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Impact of Medicare Advantage penetration and hospital competition on technical efficiency of nursing care in US intensive care units.

Authors
 Ari Min  ;  Linda D. Scott  ;  Chang Park  ;  Catherine Vincent  ;  Catherine J. Ryan  ;  Taewha Lee 
Citation
 International Journal of Health Planning and Management, Vol.33(3) : 733-745, 2018 
Journal Title
 International Journal of Health Planning and Management 
ISSN
 0749-6753 
Issue Date
2018
Keywords
data envelopment analysis ; intensive care unit ; nurse staffing ; patient outcome ; technical efficiency
Abstract
This study aimed to evaluate technical efficiency of US intensive care units and determine the effects of environmental factors on technical efficiency in providing quality of nursing care. Data were obtained from the 2014 National Database of Nursing Quality Indicators and the Centers for Medicare and Medicaid Services. Data envelopment analysis was used to estimate technical efficiency for each intensive care unit. Multilevel modeling was used to determine the effects of environmental factors on technical efficiency. Overall, Medicare Advantage penetration and hospital competition in a market did not create pressure for intensive care units to become more efficient by reducing their inputs. However, these 2 environmental factors showed positive influences on technical efficiency in intensive care units with certain levels of technical efficiency. The implications of the study results for management strategies and health policy may vary according to the levels of technical efficiency in intensive care units. Further studies are needed to examine why and how intensive care units with particular levels of technical efficiency are differently affected by certain environmental factors.
Full Text
https://onlinelibrary.wiley.com/doi/full/10.1002/hpm.2528
DOI
10.1002/hpm.2528
Appears in Collections:
1. Journal Papers (연구논문) > 3. College of Nursing (간호대학) > Dept. of Nursing (간호학과)
Yonsei Authors
민아리(Min, Ari) ORCID logo https://orcid.org/0000-0002-5151-0559
이태화(Lee, Tae Wha) ORCID logo https://orcid.org/0000-0003-2568-3074
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/165548
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