Tag Archives: Hospitals

An Ex-Ante Evaluation of Technical Efficiency of Ghana’s Public Hospital to Support National Health Insurance Scheme Implementation in Ghana (Published)

This paper assessed whether the public district hospitals in Ghana are technically efficient to meet the challenge of possible increase in health care demand by Ghanaians that might result from the introduction of the National Health Insurance Scheme.The Data Envelopment Analysis (DEA) approach was used to estimate the efficiency of 51 Public District Hospitals. The results show an average overall Technical Efficiency of 77.6%, pure Technical Efficiency of 84.5% and Scale Efficiency of 92.1%. Out of the 51 public district hospitals used in the study, 30 of them were purely technically inefficient. The results also indicate that in general a total of 102 Medical and Pharmacy Staff, 530 General Administrative Staff, 462 Nursing Staff and 830 beds are wasted or not utilized in health care delivery by the public district hospitals. This indicates that any immediate increase in health care demand as a result of the National Health Insurance Scheme will not necessitate an increase in health care expenditure by the government but instead health care management should be called upon to operate more efficiently. The study concludes that there is potential to improve access and/quality of care without injecting additional resources into the health sector.

Keywords: Allocative Efficiency, Health Insurance, Hospitals, Technical Efficiency, input slacks

Influence of Supply Chain Resilience on Performance of Categorized Hospitals in Kenya (Published)

The study sought to establish the relationship between supply chain resilience and performance of categorized hospitals in Kenya. The study sampled 264 supply chain managers from 773 hospitals offering both inpatient and outpatient services in Kenya as listed by National Hospital Insurance Fund (NHIF). The sampling technique was stratified random sampling based on the eight regions as identified by NHIF. The study adopted Data Envelopment Analysis (DEA) model to measure performance of hospitals. The study findings indicated that private hospitals had a higher DEA score compared to the public and faith based hospitals. The findings implied that private hospitals were generally efficient than other type of hospitals. Further, the study found that supply chain resilience had a positive significant relationship with performance. The study recommended the use of outsourcing, spare capacity, and use of local suppliers to mitigate against hospital operational risks.

Keywords: Hospitals, Performance, Resilience, Risks., Supply Chain

Reducing Waiting Time of Outdoor Patients in Hospitals Using Different Types of Models: A Systematic Survey (Published)

This paper surveys different types of issues which lead to increased waiting time in Hospitals. Hospitals have opted for a variety of techniques to deal with such functional and structural problems to help reduce Waiting time for Outdoor patients to improve upon Patient satisfaction and overall efficiency.  Applications and contributions of different types of Operations Research Models in Health Care field to overcome the waiting time issues faced by Outpatient in Hospitals have been further discussed in the paper. Also, use of electronic health records and practice management tools by Medical practitioners to enable faster and more effective care to the patients and saving their valuable time has also been highlighted. The goal is to provide information to the Health care analysts who are engaged in improvement of hospital efficiency using an appropriate OR model.  However, there is scope of further research in areas like lack of co-ordination between hospital interfaces, waiting time of patients queuing for special treatments in this field.

Keywords: Hospitals, Outdoor Patients, Reducing Waiting Time, Systematic Survey