Measuring the efficiency of Palestinian public hospitals during 2010-2015: an application of a two-stage DEA method

BMC Health Services Research
Wasim I M Sultan, José Crispim

Abstract

While health needs and expenditure in the Occupied Palestinian Territories (OPT) are growing, the international donations are declining and the economic situation is worsening. The purpose of this paper is twofold, to evaluate the productive efficiency of public hospitals in West Bank and to study contextual factors contributing to efficiency differences. This study examined technical efficiency among 11 public hospitals in West Bank from 2010 through 2015 targeting a total of 66 observations. Nationally representative data were extracted from the official annual health reports. We applied input-oriented Data Envelopment Analysis (DEA) models to estimate efficiency scores. To elaborate further on performance, we used Tobit regression to identify contextual factors whose impact on inefficient performance is statistically significant. Despite the increase in efficiency mean scores by 4% from 2010 to 2015, findings show potential savings of 14.5% of resource consumption without reducing the volume of the provided services. The significant Tobit model showed four predictors explaining the inefficient performance of a hospital (p <  0.01) are: bed occupancy rate (BOR); the outpatient-inpatient ratio (OPIPR); hospital's size (SIZE); ...Continue Reading

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Citations

Nov 10, 2018·Conflict and Health·Wasim I M Sultan, José Crispim
Oct 12, 2018·BMC Health Services Research·Wasim I M SultanJosé Crispim
Apr 16, 2021·The International Journal of Health Planning and Management·Iyad Ibrahim ShaquraAli Akbari Sari
Mar 4, 2021·The International Journal of Health Planning and Management·Iyad Ibrahim ShaquraAli Akbari Sari
May 14, 2020·Endocrine, Metabolic & Immune Disorders Drug Targets·Rami MoslehYazun Jarrar

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