Minsung Sohn; Mankyu Choi

doi:10.4040/jkan.2014.44.4.418

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Original Article
Association between Efficiency and Quality of Health Care in South Korea Long-term Care Hospitals: Using the Data Envelopment Analysis and Matrix Analysis: Minsung Sohn, Mankyu Choi; Journal of Korean Academy of Nursing 2014;44(4):418-427.
DOI: https://doi.org/10.4040/jkan.2014.44.4.418
Published online: August 29, 2014

¹Department of Public Health Science, Graduate School·BK21Plus Program in Public Health Science, Korea University, Seoul, Korea.

²School of Health Policy & Management, College of Public Health Science·Department of Public Health Science, Graduate School·BK21 Plus Program in Public Health Science, Korea University, Seoul, Korea.

Address reprint requests to: Choi, Mankyu. Justice hall 703, Department of Public Health Science, Graduate School, Korea University, San 1, Jeongneung 3-dong, Seongbuk-gu, Seoul 136-703, Korea. Tel: +82-2-940-2871, Fax: +82-2-940-2879, mkchoi@korea.ac.kr

• Received: April 21, 2014 • Revised: May 17, 2014 • Accepted: July 24, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
Objectives of this study were to investigate the association between efficiency and quality of health care in Long-term Care Hospitals (LTCH) and determine related factors that would enable achievement of both high efficiency and high quality at the same time.
Methods
Major data sources were the "2012 Korean Assessment of Propriety by Long-term Care Hospitals" obtained from the Health Insurance Review & Assessment Service. Cost variables were supplemented by a National Tax Service accounting document. First, data envelopment analysis was performed by generating efficiency scores for each LTCH. Second, matrix analysis was conducted to ascertain association between efficiency and quality. Lastly, kruskal-wallis and mann-whitney tests were conducted to identify related factors.
Results
First, efficiency and quality of care are not in a relationship of trade-offs; thus, LTCH can be confident that high efficiency-high quality can be achieved. Second, LTCH with a large number of beds, longer tenure of medical personnel, and adequate levels of investment were more likely to have improved quality as well as efficiency.
Conclusion
It is essential to enforce legal standards appropriate to the facilities, reduce turnover of nursing staff, and invest properly in human resources. These consequences will help LTCH to maintain the balance of high efficiency-high quality in the long-run.
Keywords: Long-term care hospitals; Efficiency; Quality of health care

This manuscript is based on a part of the first author's master's thesis from Korea University.

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Figure 1

The theoretical framework of this study.

Figure 2

Association between efficiency (CCR and BCC) and quality of health care.

Table 1

Characteristics of the Long-term Care Hospitals (N=72)

LTCH=Long-term care hospitals.

Table 2

Characteristics of the Long-term Care Hospitals (N=72)

big=beyond the possible efficiency score from the super-efficiency model; DMU=Decision making unit; CCR=Charnes, cooper, & rhodes model; BCC=Banker, charnes, & cooper model.

Table 3

Characteristics of the Long-term Care Hospitals (N=72)

A=high efficiency-high quality; B=low efficiency-high quality; C=high efficiency-low quality; D=low efficiency-low quality; CCR = Charnes, Cooper, & Rhodes model; BCC = Banker, Charnes, & Cooper model.

Figure & Data

REFERENCES

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Association between Efficiency and Quality of Health Care in South Korea Long-term Care Hospitals: Using the Data Envelopment Analysis and Matrix Analysis

J Korean Acad Nurs. 2014;44(4):418-427. Published online August 29, 2014

DOI: https://doi.org/10.4040/jkan.2014.44.4.418

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Figure

We recommend

Association between Efficiency and Quality of Health Care in South Korea Long-term Care Hospitals: Using the Data Envelopment Analysis and Matrix Analysis

Figure 1 The theoretical framework of this study.

Figure 2 Association between efficiency (CCR and BCC) and quality of health care.

Figure 1

Figure 2

Association between Efficiency and Quality of Health Care in South Korea Long-term Care Hospitals: Using the Data Envelopment Analysis and Matrix Analysis

Table 1

Characteristics of the Long-term Care Hospitals (N=72)

LTCH=Long-term care hospitals.

Table 2

Characteristics of the Long-term Care Hospitals (N=72)

big=beyond the possible efficiency score from the super-efficiency model; DMU=Decision making unit; CCR=Charnes, cooper, & rhodes model; BCC=Banker, charnes, & cooper model.

Table 3

Characteristics of the Long-term Care Hospitals (N=72)

Table 1 Characteristics of the Long-term Care Hospitals (N=72)

LTCH=Long-term care hospitals.

Table 2 Characteristics of the Long-term Care Hospitals (N=72)

big=beyond the possible efficiency score from the super-efficiency model; DMU=Decision making unit; CCR=Charnes, cooper, & rhodes model; BCC=Banker, charnes, & cooper model.

Table 3 Characteristics of the Long-term Care Hospitals (N=72)