Impact of the Local Public Hospital Reform on the Efficiency of Medium-Sized Hospitals in Japan: An Improved Slacks-Based Measure Data Envelopment Analysis Approach.

ABSTRACT:

Objective

To assess the change in efficiency and total factor productivity (TFP) of the local public hospitals in Japan after the local public hospital reform launched in late 2007, which was aimed at improving the financial capability and operational efficiency of hospitals.

Data sources and data collection

Secondary data were collected from the Ministry of Internal Affairs and Communications on 213 eligible medium-sized hospitals, each operating 100-400 beds from FY2006 to FY2011.

Study design

The improved slacks-based measure nonoriented data envelopment analysis models (Quasi-Max SBM nonoriented DEA models) were used to estimate dynamic efficiency score and Malmquist Index.

Principal findings

The dynamic efficiency measure indicated an efficiency gain in th

SUBMITTER: Zhang X 

PROVIDER: S-EPMC5867075 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature