Performance of French intensive care units: A directional distance function approach at the patient level
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| Title: | Performance of French intensive care units: A directional distance function approach at the patient level |
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| Authors: | Dervaux, B.1 bdervaux@cresge.fr, Leleu, H.2 h.leleu@ieseg.fr, Minvielle, E.3 etienne.minvielle@igr.fr, Valdmanis, V.4 v.valdma@usip.edu, Aegerter, P.5,6 philippe.aegerter@apr.ap-hop-paris.fr, Guidet, B.7,8,9 bertrand.guidet@sat.ap-hop-paris.fr |
| Source: | International Journal of Production Economics. Aug2009, Vol. 120 Issue 2, p585-594. 10p. |
| Subjects: | Economic models, Factors of production, Estimation theory, Stochastic processes, Productivity accounting, Intensive care units, Critical care medicine, Hospital emergency services |
| Abstract: | Abstract: By using a novel adaptation of the free-disposable hull analysis of productivity, we assess the medical and technical efficiency of patient care in 25 Parisian intensive care units (ICUs) during 2000. The robust free disposable hull (RFDH) as defined by [Cazals et al., 2002. Nonparametric frontier estimation: a robust approach. Journal of Econometrics 106, 1–25] reduces the impact outliers may have on findings by employing Monte-Carlo techniques and repeated sample selection. Among our key findings, there was no overall significant correlation between medical and technical efficiencies for all the ICUs, therefore performing well in one does not guarantee good performance in the other. We also found that over 80% of inefficiency is concentrated in less than 20% of the sampled patients. [Copyright &y& Elsevier] |
| Copyright of International Journal of Production Economics is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Engineering Source |
| FullText | Text: Availability: 0 |
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| Header | DbId: egs DbLabel: Engineering Source An: 43559819 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Performance of French intensive care units: A directional distance function approach at the patient level – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Dervaux%2C+B%2E%22">Dervaux, B.</searchLink><relatesTo>1</relatesTo><i> bdervaux@cresge.fr</i><br /><searchLink fieldCode="AR" term="%22Leleu%2C+H%2E%22">Leleu, H.</searchLink><relatesTo>2</relatesTo><i> h.leleu@ieseg.fr</i><br /><searchLink fieldCode="AR" term="%22Minvielle%2C+E%2E%22">Minvielle, E.</searchLink><relatesTo>3</relatesTo><i> etienne.minvielle@igr.fr</i><br /><searchLink fieldCode="AR" term="%22Valdmanis%2C+V%2E%22">Valdmanis, V.</searchLink><relatesTo>4</relatesTo><i> v.valdma@usip.edu</i><br /><searchLink fieldCode="AR" term="%22Aegerter%2C+P%2E%22">Aegerter, P.</searchLink><relatesTo>5,6</relatesTo><i> philippe.aegerter@apr.ap-hop-paris.fr</i><br /><searchLink fieldCode="AR" term="%22Guidet%2C+B%2E%22">Guidet, B.</searchLink><relatesTo>7,8,9</relatesTo><i> bertrand.guidet@sat.ap-hop-paris.fr</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Production+Economics%22">International Journal of Production Economics</searchLink>. Aug2009, Vol. 120 Issue 2, p585-594. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Economic+models%22">Economic models</searchLink><br /><searchLink fieldCode="DE" term="%22Factors+of+production%22">Factors of production</searchLink><br /><searchLink fieldCode="DE" term="%22Estimation+theory%22">Estimation theory</searchLink><br /><searchLink fieldCode="DE" term="%22Stochastic+processes%22">Stochastic processes</searchLink><br /><searchLink fieldCode="DE" term="%22Productivity+accounting%22">Productivity accounting</searchLink><br /><searchLink fieldCode="DE" term="%22Intensive+care+units%22">Intensive care units</searchLink><br /><searchLink fieldCode="DE" term="%22Critical+care+medicine%22">Critical care medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+emergency+services%22">Hospital emergency services</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Abstract: By using a novel adaptation of the free-disposable hull analysis of productivity, we assess the medical and technical efficiency of patient care in 25 Parisian intensive care units (ICUs) during 2000. The robust free disposable hull (RFDH) as defined by [Cazals et al., 2002. Nonparametric frontier estimation: a robust approach. Journal of Econometrics 106, 1–25] reduces the impact outliers may have on findings by employing Monte-Carlo techniques and repeated sample selection. Among our key findings, there was no overall significant correlation between medical and technical efficiencies for all the ICUs, therefore performing well in one does not guarantee good performance in the other. We also found that over 80% of inefficiency is concentrated in less than 20% of the sampled patients. [Copyright &y& Elsevier] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of International Journal of Production Economics is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1016/j.ijpe.2009.04.011 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 585 Subjects: – SubjectFull: Economic models Type: general – SubjectFull: Factors of production Type: general – SubjectFull: Estimation theory Type: general – SubjectFull: Stochastic processes Type: general – SubjectFull: Productivity accounting Type: general – SubjectFull: Intensive care units Type: general – SubjectFull: Critical care medicine Type: general – SubjectFull: Hospital emergency services Type: general Titles: – TitleFull: Performance of French intensive care units: A directional distance function approach at the patient level Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Dervaux, B. – PersonEntity: Name: NameFull: Leleu, H. – PersonEntity: Name: NameFull: Minvielle, E. – PersonEntity: Name: NameFull: Valdmanis, V. – PersonEntity: Name: NameFull: Aegerter, P. – PersonEntity: Name: NameFull: Guidet, B. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 08 Text: Aug2009 Type: published Y: 2009 Identifiers: – Type: issn-print Value: 09255273 Numbering: – Type: volume Value: 120 – Type: issue Value: 2 Titles: – TitleFull: International Journal of Production Economics Type: main |
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