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Submitted:
27 March 2024
Posted:
29 March 2024
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1 No slacks were reported for the discharges output variable. The amount of slack for each inefficient hospital, along with their target values show precise inputs and outputs quantities each inefficient hospital should aim to reach for that hospital to achieve full efficiency. It is not provided in this paper due to limited publication space. |
2 *P ≤0.10, 10% level of significance. **P ≤0.05, 5% level of significance. ***P ≤0.01, 1% level of significance. Standard errors are adjusted for clustered observations. |
DATE | VALUE | CHANGE % |
---|---|---|
2019 | 1,758.67 | 1.43% |
2018 | 1,733.81 | 25.22% |
2017 | 1,384.58 | 5.85% |
2016 | 1,308.11 | 3.89% |
2015 | 1,259.18 | -2.01% |
2014 | 1,285.01 | 4.58% |
2013 | 1,228.77 | 1.34% |
2012 | 1,212.57 | 6.89% |
2011 | 1,134.39 | 9.77% |
2010 | 1,033.38 | 1.65% |
CRS technical efficiency | VRS technical efficiency | Scale efficiency | RTS | Public hospital type | |
---|---|---|---|---|---|
2015 | |||||
Al-Adan | 1.00 | 1.00 | 1.00 | CRS | General |
Al-Amiri | 0.78 | 0.80 | 0.98 | IRS | General |
Al-Farwaniya | 1.00 | 1.00 | 1.00 | CRS | General |
Al-Jahra | 1.00 | 1.00 | 1.00 | CRS | General |
Al-Sabah | 0.98 | 1.00 | 0.98 | IRS | General |
Mubarak Al-Kabir | 0.80 | 0.81 | 0.98 | DRS | General |
Al-Razi | 0.70 | 0.70 | 1.00 | IRS | Specialized |
Physical Med. & Rehab Facility | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Maternity Hospital | 0.99 | 1.00 | 0.99 | DRS | Specialized |
Chest Diseases Hospital | 0.52 | 0.57 | 0.92 | IRS | Specialized |
Infectious Disease Facility | 0.33 | 0.56 | 0.59 | IRS | Specialized |
Ibn Sina Hospital | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Kuwait Cancer Control Center | 0.45 | 0.55 | 0.81 | IRS | Specialized |
Allergy & Respiratory Center | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Sabah Al-Ahmad Urology Center | 0.50 | 1.00 | 0.50 | IRS | Specialized |
Average | 0.80 | 0.87 | 0.92 | ----- | ----- |
2016 | |||||
Al-Adan Hospital | 1.00 | 1.00 | 1.00 | CRS | General |
Al-Amiri Hospital | 0.85 | 0.88 | 0.96 | IRS | General |
Al-Farwaniya Hospital | 1.00 | 1.00 | 1.00 | CRS | General |
Al -Jahra Hospital | 1.00 | 1.00 | 1.00 | CRS | General |
Al-Sabah Hospital | 0.98 | 1.00 | 0.98 | IRS | General |
Mubarak Al-Kabir Hospital | 0.78 | 0.78 | 1.00 | IRS | General |
Al-Razi Hospital | 0.64 | 0.64 | 1.00 | DRS | Specialized |
Physical Med. & Rehab Facility | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Maternity Hospital | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Chest Diseases Hospital | 0.46 | 0.50 | 0.91 | IRS | Specialized |
Infectious Disease Facility | 0.30 | 0.53 | 0.56 | IRS | Specialized |
Ibn Sina Hospital | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Kuwait Cancer Control Center | 0.37 | 0.47 | 0.78 | IRS | Specialized |
Allergy & Respiratory Center | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Sabah Al-Ahmad Urology Center | 0.47 | 1.00 | 0.47 | IRS | Specialized |
Average | 0.79 | 0.85 | 0.91 | ----- | ----- |
2017 | |||||
Al-Adan Hospital | 1.00 | 1.00 | 1.00 | CRS | General |
Al-Amiri Hospital | 0.68 | 0.71 | 0.96 | IRS | General |
Al-Farwaniya Hospital | 1.00 | 1.00 | 1.00 | CRS | General |
Al -Jahra Hospital | 1.00 | 1.00 | 1.00 | CRS | General |
Al-Sabah Hospital | 1.00 | 1.00 | 1.00 | CRS | General |
Mubarak Al-Kabir Hospital | 0.75 | 0.75 | 1.00 | IRS | General |
Al-Razi Hospital | 0.68 | 0.70 | 0.97 | DRS | Specialized |
Physical Med. & Rehab Facility | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Maternity Hospital | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Chest Diseases Hospital | 0.47 | 0.52 | 0.91 | IRS | Specialized |
Infectious Disease Facility | 0.42 | 0.63 | 0.67 | IRS | Specialized |
Ibn Sina Hospital | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Kuwait Cancer Control Center | 0.37 | 0.46 | 0.80 | IRS | Specialized |
Allergy & Respiratory Center | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Sabah Al-Ahmad Urology Center | 0.62 | 1.00 | 0.62 | IRS | Specialized |
Average | 0.80 | 0.85 | 0.93 | ----- | ----- |
2018 | |||||
Al-Adan Hospital | 1.00 | 1.00 | 1.00 | CRS | General |
Al-Amiri Hospital | 0.76 | 0.77 | 0.98 | IRS | General |
Al-Farwaniya Hospital | 1.00 | 1.00 | 1.00 | CRS | General |
Al -Jahra Hospital | 1.00 | 1.00 | 1.00 | CRS | General |
Al-Sabah Hospital | 1.00 | 1.00 | 1.00 | CRS | General |
Mubarak Al-Kabir Hospital | 0.77 | 0.77 | 0.99 | IRS | General |
Al-Razi Hospital | 0.69 | 0.72 | 0.96 | IRS | Specialized |
Physical Med. & Rehab Facility | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Maternity Hospital | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Chest Diseases Hospital | 0.53 | 0.57 | 0.92 | IRS | Specialized |
Infectious Disease Facility | 0.44 | 0.73 | 0.60 | IRS | Specialized |
Ibn Sina Hospital | 0.86 | 0.88 | 0.98 | IRS | Specialized |
Kuwait Cancer Control Center | 0.36 | 0.45 | 0.81 | IRS | Specialized |
Allergy & Respiratory Center | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Sabah Al-Ahmad Urology Center | 0.46 | 1.00 | 0.46 | IRS | Specialized |
Average | 0.791 | 0.860 | 0.914 | ----- | ----- |
2019 | |||||
Al-Adan Hospital | 1.00 | 1.00 | 1.00 | CRS | General |
Al-Amiri Hospital | 0.66 | 0.68 | 0.97 | IRS | General |
Al-Farwaniya Hospital | 1.00 | 1.00 | 1.00 | CRS | General |
Al -Jahra Hospital | 1.00 | 1.00 | 1.00 | CRS | General |
Al-Sabah Hospital | 0.89 | 0.92 | 0.97 | IRS | General |
Mubarak Al-Kabir Hospital | 0.72 | 0.73 | 0.98 | DRS | General |
Al-Razi Hospital | 0.84 | 0.87 | 0.97 | DRS | Specialized |
Physical Med. & Rehab Facility | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Maternity Hospital | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Chest Diseases Hospital | 0.45 | 0.49 | 0.92 | IRS | Specialized |
Infectious Disease Facility | 0.28 | 0.56 | 0.50 | IRS | Specialized |
Ibn Sina Hospital | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Kuwait Cancer Control Center | 0.35 | 0.43 | 0.82 | IRS | Specialized |
Allergy & Respiratory Center | 1.00 | 1.00 | 1.00 | CRS | Specialized |
Sabah Al-Ahmad Urology Center | 0.57 | 1.00 | 0.57 | IRS | Specialized |
Average | 0.78 | 0.84 | 0.91 | ----- | ----- |
Pooled 2015-2019 sample (N=75 observations) | |||||
CRS technical efficiency | VRS technical efficiency |
Scale efficiency |
IRS [N (%)] |
DRS [N (%)] |
|
Mean | 0.79 | 0.85 | 0.92 | 34 (45.3%) | 6 (8%) |
Std. dev. | 0.01 | 0.01 | 0.01 | ||
Min. | 0.78 | 0.84 | 0.91 | ||
No. of fully efficient scores | 35 (46.7%) |
43 (57.3%) | 35 (46.7%) |
Input Slacks | Mean difference of values from targets | Standard Deviation |
Percent change to target |
---|---|---|---|
Hospital Beds | 67.10 | 77.76 | -16.37 |
Physicians | 75.71 | 124.83 | -18.83 |
Nurses | 169.23 | 212.93 |
-16.84 |
Output Slacks | |||
Outpatient & Emergency Visits | 4955.39 |
30509.59 |
1.13 |
Explanatory Variables | Tobit Regression Coefficient |
---|---|
Hospitalbeds >327 (dummy variable for capacity) | 0.263*** |
Catchment area population(n) | -0.00000159*** |
External causes of morbidity & mortality in catchment area(n) | -0.0584 |
<1 yr olddeaths in catchment (n) | 0.04891 |
Females (%) | -0.0965* |
Non-Kuwaitis (%) | -0.2083** |
Children <5 years (%) | -3.632 |
Elderly ≥65 years (%) | -21.107* |
Physician-to-nurse ratio | 0.482** |
Nurses per bed ratio | -0.0024* |
_Constant | 2.906*** |
Wald chi2(10) | 43.35 |
Prob > chi2 | 0.0000*** |
Log pseudolikelihood | -4.986 |
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