揭开效率测量的异质性:西班牙公共医院的案例研究
Marta Arbelo-Pérez1, Violeta De Vera2, Antonio Arbelo1
1Grupo de Investigación EFIVENCOM, Departamento de Dirección de Empresas, Instituto Universitario de la Empresa (IUDE), Universidad de La Laguna (ULL), Campus de Guajara, San Cristóbal de La Laguna, Tenerife, 38071, Spain.
概括
医院效率是医疗保健可持续性的关键. 忽视医院差异将成本低效率高估9.2%,强调需要考虑评估中的异质性.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
- 统计建模 统计建模
背景情况:
- 医疗保健效率对于可持续的医疗保健系统至关重要.
- 现有的研究往往忽略了医院的异质性,偏见了低效率的估计.
- 准确的效率测量需要考虑医疗保健提供者之间的差异.
研究的目的:
- 为了估计西班牙公共医院的成本效益.
- 评估医院异质性对低效率估计的影响.
- 为医疗保健决策提供可靠的效率指标.
主要方法:
- 使用随机边界贝叶斯模型与随机系数.
- 分析了来自西班牙278家公共医院 (2016-2019) 的数据.
- 将医院的异质性纳入成本效益模型.
主要成果:
- 西班牙公共医院的成本低效率水平为12.86%.
- 如果不考虑医院的异质性,则高估了9.2个百分点的低效率.
- 异质性显著影响效率评估的准确性.
结论:
- 考虑到医院异质性对于精确的成本效益评估至关重要.
- 忽视变化导致偏见和不可靠的低效率估计.
- 这项研究强调了在医疗保健效率研究中微妙方法的重要性.
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