Technical and Scale Efficiency of Inpatient Services in District Hospitals in Kerala during 2014-2019

THE NEED FOR REFORMS IN PUBLIC HOSPITALS IN KERALA Kerala has been facing many challenges (Thresia, 2011) in health and healthcare like epidemiologie al and demographic transitions (Mari and Rajan, 1990) along with a rising reliance on private hospitals (Dilip, 2010), which has increased the medical...

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Bibliographic Details
Published inSouth Asian journal of management Vol. 31; no. 1; pp. 83 - 104
Main Authors Devika, P, Sandhya, S
Format Journal Article
LanguageEnglish
Published New Delhi AMDISA Secretariat 25.06.2024
Subjects
Cluster analysis
Data envelopment analysis
Efficiency
Expenditures
Health facilities
Hospitals
Infrastructure
Life expectancy
Literature reviews
Nurses
Physicians
Public health
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Summary:THE NEED FOR REFORMS IN PUBLIC HOSPITALS IN KERALA Kerala has been facing many challenges (Thresia, 2011) in health and healthcare like epidemiologie al and demographic transitions (Mari and Rajan, 1990) along with a rising reliance on private hospitals (Dilip, 2010), which has increased the medical expenditures in the state (Mohanty and Dwivedi, 2021). Since 1990s, both India and Kerala have relied more on private hospitals (Levesque, Haddad, Narayana and Fournier, 2007; Dilip, 2010) rather than public hospitals for inpatient care. [...]Sections 5, 6 and 7 present the results, discussion, conclusion and limitations of the study. 2. INTERNATIONAL STUDIES Internationally, one could find two types of studies, studying the efficiency of public health systems in the DEA literature: (i) Studies analyzing the efficiency of the entire public health system using aggregate outputs and inputs, without a hospital-to-hospital approach. (ii) Studies focussed on hospital-level efficiency in the public health sector. The three outputs were (1) life expectancy at birth; (2) health adjusted life expectancy; and (3) infant mortality rate while the inputs were number of doctors, nurnber of hospital beds and public health expenditures as percentage of GDR The study found that most of the countries had a score of above 0.6 (60%) in various efficiency models.
ISSN:0971-5428
2584-007X
DOI:10.62206/sajm.31.1.2024.83-104