Quality and resource efficiency in hospital service provision: A geoadditive stochastic frontier analysis of stroke quality of care in Germany
| dc.contributor.author | Pross, Christoph | |
| dc.contributor.author | Strumann, Christoph | |
| dc.contributor.author | Geissler, Alexander | |
| dc.contributor.author | Herwartz, Helmut | |
| dc.contributor.author | Klein, Nadja | |
| dc.date.accessioned | 2018-09-13T11:30:43Z | |
| dc.date.available | 2018-09-13T11:30:43Z | |
| dc.date.issued | 2018-09-06 | |
| dc.description.abstract | We specify a Bayesian, geoadditive Stochastic Frontier Analysis (SFA) model to assess hospital performance along the dimensions of resources and quality of stroke care in German hospitals. With 1,100 annual observations and data from 2006 to 2013 and risk-adjusted patient volume as output, we introduce a production function that captures quality, resource inputs, hospital inefficiency determinants and spatial patterns of inefficiencies. With high relevance for hospital management and health system regulators, we identify performance improvement mechanisms by considering marginal effects for the average hospital. Specialization and certification can substantially reduce mortality. Regional and hospital-level concentration can improve quality and resource efficiency. Finally, our results demonstrate a trade-off between quality improvement and resource reduction and substantial regional variation in efficiency. | en |
| dc.description.sponsorship | DFG, 325093850, Open Access Publizieren 2017 - 2018 / Technische Universität Berlin | de |
| dc.identifier.eissn | 1932-6203 | |
| dc.identifier.uri | https://depositonce.tu-berlin.de/handle/11303/8184 | |
| dc.identifier.uri | http://dx.doi.org/10.14279/depositonce-7339 | |
| dc.language.iso | en | en |
| dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | en |
| dc.subject.ddc | 610 Medizin und Gesundheit | de |
| dc.subject.other | stochastic frontier analysis | en |
| dc.subject.other | health system | en |
| dc.subject.other | hospital performance | en |
| dc.title | Quality and resource efficiency in hospital service provision: A geoadditive stochastic frontier analysis of stroke quality of care in Germany | en |
| dc.type | Article | en |
| dc.type.version | publishedVersion | en |
| dcterms.bibliographicCitation.articlenumber | e0203017 | en |
| dcterms.bibliographicCitation.doi | 10.1371/journal.pone.0203017 | en |
| dcterms.bibliographicCitation.issue | 9 | en |
| dcterms.bibliographicCitation.journaltitle | PLOS ONE | en |
| dcterms.bibliographicCitation.originalpublishername | Public Library of Science (PLOS) | en |
| dcterms.bibliographicCitation.originalpublisherplace | San Francisco, California, US | en |
| dcterms.bibliographicCitation.volume | 13 | en |
| tub.accessrights.dnb | free | en |
| tub.affiliation | Fak. 7 Wirtschaft und Management::Inst. Technologie und Management (ITM)::FG Management im Gesundheitswesen | de |
| tub.affiliation.faculty | Fak. 7 Wirtschaft und Management | de |
| tub.affiliation.group | FG Management im Gesundheitswesen | de |
| tub.affiliation.institute | Inst. Technologie und Management (ITM) | de |
| tub.publisher.universityorinstitution | Technische Universität Berlin | en |