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Cristin-resultat-ID:
697492
Sist endret:
18. oktober 2016, 11:19
NVI-rapporteringsår:
2008
Resultat
Vitenskapelig artikkel
2008
Measuring efficiency in clinical departments
Kari Nyland
og
Jon Magnussen
Tidsskrift
Tidsskrift
Health Policy
ISSN 0168-8510
e-ISSN 1872-6054
NVI-nivå 2
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Om resultatet
Om resultatet
Vitenskapelig artikkel
Publiseringsår: 2008
Volum: 87
Hefte: 1
Sider: 1 - 7
Importkilder
Importkilder
ForskDok-ID: r09003496
Beskrivelse
Beskrivelse
Engelsk
Tittel
Measuring efficiency in clinical departments
Sammendrag
This paper explores the possibilities and limitations of obtaining and interpreting efficiency measurement on the level of the clinical department. We discuss the limitations of case-mix groupings such as the diagnosis related groups on this level. Methods: Hospital costs are allocated to clinical departments and efficiency measured using data envelopment analysis (DEA). Outputs are measured as number of discharges adjusted for case-mix using DRGs. The effect of department vs. hospital on the level of measured efficiency is analysed using a simple fixed effects regression model. Results: We find that measured efficiency depends critically on the chosen model specification. Some department types, notably children¿s departments have systematically lower levels of measured efficiency. Conclusions: : Our findings have implications for the monitoring and financing of clinical departments. DRG type instruments should be applied with caution both for monitoring and financing purposes on the departmental level.
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Bidragsytere
Bidragsytere
Kari Nyland
Forfatter
ved NTNU Handelshøyskolen ved Norges teknisk-naturvitenskapelige universitet
Jon Magnussen
Forfatter
ved Norges teknisk-naturvitenskapelige universitet
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