 2(1):1-23.

Technical and scale efficiency of district hospitals in Perak using data envelopment analysis

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