مقاله انگلیسی کارایی و عوامل مدیریتی: یافتن تعادل در مراکز مراقبت تالاسمی
ترجمه نشده

مقاله انگلیسی کارایی و عوامل مدیریتی: یافتن تعادل در مراکز مراقبت تالاسمی

عنوان فارسی مقاله: کارایی و عوامل مدیریتی: یافتن تعادل در مراکز مراقبت تالاسمی
عنوان انگلیسی مقاله: Efficiency and management factors: finding the balance in Thalassaemia care centres
مجله/کنفرانس: بررسی اقتصاد سلامت - Health Economics Review
رشته های تحصیلی مرتبط: پزشکی، داروسازی
گرایش های تحصیلی مرتبط: خون و سرطان، داروسازی بالینی، داروشناسی، اقتصاد و مدیریت دارو
کلمات کلیدی فارسی: درمان تالاسمی، کارایی فنی، عوامل مدیریتی، تجزیه و تحلیل پوششی داده ها، مالزی
کلمات کلیدی انگلیسی: Thalassaemia treatment, Technical efficiency, Management factors, Data envelopment analysis, Malaysia
نوع نگارش مقاله: مقاله پژوهشی (Research Article)
نمایه: PubMed Central - Scopus - Master Journals List - JCR - DOAJ
شناسه دیجیتال (DOI): https://doi.org/10.1186/s13561-021-00351-x
دانشگاه: Clinical Research Centre, Hospital Sultanah Bahiyah, Malaysia
ناشر: اسپرینگر - Springer
نوع ارائه مقاله: ژورنال
نوع مقاله: ISI
سال انتشار مقاله: 2022
ایمپکت فاکتور: 2.306 در سال 2020
شاخص H_index: 24 در سال 2020
شاخص SJR: 0.778 در سال 2020
شناسه ISSN: 2191-1991
شاخص Quartile (چارک): Q2 در سال 2020
فرمت مقاله انگلیسی: pdf
تعداد صفحات مقاله انگلیسی: 13
وضعیت ترجمه: ترجمه نشده است
قیمت مقاله انگلیسی: رایگان
آیا این مقاله بیس است: بله
آیا این مقاله مدل مفهومی دارد: دارد
آیا این مقاله پرسشنامه دارد: ندارد
آیا این مقاله متغیر دارد: دارد
آیا این مقاله فرضیه دارد: ندارد
کد محصول: E16093
رفرنس: دارای رفرنس در داخل متن و انتهای مقاله
فهرست مطالب (انگلیسی)

Abstract
Keywords
Background
Results and discussion
References

بخشی از مقاله (انگلیسی)

Abstract
Background: Optimizing efficiency has become increasingly critical with the growing demand for finite healthcare resources driven by population growth and an ageing society. Hence, policymakers are urgently finding more efficient ways to deliver health services. Thalassemia is a complex inherited blood disorder with significant prevalence in Malaysia. The high number of patients put substantial strain on the healthcare system. This study aims to evaluate the technical efficiency of thalassaemia care centres throughout Malaysia and the determinants that affect the efficiency. Method: Data from 30 public hospitals with thalassaemia care centres were collected. A double bootstrap data envelopment analysis (DEA) approach is used with the assumption of input-oriented and variable-to-scale DEA models to generate technical efficiency scores. Bootstrap truncated regression was later conducted to identify the factors affecting the efficiency scores. Results: The mean bias-corrected technical efficiency score has improved to 0.75 in 2017 from 0.71 in 2016. In both years, more than 50% of thalassaemia care centres showed good efficiency scores (0.8-1.0). Management factors that affect the efficiency scores include separation of patient management (β = 0.0653) and budget (β = 0.0843), where they are found to positively affect the efficiency scores. In contrast, having longer operating hours is found to inversely influence the performance levels (β = − 0.4023). Conclusions: The study provides a pioneering framework to evaluate the technical efficiency of thalassaemia treatment centres in public healthcare settings and could provide a useful guide for policymaker and thalassaemia care centre managers to improve efficiency in service delivery to thalassaemia patients and their caregivers without compromising quality of care.
Background
Healthcare is a significant component of country expenditures. Across the Organization for Economic Cooperation Development (OECD) countries, health spending accounts for almost 10% of a country’s gross domestic product (GDP) (1). Optimizing efficiency has become increasingly critical with the growing demand for finite healthcare resources driven by population growth and an ageing society. Hence, policymakers are urgently finding more efficient ways to deliver health services. Efficiency improvements in healthcare delivery, even in small amounts, can yield considerable savings on resources, which then promotes further expansion of services for the community. Efficiency in healthcare is an attribute of performance that is measured by examining the relationship between specific products of the healthcare system and the resources used to create those products (2, 3). A provider is said to be efficient if the input could be minimized to produce a set of given outputs or conversely able to maximize the output for a given set of inputs.

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