Cost drivers and resource allocation in military health care systems.
Mil Med
; 172(3): 244-9, 2007 Mar.
Article
em 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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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Sistemas de Apoio a Decisões Administrativas
/
Modelos Econométricos
/
Custos Hospitalares
/
Alocação de Custos
/
Alocação de Recursos
/
Hospitais Militares
/
Medicina Militar
Tipo de estudo:
Health_economic_evaluation
/
Prognostic_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article