Assessing overall, technical, and scale ...
Document type :
Compte-rendu et recension critique d'ouvrage
Title :
Assessing overall, technical, and scale efficiency among home health care agencies
Author(s) :
Valdmanis, Vivian G. [Auteur]
Rosko, Michael D. [Auteur]
Leleu, Herve [Auteur]
Lille économie management - UMR 9221 [LEM]
Université Catholique de Lille - Faculté de gestion, économie et sciences [UCL FGES]
Mukamel, Dana B. [Auteur]
Rosko, Michael D. [Auteur]
Leleu, Herve [Auteur]

Lille économie management - UMR 9221 [LEM]
Université Catholique de Lille - Faculté de gestion, économie et sciences [UCL FGES]
Mukamel, Dana B. [Auteur]
Journal title :
Health Care Management Science
Pages :
265--275
Publisher :
Springer Verlag
Publication date :
2016-01
ISSN :
1386-9620
English keyword(s) :
Home health agencies
Efficiency
Data envelopment analysis
Efficiency
Data envelopment analysis
HAL domain(s) :
Sciences de l'Homme et Société/Economies et finances
English abstract : [en]
While home health care agencies (HHAs) play a vital role in the production of health, little research has been performed gauging their efficiency. Employing a robust approach to data envelopment analysis (DEA) we assessed ...
Show more >While home health care agencies (HHAs) play a vital role in the production of health, little research has been performed gauging their efficiency. Employing a robust approach to data envelopment analysis (DEA) we assessed overall, technical, and scale efficiency on a nationwide sample of HHAs. After deriving the three efficiency measures, we regressed these scores on a variety of environmental factors. We found that HHAs, on average, could proportionally reduce inputs by 28 % (overall efficiency), 23 % (technical efficiency) and 6 % (scale efficiency). For-profit ownership was positively associated with improvements in overall efficiency and technical efficiency and chain ownership was positively associated with global efficiency. There were also state-by-state variations on all the efficiency measures. As home health becomes an increasingly important player in the health care system, and its share of national health expenditures increases, it has become important to understand the cost structure of the industry and the potential for efficiencies. Therefore, further research is recommended as this sector continues to grow.Show less >
Show more >While home health care agencies (HHAs) play a vital role in the production of health, little research has been performed gauging their efficiency. Employing a robust approach to data envelopment analysis (DEA) we assessed overall, technical, and scale efficiency on a nationwide sample of HHAs. After deriving the three efficiency measures, we regressed these scores on a variety of environmental factors. We found that HHAs, on average, could proportionally reduce inputs by 28 % (overall efficiency), 23 % (technical efficiency) and 6 % (scale efficiency). For-profit ownership was positively associated with improvements in overall efficiency and technical efficiency and chain ownership was positively associated with global efficiency. There were also state-by-state variations on all the efficiency measures. As home health becomes an increasingly important player in the health care system, and its share of national health expenditures increases, it has become important to understand the cost structure of the industry and the potential for efficiencies. Therefore, further research is recommended as this sector continues to grow.Show less >
Language :
Anglais
Popular science :
Non
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