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

• DOI: 10.1186/s12913-018-3228-1
• Publication Date: 2018-05-29T12:47:41Z
• Authors: Wasim I. M. Sultan; José Crispim
• Keywords: Tobit model; Health administration; Productive efficiency; Consumption; Public hospital

While health needs and expenditure in the Occupied Palestinian Territories (OPT) are growing, international donations declining economic situation is worsening. The purpose of this paper twofold, to evaluate productive efficiency public hospitals West Bank study contextual factors contributing differences. This examined technical among 11 from 2010 through 2015 targeting a total 66 observations. Nationally representative data were extracted official annual reports. We applied input-oriented Data Envelopment Analysis (DEA) models estimate scores. To elaborate further on performance, we used Tobit regression identify whose impact inefficient performance statistically significant. Despite increase mean scores by 4% 2015, findings show potential savings 14.5% resource consumption without reducing volume provided services. significant model showed four predictors explaining hospital (p < 0.01) are: bed occupancy rate (BOR); outpatient-inpatient ratio (OPIPR); hospital’s size (SIZE); availability primary healthcare centers within catchment area (PRC). There strong effect OPIPR differences between hospitals: A one unit will lead decrease 19.7% predicted inefficiency level holding all other constant. date, no previous studies have OPT. Our work identified their levels for improvements determinants efficient performance. Based measurement efficiency, generated information may guide hospitals’ managers, policymakers, donors improving main national provider. scope limited Bank. For better understanding market, research private Gaza Strip be useful.