+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Ownership and technical efficiency of hospitals: evidence from Ghana using data envelopment analysis

, : Ownership and technical efficiency of hospitals: evidence from Ghana using data envelopment analysis. Cost Effectiveness and Resource Allocation 12(1): 9-9

In order to measure and analyse the technical efficiency of district hospitals in Ghana, the specific objectives of this study were to (a) estimate the relative technical and scale efficiency of government, mission, private and quasi-government district hospitals in Ghana in 2005; (b) estimate the magnitudes of output increases and/or input reductions that would have been required to make relatively inefficient hospitals more efficient; and (c) use Tobit regression analysis to estimate the impact of ownership on hospital efficiency. In the first stage, we used data envelopment analysis (DEA) to estimate the efficiency of 128 hospitals comprising of 73 government hospitals, 42 mission hospitals, 7 quasi-government hospitals and 6 private hospitals. In the second stage, the estimated DEA efficiency scores are regressed against hospital ownership variable using a Tobit model. This was a retrospective study. In our DEA analysis, using the variable returns to scale model, out of 128 district hospitals, 31 (24.0%) were 100% efficient, 25 (19.5%) were very close to being efficient with efficiency scores ranging from 70% to 99.9% and 71 (56.2%) had efficiency scores below 50%. The lowest-performing hospitals had efficiency scores ranging from 21% to 30%.Quasi-government hospitals had the highest mean efficiency score (83.9%) followed by public hospitals (70.4%), mission hospitals (68.6%) and private hospitals (55.8%). However, public hospitals also got the lowest mean technical efficiency scores (27.4%), implying they have some of the most inefficient hospitals.Regarding regional performance, Northern region hospitals had the highest mean efficiency score (83.0%) and Volta Region hospitals had the lowest mean score (43.0%).From our Tobit regression, we found out that while quasi-government ownership is positively associated with hospital technical efficiency, private ownership negatively affects hospital efficiency. It would be prudent for policy-makers to examine the least efficient hospitals to correct widespread inefficiency. This would include reconsidering the number of hospitals and their distribution, improving efficiency and reducing duplication by closing or scaling down hospitals with efficiency scores below a certain threshold. For private hospitals with inefficiency related to large size, there is a need to break down such hospitals into manageable sizes.


PMID: 24708886

DOI: 10.1186/1478-7547-12-9

Other references

Takekoshi, N., 1968: Studies on hypertension. 2. Influence of acid-base imbalance on the distribution of electrolytes and its relationship to hemodynamics. Japanese Circulation Journal 32(9): 1347-1360

Sekuła, J.; Reroń, E., 1986: Evaluation of the ear in newborn infants using impedance audiometry and ERA. Otolaryngologia Polska 40(1): 38-45

Herzog, T.; Link, W.; Engel, S.; Beck, H., 1989: Resection arthroplasty: middle- and long-term results. Conclusions on results after resection arthroplasty were made by analyzing patient records with regard to completed questionnaires. Sixty-four patients were followed up for 2.1-15.9 years postoperatively. The indications for explanation were septi...

Wang, K-Sheng.; Liu, X.; Zhang, Q.; Aragam, N.; Pan, Y., 2012: Parent-of-origin effects of FAS and PDLIM1 in attention-deficit/hyperactivity disorder. Previous studies have suggested that there may be a parent-of-origin effect for attention-deficit/hyperactivity disorder(ADHD) candidate genes. The objective of the present study was to investigate parent-of-origin effects using a genome-wide asso...

Zanini, S.; Martucci, L.; Del Piero, I.; Restuccia, D., 2016: Cortical hyper-excitability in healthy children: evidence from habituation and recovery cycle phenomena of somatosensory evoked potentials. To compare neurophysiological parameters of central nervous system excitability in healthy children/adolescents with those of healthy adults. Two experimental protocols were used in 19 healthy children/adolescents (10 males and 9 females, mean age...

Kusakabe M.; K.T.L., 1982: Incorporation of trace elements into ferromanganese concretions. Eos, Transactions, American Geophysical Union 63(45): 1010

Phillips, K.G., 1959: The relative effects of obstetrical anesthesia and analgesia upon the promptness of neonatal respiration. American Journal of Obstetrics and Gynecology 77(1): 113-117

Duyff, R.-Larson; Giarratano, S.; Zuzich, M., F., 1995: Nutrition, health, and safety for preschool children. Provides an overview of nutrition, health, and safety that emphasizes their interrelationship and the influences of heredity and the environment on each. Part 1 discusses food patterns and how they form, basic facts about nutrients, and guidelines...

Oh, K.; Kim, S.Rom.; Kim, D-Kyum.; Seo, M.Won.; Lee, C.; Lee, H.Mo.; Oh, J-Eun.; Choi, E.Young.; Lee, D-Sup.; Gho, Y.Song.; Park, K.Soo., 2016: In Vivo Differentiation of Therapeutic Insulin-Producing Cells from Bone Marrow Cells via Extracellular Vesicle-Mimetic Nanovesicles. The current diabetes mellitus pandemic constitutes an important global health problem. Reductions in the mass and function of β-cells contribute to most of the pathophysiology underlying diabetes. Thus, physiological control of blood glucose leve...

Doby, J.; Certaines, J.D.unff, J.G.iguen, C.A.vray, E., 1983: Human hypodermatosis and total serum IgE. Study of more than 125 sera from 66 cases. Hypodermatosis in humans (children), radio-immuno-assay of total serum IgE with follow-up to 11 months post infection in several cases, IgE values less elevated than in other parasitic infections, no correlations of values with period of infestati...