Measuring efficiency of long-term care units in Finland

被引：14

作者：

Björkgren M.A. ^{[1
,2
,3
]}

Häkkinen U. ^{[1
]}

Linna M. ^{[1
]}

机构：

[1] National Research and Development Centre for Welfare and Health, Health Services Research Unit, Helsinki

[2] Jyväskylä University, Chydenius Institute, Kokkola

[3] Chydenius Institute, FIN-67100 Kokkola

来源：

Health Care Management Science | 2001年 / 4卷 / 3期

关键词：

Data envelopment analysis; Efficiency; Long-term care; Nursing homes; Resource use; Resource utilization groups;

D O I：

10.1023/A:1011444815466

中图分类号：

学科分类号：

摘要：

Data Envelopment Analysis (DEA) was used to measure the nursing care efficiency of 64 long-term care units in Finland. New approaches introduced for evaluating efficiency were unit/ward level analysis, and the case-mix classification Resource Utilization Groups (RUG-III). Efficiency determinations were based on four DEA measures: cost, technical, allocative, and scale efficiency. The results indicated considerable variation in efficiency between units, suggesting that efficiency could be improved through better management and allocation of resources. Larger units seemingly operated more efficiently than smaller units. Allocative inefficiency resulted from using too many registered nurses and aides, and too few licensed practical nurses. © 2001 Kluwer Academic Publishers.

引用

页码：193 / 200

页数：7