Search results for "Undesirable output"

showing 2 items of 2 documents

Evaluating the Reform of Healthcare System in Sicily: variations of efficiency and appropriateness between 2008 and 2010

2022


 
 Background. Sicilian government has developed a very ambitious Reform through the Regional Law n. 5 (14th April 2009). Hospitals were requested to ensure the quality of care through monitoring of appropriateness and quality of service. The aim of this study was to assess variations of efficiency and organizational appropriateness of healthcare delivery before and after this Reform and to show patterns associated to different types of healthcare delivery organizations.
 Methods. This study was based on repeated cross-sectional data for 118 (out of 129) short-term, acute-care, non teaching-and-research Sicilian hospitals, in 2008 and 2010. Congestion and slacks analysis was…

Community and Home CareGovernmentEpidemiologyHealth PolicyPublic Health Environmental and Occupational HealthEfficiencyUndesirable outputSettore MED/01 - Statistica MedicaHealthcare deliveryScale (social sciences)CongestionAppropriateness; Congestion; Data envelopment analysis; Efficiency; Undesirable outputs; Epidemiology; Health Policy; Community and Home Care; Public Health Environmental and Occupational HealthOrganizational transformationAppropriateneOperations managementPublic Health; Health policy; BiostatisticsBusinessQuality of careInefficiencyData envelopment analysiHealthcare systemEpidemiology, Biostatistics, and Public Health
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Congestion analysis to evaluate the efficiency and appropriateness of hospitals in Sicily

2015

Over the past twenty years, important changes in the Italian National Health System have been made in order to obtain significant improvements in the efficiency, appropriateness and quality of health care delivery, while reducing health expenditure. In this paper we proposed a multidimensional approach to assess the impact of organization inappropriateness on the efficiency evaluation of hospitals in Sicily for the year 2009. This study was based on cross-sectional data for 116 (out of 129) short-term, acute-care hospitals. The analysis considered beds, physicians, nurses and other personnel as inputs, ordinary discharges and day-hospital admissions as desirable outputs and inappropriate di…

Output-congestionNational Health ProgramsCross-sectional studymedia_common.quotation_subjectEfficiencyEfficiency OrganizationalSettore MED/01 - Statistica MedicaOutcome Assessment Health CareHealth careData envelopment analysisHumansMedicineQuality (business)Operations managementSicilyQuality of Health Caremedia_commonNational healthHospitals Publicbusiness.industryHealth PolicyUndesirable outputHealth care deliveryCross-Sectional StudiesAppropriateness; Data envelopment analysis; Efficiency; Output-congestion; Undesirable outputs; Health PolicyAppropriatenebusinessInefficiencyData envelopment analysiHealth Policy
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