NDLI: Evaluating hospital performance with additive DEA and MPI: the Isfahan University of Medical Science case study

Content Provider	Springer Nature : BioMed Central
Author	Hadian, Shirin Alsadat Rezayatmand, Reza Ketabi, Saeedeh Shaarbafchizadeh, Nasrin Pourghaderi, Ahmad Reza
Abstract	Background Hospitals are a vital pillar of the health system, and measuring their performance by an appropriate quantitative model is crucial. This study evaluated the performance of hospitals affiliated with Isfahan University of Medical Sciences. It deals with the nature of dynamics (the performance of evaluation indicators over time), examining controllable, uncontrollable, and undesirable input and output indicators. Methods This study evaluated the performance of 26 Isfahan University of Medical Science hospitals in terms of efficiency and productivity with hybrid Data Envelopment Analysis (DEA) models, namely, the additive classic, Malmquist productivity index (MPI), and super-efficiency models, from 2019 through 2022. Thirteen indicators (four inputs and nine outputs) were selected as model variables by brainstorming in the expert panel. Results The average technical efficiency of hospitals during the four periods was 0.86, indicating an average inefficiency of 14%. Malmquist productivity index results over four periods showed hospitals operating with an average of 11% positive growth, reflecting an overall increase in productivity. Notably, some hospitals with high technical efficiency displayed lower total productivity growth rates due to fluctuations in specific indicators. On average, in the four under study years, 12 hospitals were efficient, of which 75% (9 hospitals) had performance progress (average MPI > 1). On the contrary, among the 14 inefficient hospitals during the four studied years, more than 90% of the hospitals had improved performance. Conclusion This study introduces a multidimensional and dynamic model for evaluating hospital performance. While classic DEA models provide a statistical performance evaluation, the Malmquist Productivity Index reveals dynamic performance changes over time. These findings underscore the need for hospitals to adopt advanced quantitative models to optimize resource allocation and enhance service delivery.
Related Links	https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-024-12145-y.pdf
Ending Page	15
Page Count	15
Starting Page	1
File Format	HTM / HTML
ISSN	14726963
DOI	10.1186/s12913-024-12145-y
Journal	BMC Health Services Research
Issue Number	1
Volume Number	25
Language	English
Publisher	BioMed Central
Publisher Date	2025-01-02
Access Restriction	Open
Subject Keyword	Public Health Health Administration Health Informatics Nursing Research Hospital Performance evaluation Efficiency Data Envelopment Analysis (DEA) Malmquist productivity index (MPI) Additive DEA model
Content Type	Text
Resource Type	Article
Subject	Health Policy

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Technical efficiency of peripheral health units in Pujehun district of Sierra Leone: a DEA application

Can performance-based financing improve efficiency of health centers in Ethiopia? A Malmquist Productivity Index analysis

Evaluating the static and dynamic environmental performance of HSFs: Based on DEA and MPI approach

Effects of the Performance-Based Research Fund and Other Factors on the Efficiency of New Zealand Universities: A Malmquist Productivity Approach

Inefficiency of public hospitals: a multistage data envelopment analysis in an Italian region

An application of DEA based Malmquist productivity index in university performance analysis

Malmquist Productivity Analysis of Top Global Automobile Manufacturers

EFFICIENCY AND PRODUCTIVITY ANALYSIS OF INDONESIAN REGIONAL DEVELOPMENT BANKS: MULTI-STAGE DEA APPROACH AND MALMQUIST PRODUCTIVITY INDEX

Study on Improved DEA-Based MPI and Its Application in Dynamic Performance Evaluation

Evaluating hospital performance with additive DEA and MPI: the Isfahan University of Medical Science case study

Similar Documents

Technical efficiency of peripheral health units in Pujehun district of Sierra Leone: a DEA application

Can performance-based financing improve efficiency of health centers in Ethiopia? A Malmquist Productivity Index analysis

Evaluating the static and dynamic environmental performance of HSFs: Based on DEA and MPI approach

Effects of the Performance-Based Research Fund and Other Factors on the Efficiency of New Zealand Universities: A Malmquist Productivity Approach

Inefficiency of public hospitals: a multistage data envelopment analysis in an Italian region

An application of DEA based Malmquist productivity index in university performance analysis

Malmquist Productivity Analysis of Top Global Automobile Manufacturers

EFFICIENCY AND PRODUCTIVITY ANALYSIS OF INDONESIAN REGIONAL DEVELOPMENT BANKS: MULTI-STAGE DEA APPROACH AND MALMQUIST PRODUCTIVITY INDEX

Study on Improved DEA-Based MPI and Its Application in Dynamic Performance Evaluation

Evaluating hospital performance with additive DEA and MPI: the Isfahan University of Medical Science case study