Universität zu Köln

Kohl, Sebastian, Schoenfelder, Jan ORCID: 0000-0002-8793-955X, Fügener, Andreas ORCID: 0000-0002-4580-7444 and Brunner, Jens O. ORCID: 0000-0002-2700-4795 (2019). The use of Data Envelopment Analysis (DEA) in healthcare with a focus on hospitals. Health care management science, 22 (2). 245 - 287. NEW YORK: SPRINGER. ISSN 1572-9389

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Abstract

The healthcare sector in general and hospitals in particular represent a main application area for Data Envelopment Analysis (DEA). This paper reviews 262 papers of DEA applications in healthcare with special focus on hospitals and therefore closes a gap of over ten years that were not covered by existing review articles. Apart from providing descriptive statistics of the papers, we are the first to examine the research purposes of the publications. These research goals can be grouped into four distinct clusters according to our proposed framework. The four clusters are (1) Pure DEA efficiency analysis, i.e. performing a DEA on hospital data, (2) Developments or applications of new methodologies, i.e. applying new DEAy approaches on hospital data, (3) Specific management question, i.e. analyzing the effects of managerial specification, such as ownership, on hospital efficiency, and (4) Surveys on the effects of reforms, i.e. researching the impact of policy making, such as reforms of health systems, on hospital efficiency. Furthermore, we analyze the methodological settings of the studies and describe the applied models. We analyze the chosen inputs and outputs as well as all relevant downstream techniques. A further contribution of this paper is its function as a roadmap to important methodological literature and publications, which provide crucial information on the setup of DEA studies. Thus, this paper should be of assistance to researchers planning to apply DEA in a hospital setting by providing information on a) what has been published between 2005 and 2016, b) possible pitfalls when setting up a DEA analysis, and c) possible ways to apply the DEA analysis in practice. Finally, we discuss what could be done to advance DEA from a scientific tool to an instrument that is actually utilized by managers and policymakers.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kohl, Sebastian UNSPECIFIED UNSPECIFIED UNSPECIFIED Schoenfelder, Jan UNSPECIFIED orcid.org/0000-0002-8793-955X UNSPECIFIED Fügener, Andreas UNSPECIFIED orcid.org/0000-0002-4580-7444 UNSPECIFIED Brunner, Jens O. UNSPECIFIED orcid.org/0000-0002-2700-4795 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-147491
DOI:	10.1007/s10729-018-9436-8
Journal or Publication Title:	Health care management science
Volume:	22
Number:	2
Page Range:	245 - 287
Date:	2019
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1572-9389
Language:	English
Faculty:	Faculty of Management, Economy and Social Sciences
Divisions:	Faculty of Management, Economics and Social Sciences > Business Administration > Supply Chain Management > Professur für Digital Supply Chain Managment
Subjects:	Management and auxiliary services
Uncontrolled Keywords:	Keywords Language CRITICAL ACCESS HOSPITALS; SLACKS-BASED MEASURE; NONPARAMETRIC CONDITIONAL APPROACH; TOTAL FACTOR PRODUCTIVITY; DECISION-MAKING UNITS; QUALITY-OF-CARE; TECHNICAL EFFICIENCY; PUBLIC HOSPITALS; PERFORMANCE EVALUATION; SUPER-EFFICIENCY Multiple languages Health Policy & Services Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14749