Cost drivers and resource allocation in military health care systems.
Mil Med
; 172(3): 244-9, 2007 Mar.
Article
en En
| MEDLINE
| ID: mdl-17436766
ABSTRACT
This study illustrates the feasibility of incorporating technical efficiency considerations in the funding of military hospitals and identifies the primary drivers for hospital costs. Secondary data collected for 24 U.S.-based Army hospitals and medical centers for the years 2001 to 2003 are the basis for this analysis. Technical efficiency was measured by using data envelopment analysis; subsequently, efficiency estimates were included in logarithmic-linear cost models that specified cost as a function of volume, complexity, efficiency, time, and facility type. These logarithmic-linear models were compared against stochastic frontier analysis models. A parsimonious, three-variable, logarithmic-linear model composed of volume, complexity, and efficiency variables exhibited a strong linear relationship with observed costs (R(2) = 0.98). This model also proved reliable in forecasting (R(2) = 0.96). Based on our analysis, as much as $120 million might be reallocated to improve the United States-based Army hospital performance evaluated in this study.
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Banco de datos:
MEDLINE
Asunto principal:
Sistemas de Apoyo a Decisiones Administrativas
/
Modelos Econométricos
/
Costos de Hospital
/
Asignación de Costos
/
Asignación de Recursos
/
Hospitales Militares
/
Medicina Militar
Tipo de estudio:
Health_economic_evaluation
/
Prognostic_studies
Límite:
Humans
País como asunto:
America do norte
Idioma:
En
Año:
2007
Tipo del documento:
Article