000125915 001__ 125915
000125915 005__ 20240705134150.0
000125915 0247_ $$2doi$$a10.3390/ijerph20043389
000125915 0248_ $$2sideral$$a133426
000125915 037__ $$aART-2023-133426
000125915 041__ $$aeng
000125915 100__ $$0(orcid)0000-0002-1847-3442$$aGorgemans, S.$$uUniversidad de Zaragoza
000125915 245__ $$aComparing hospital efficiency: An illustrative study of knee and hip replacement surgeries in Spain
000125915 260__ $$c2023
000125915 5060_ $$aAccess copy available to the general public$$fUnrestricted
000125915 5203_ $$aWHO’s Health Systems Performance Assessment framework suggests monitoring a set of dimensions. This study aims to jointly assess productivity and quality using a treatment-based approach, specifically analyzing knee and hip replacement, two prevalent surgical procedures performed with consolidated technology and run in most acute-care hospitals. Focusing on the analysis of these procedures sets out a novel approach providing clues for hospital management improvements, covering an existing gap in the literature. The Malmquist index under the metafrontier context was used to estimate the productivity in both procedures and its decomposition in terms of efficiency, technical and quality change. A multilevel logistic regression was specified to obtain the in-hospital mortality as a quality factor. All Spanish public acute-care hospitals were classified according to their average severity attended, dividing them into three groups. Our study revealed a decrease in productivity mainly due to a decrease in the technological change. Quality change remained constant during the period with highest variations observed between one period to the next according to the hospital classification. The improvement in the technological gap between different levels was due to an improvement in quality. These results provide new insights of operational efficiency after incorporating the quality dimension, specifically highlighting a decreasing operational performance, confirming that the technological heterogeneity is a critical question when measuring hospital performance.
000125915 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0016-0023
000125915 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000125915 592__ $$a0.808$$b2023
000125915 593__ $$aHealth, Toxicology and Mutagenesis$$c2023$$dQ2
000125915 593__ $$aPublic Health, Environmental and Occupational Health$$c2023$$dQ2
000125915 593__ $$aPollution$$c2023$$dQ2
000125915 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000125915 700__ $$aComendeiro-Maaløe, M.
000125915 700__ $$aRidao-López, M.
000125915 700__ $$0(orcid)0000-0002-0961-3298$$aBernal-Delgado, E.
000125915 7102_ $$14012$$2650$$aUniversidad de Zaragoza$$bDpto. Direcc.Organiza.Empresas$$cÁrea Organización de Empresas
000125915 773__ $$g20, 4 (2023), 3389 [12 pp.]$$pInt. j. environ. res. public health$$tInternational journal of environmental research and public health$$x1661-7827
000125915 8564_ $$s844378$$uhttps://zaguan.unizar.es/record/125915/files/texto_completo.pdf$$yVersión publicada
000125915 8564_ $$s2800723$$uhttps://zaguan.unizar.es/record/125915/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000125915 909CO $$ooai:zaguan.unizar.es:125915$$particulos$$pdriver
000125915 951__ $$a2024-07-05-12:48:13
000125915 980__ $$aARTICLE