Appendix G (continued, 4) - References

Health Care Efficiency Measures: Identification, Categorization, and Evaluation

1 Kessler DP, McClellan MB. The Effects of Hospital Ownership on Medical Productivity. Rand J Econ 2002; 33(3):488-506.

2 Carey K. Hospital cost efficiency and system membership. Inquiry 2003; 40(1):25-38.

3 Nunamaker TR. Measuring routine nursing service efficiency: a comparison of cost per patient day and data envelopment analysis models. Health Serv Res 1983; 18(2 Pt 1):183-208.

4 Maindiratta A . Largest size-efficient scale and size efficiencies of decision-making units in data envelopment analysis. Journal of Econometrics 1990; 46(1-2):57-72.

5 Alexander JA, Bloom JR, Nuchols BA. Nursing Turnover and Hospital Efficiency: An Organization-Level Analysis. Industrial Relations 1994; 33(4):505-20.

6 Chirikos TN, Sear AM. Technical efficiency and the competitive behavior of hospitals. Socioecon Plann Sci 1994; 28(4):219-27.

7 Bradford WD, Craycraft C. Prospective Payments and Hospital Efficiency. Review of Industrial Organization 1996; 11(6):791-809.

8 Rosko MD, Chilingerian JA. Estimating hospital inefficiency: does case mix matter? J Med Syst 1999; 23(1):57-71.

9 Morey RC, Retzlaff-Roberts DL, Fine DJ, Loree SW. Assessing the operating efficiencies of teaching hospitals by an enhancement of the AHA/AAMC method. American Hospital Association/Association of American Medical Colleges. Acad Med 2000; 75(1):28-40.

10 Chirikos TN, Sear AM. Measuring hospital efficiency: a comparison of two approaches. Health Serv Res 2000; 34(6):1389-408.

11 Rosko MD. Cost efficiency of US hospitals: a stochastic frontier approach. Health Econ 2001; 10(6):539-51.

12 Cleverley WO. The hospital cost index: a new way to assess relative cost-efficiency. Healthc Financ Manage 2002; 56(7):36-42.

13 O'Neal PV, Ozcan YA, Ma Y. Benchmarking mechanical ventilation services in teaching hospitals. J Med Syst 2002; 26(3):227-40.

14 Sari N. Efficiency Outcomes of Market Concentration and Managed Care. International Journal of Industrial Organization 2003; 21(10):1571-89.

15 Rosko MD. Performance of US teaching hospitals: a panel analysis of cost inefficiency. Health Care Manag Sci 2004; 7(1):7-16.

16 Rosko MD, Proenca J. Impact of network and system use on hospital X-inefficiency. Health Care Manage Rev 2005; 30(1):69-79.

17 Grosskopf S, Valdmanis V. Measuring hospital performance. A non-parametric approach. J Health Econ 1987; 6(2):89-107.

18 Byrnes P, Valdmanis V. Variable cost frontiers and efficiency: an investigation of labor costs in hospitals. Gulledge T, Lihl L. Cost Analysis Applications of Economics. Berlin: Springer, 1989.

19 Ashby JL Jr, Altman SH. The trend in hospital output and labor productivity, 1980-1989. Inquiry 1992; 29(1):80-91.

20 Valdmanis V. Sensitivity analysis for DEA models - an empirical example using public vs. NFP hospitals. Journal of Public Economics 1992; 48(2):185-205.

21 Grosskopf S, Valdmanis V. Evaluating hospital performance with case-mix-adjusted outputs. Med Care 1993; 31(6):525-32.

22 Ferrier GD, Valdmanis V. Rural hospital performance and its correlates. The Journal of Productivity Analysis 1996; 7:63-80.

23 Phillips JF. Do managerial efficiency and social responsibility drive long-term financial performance of not-for-profit hospitals before acquisition? J Health Care Finance 1999; 25(4):67-76.

24 Grosskopf S, Margaritis D, Valdmanis V. Comparing teaching and non-teaching hospitals: a frontier approach (teaching vs. non-teaching hospitals). Health Care Manag Sci 2001;4(2):83-90.

25 Mobley LR, Magnussen J. The impact of managed care penetration and hospital quality on efficiency in hospital staffing. J Health Care Finance 2002; 28(4):24-42.

26 Saint S, Hofer TP, Rose JS, Kaufman SR, McMahon LF Jr. Use of critical pathways to improve efficiency: a cautionary tale. Am J Manag Care 2003; 9(11):758-65.

27 Sherman HD. Hospital efficiency measurement and evaluation. Empirical test of a new technique. Med Care 1984; 22(10):922-38.

28 Banker RD, Conrad RF, Strauss RP. A comparative application of data envelopment analysis and translog methods - an illustrative study of hospital production. Management Science 1986; 32(1):30-44.

29 Bitran GR, Valor-Sabatier J. Some mathematical programming based measures of efficiency in health care institutions. Advances in Mathematical Programming and Financial Planning 1987; 1:61-84.

30 Borden JP. An assessment of the impact of diagnosis-related group (DRG)-based reimbursement on the technical efficiency of New Jersey hospitals using data envelopment analysis. Journal of Accounting and Public Policy 1988; 7:77-96.

31 Valdmanis VG . Ownership and technical efficiency of hospitals. Med Care 1990; 28(6):552-61.

32 Sear AM. Comparison of efficiency and profitability of investor-owned multihospital systems with not-for-profit hospitals. Health Care Manage Rev 1991; 16(2):31-7.

33 DesHarnais S , Hogan AJ, McMahon LF Jr, Fleming S. Changes in rates of unscheduled hospital readmissions and changes in efficiency following the introduction of the Medicare prospective payment system. An analysis using risk-adjusted data. Eval Health Prof 1991; 14(2):228-52.

34 Dittman DA, Capettini R, Morey RC. Measuring efficiency in acute care hospitals: an application of data envelopment analysis. J Health Hum Resour Adm 1991; 14(1):89-108.

35 Ozcan YA. Sensitivity analysis of hospital efficiency under alternative output/input and Peer groups: a review. The International Journal of Knowledge Transfer and Utilisation 1992; 5(4):1-29.

36 Bradbury RC, Golec JH, Sterns FE Jr. Comparing surgical efficiency in independent practice association HMOS and traditional insurance programs. Health Serv Manage Res 1993; 6(2):99-108.

37 McCue MJ, Clement JP. Relative performance of for-profit psychiatric hospitals in investor-owned systems and nonprofit psychiatric hospitals. Am J Psychiatry 1993; 150(1):77-82.

38 Hogan AJ, Wroblewski R. The Determinants of Hospital Efficiency: A Data Envelopment Analysis. Rhodes EL. Applications of Management Science, vol. 7. Greenwich, Conn. and London: JAI Press, 1993: 115-44.

39 Ozcan YA, Bannick RR. Trends in Department of Defense hospital efficiency. J Med Syst 1994; 18(2):69-83.

40 Byrnes P, Valdmanis V. Analyzing Technical and Allocative Efficiency of Hospitals. Charnes A, et al. Dordrecht; Boston and London: Kluwer Academic, 1994: 129-44.

41 Zuckerman S, Hadley J, Iezzoni L. Measuring Hospital Efficiency with Frontier Cost Functions. J Health Econ 1994; 13(3):255-80.

42 Vitaliano DF , Toren M. Hospital Cost and Efficiency in a Regime of Stringent Regulation. Eastern Economic Journal 1996; 22(2):161-75.

43 White KR, Ozcan YA. Church ownership and hospital efficiency. Hosp Health Serv Adm 1996; 41(3):297-310.

44 Morey RC, Dittman DA. Cost pass-through reimbursement to hospitals and their impacts on operating efficiencies. Annals of Operations Research 1996; 67:117-39.

45 Koop G, Osiewalski J, Steel MFJ. Bayesian Efficiency Analysis through Individual Effects: Hospital Cost Frontiers. Journal of Econometrics 1997; 76(1-2):77-105.

46 Chirikos TN. Identifying efficiently and economically operated hospitals: the prospects and pitfalls of applying frontier regression techniques. J Health Polit Policy Law 1998; 23(6):879-904.

47 O'Neill L. Multifactor Efficiency in Data Envelopment Analysis with an Application to Urban Hospitals. Health Care Management Science 1998; 1(1):19-27.

48 Chirikos TN. Further evidence that hospital production is inefficient. Inquiry 1998-1999; 35(4):408-16.

49 Ozcan YA, Watts J, Harris JM, Wogen SE. Provider experience and technical efficiency in the treatment of stroke patients: DEA approach. J Oper Res Soc 1998; 49:573-82.

50 Picker Institute. Integrated system links cost data, patient satisfaction scores for the first time. Data Strateg Benchmarks 1999; 3(10):153-7, 145.

51 Rosko MD. Impact of internal and external environmental pressures on hospital inefficiency. Health Care Manag Sci 1999; 2(2):63-74.

52 Chern JY, Wan TT. The impact of the prospective payment system on the technical efficiency of hospitals. J Med Syst 2000; 24(3):159-72.

53 Frech HEI, Mobley LR. Efficiency, Growth, and Concentration: An Empirical Analysis of Hospital Markets. Econ Inq 2000; 38(3):369-84.

54 Harris J, Ozgen H, Ozan Y. Do mergers enhance the performance of hospital efficiency? J Oper Res Soc 2000; 51:801-11.

55 100 Top Hospitals. Hospital benchmarks show clinical quality, efficiency are hallmarks of cost-effective care. Capitation Rates Data 2001; 6(5):55-8.

56 Brown HSI. Managed Care and Efficiency. Bridges J. Australian Studies in Health Service Administration, no. 89. Sydney: University of New South Wales School of Health Services Management, 2001: 57-64.

57 Folland ST, Hofler RA. How Reliable Are Hospital Efficiency Estimates? Exploiting the Dual to Homothetic Production. Health Econ 2001; 10(8):683-98.

58 Li T, Rosenman R. Cost inefficiency in Washington hospitals: a stochastic frontier approach using panel data. Health Care Manag Sci 2001; 4(2):73-81.

59 Rosko MD. Impact of HMO penetration and other environmental factors on hospital X inefficiency. Med Care Res Rev 2001; 58(4):430-54.

60 Brown HS 3rd. Managed care and technical efficiency. Health Econ 2003; 12(2):149-58.

61 100 Top Hospitals. Top hospitals show that quality, efficiency not always costly. Capitation Rates Data 2003; 8(11):131-2.

62 Chu HL, Liu SZ, Romeis JC. Does capitated contracting improve efficiency? Evidence from California hospitals. Health Care Manage Rev 2004; 29(4):344-52.

63 Jordan SD. Nursing productivity in rural hospitals. Nurs Manage 1994; 25(3):58-62.

64 Young ST. Multiple productivity measurement approaches for management. Health Care Manage Rev 1992; 17(2):51-8.

65 Bellin E, Kalkut G. Is time-slice analysis superior to total hospital length of stay in demonstrating the effectiveness of a month-long intensive effort on a medicine service? Qual Manag Health Care 2004; 13(2):143-9.

66 Mathiasen RA, Eby JB, Jarrahy R, Shahinian HK, Margulies DR. A dedicated craniofacial trauma team improves efficiency and reduces cost. J Surg Res 2001; 97(2):138-43.

67 Kyriacou DN, Ricketts V, Dyne PL, McCollough MD, Talan DA. A 5-year time study analysis of emergency department patient care efficiency. Ann Emerg Med 1999; 34(3):326-35.

68 Finkler MD, Wirtschafter DD. Cost-effectiveness and data envelopment analysis. Health Care Manage Rev 1993; 18(3):81-8.

69 Wilson GW, Jadlow JM. Competition, profit incentives, and technical efficiency in the provision of nuclear medicine services. Bell Journal of Economics 1982; 13(2):472-82.

70 Seltzer SE, Saini S, Bramson RT et al. Can academic radiology departments become more efficient and cost less? Radiology 1998; 209(2):405-10.

71 Sternick E. Productivity measurement in radiation oncology. Adm Radiol 1990; 9(10):80, 82-3.

72 Ozgen H, Ozcan YA, Santerre RE, Vernon JA. Longitudinal Analysis of Efficiency in Multiple Output Dialysis Markets Hospital Ownership Mix Efficiency in the US: An Exploratory Study. Health Care Management Science V7, N4 2004; (11192):253-61.

73 Starfield B, Powe NR, Weiner JR et al. Costs vs quality in different types of primary care settings. JAMA 1994; 272(24):1903-8.

74 Wang BB, Ozcan YA, Wan TT, Harrison J. Trends in hospital efficiency among metropolitan markets. J Med Syst 1999; 23(2):83-97.

75 Goodman DC, Stukel TA, Chang CH, Wennberg JE. End-of-life care at academic medical centers: implications for future workforce requirements. Health Aff (Millwood) 2006; 25(2):521-31.

76 Dewar DM, Lambrinos J. Does managed care more efficiently allocate resources to older patients in critical care settings? Cost Qual 2000; 6(2):18-26, 37.

77 Conrad D, Wickizer T, Maynard C et al. Managing care, incentives, and information: an exploratory look inside the "black box" of hospital efficiency. Health Serv Res 1996; 31(3):235-59.

78 Broyles RW. Efficiency, costs, and quality: the New Jersey experience revisited. Inquiry 1990; 27(1):86-96.

79 DeLia D, Cantor JC, Duck E. Productivity vs. training in primary care: analysis of hospitals and health centers in New York City. Inquiry 2002; 39(3):314-26.

80 Burgess JF Jr , Wilson PW. Technical Efficiency in Veterans Administration Hospitals. Fried HO, Lovell CAK, Schmidt SS New York; Oxford; Toronto and Melbourne: Oxford University Press, 1993: 335-51.

81 Hao S, Pegels CC. Evaluating relative efficiencies of Veterans Affairs Medical Centers using data envelopment, ratio, and multiple regression analysis. J Med Syst 1994; 18(2):55-67.

82 Burgess JFJr , Wilson PW. Decomposing Hospital Productivity Changes, 1985-1988: A Nonparametric Malmquist Approach. Journal of Productivity Analysis 1995; 6(4):343-63.

83 Burgess JF, Wilson PW. Hospital ownership and technical inefficiency. Management Science 1996; 42(1):110-23.

84 Burgess JF, Wilson PW. Variation in inefficiency among US hospitals. INFOR 1998; 36(3):84-102.

85 Bannick RR, Ozcan YA. Efficiency analysis of federally funded hospitals: comparison of DoD and VA hospitals using data envelopment analysis. Health Serv Manage Res 1995; 8(2):73-85.

86 Harrison JP, Ogniewski RJ. An efficiency analysis of Veterans Health Administration hospitals. Mil Med 2005; 170(7):607-11.

87 Sexton TR, Leiken AM, Nolan AH, Liss S, Hogan A, Silkman RH. Evaluating managerial efficiency of Veterans Administration medical centers using Data Envelopment Analysis. Med Care 1989; 27(12):1175-88.

88 Eastaugh SR. Hospital nurse productivity. J Health Care Finance 2002; 29(1):14-22.

89 Weingarten SR, Lloyd L, Chiou CF, Braunstein GD. Do subspecialists working outside of their specialty provide less efficient and lower-quality care to hospitalized patients than do primary care physicians? Arch Intern Med 2002; 162(5):527-32.

90 Auerbach AD, Wachter RM, Katz P, Showstack J, Baron RB, Goldman L. Implementation of a voluntary hospitalist service at a community teaching hospital: improved clinical efficiency and patient outcomes. Ann Intern Med 2002; 137(11):859-65.

91 Ghosh D, Alvis W. Efficient utilization of medical practice resources: a framework and case analysis. J Health Care Finance2003; 30(1):41-8.

92 Brenn BR, Reilly JS, Deutsch ES, Hetrick MH, Cook SC. Analysis of efficiency of common otolaryngology operations: comparison of operating room vs short procedure room in a pediatric tertiary hospital. Arch Otolaryngol Head Neck Surg 2003; 129(4):435-7.

93 Ozcan YA, McCue MJ, Okasha AA. Measuring the technical efficiency of psychiatric hospitals. J Med Syst 1996; 20(3):141-50.

94 Thomas JW. Should episode-based economic profiles be risk adjusted to account for differences in patients' health risks? Health Serv Res 2006; 41(2):581-98.

95 Pope GC. Physician Inputs, Outputs, and Productivity, 1976-1986. Inquiry 1990; 27(2):151-60.

96 Chilingerian JA, Sherman HD. Benchmarking physician practice patterns with DEA: a multistage approach for cost containment. Annals of Operations Research 1997; 67:83-116.

97 Ozcan YA. Physician benchmarking: measuring variation in practice behavior in treatment of otitis media. Health Care Manag Sci 1998; 1(1):5-17.

98 Ozcan YA, Jiang HJ, Pai CW. Do primary care physicians or specialists provide more efficient care? Health Serv Manage Res 2000; 13(2):90-6.

99 Abouleish AE, Zornow MH, Levy RS, Abate J, Prough DS. Measurement of individual clinical productivity in an academic anesthesiology department. Anesthesiology 2000; 93(6):1509-16.

100 Chilingerian JA, Sherman HD. DEA and primary care physician report cards: deriving preferred practice cones from managed care service concepts and operating strategies. Annals of Operations Research 1996; 73:35-66.

101 Pai CW, Ozcan YA, Jiang HJ. Regional variation in physician practice pattern: an examination of technical and cost efficiency for treating sinusitis. J Med Syst 2000; 24(2):103-17.

102 Chilingerian JA. Investigating non-medical factors associated with the technical efficiency of physicians in the provision of hospital services, a pilot study. Health Care Administration 1989; 85-9.

103 Chilingerian JA, Sherman HD. Managing physician efficiency and effectiveness in providing hospital services. Health Serv Manage Res 1990; 3(1):3-15.

104 Burns LR, Chilingerian JA, Wholey DR. The effect of physician practice organization on efficient utilization of hospital resources. Health Serv Res 1994; 29(5):583-603.

105 Chilingerian JA. Evaluating physician efficiency in hospitals-a multivariate-analysis of best practices. European Journal of Operational Research 1995; 80(3):548-74.

106 Diamond HS, Goldberg E, Janosky JE. The effect of full-time faculty hospitalists on the efficiency of care at a community teaching hospital. Ann Intern Med 1998; 129(3):197-203.

107 Garg ML, Boero JF, Christiansen RG, Booher CG. Primary care teaching physicians' losses of productivity and revenue at three ambulatory-care centers. Acad Med 1991; 66(6):348-53.

108 Camasso MJ, Camasso AE. Practitioner productivity and the product content of medical care in publicly supported health centers. Soc Sci Med 1994; 38(5):733-48.

109 Defelice LC, Bradford WD. Relative inefficiencies in production between solo and group practice physicians. Health Econ 1997; 6(5):455-65.

110 Weeks WB, Wallace AE. Time and money: a retrospective evaluation of the inputs, outputs, efficiency, and incomes of physicians. Arch Intern Med 2003; 163(8):944-8.

111 Editor. Stats & facts. How is physician productivity measured? Manag Care Interface 2002; 15(9):62-3.

112 Albritton TA, Miller MD, Johnson MH, Rahn DW. Using relative value units to measure faculty clinical productivity. J Gen Intern Med 1997; 12(11):715-7.

113 Hilton C, Fisher W Jr, Lopez A, Sanders C. A relative-value-based system for calculating faculty productivity in teaching, research, administration, and patient care. Acad Med 1997; 72(9):787-93.

114 Cramer JS, Ramalingam S, Rosenthal TC, Fox CH. Implementing a comprehensive relative-value-based incentive plan in an academic family medicine department. Acad Med 2000; 75(12):1159-66.

115 Melzer SM, Molteni RA, Marcuse EK, Rivara FP. Characteristics and financial performance of a pediatric faculty inpatient attending service: a resource-based relative value scale analysis. Pediatrics 2001; 108(1):79-84.

116 Andreae MC, Freed GL. Using a productivity-based physician compensation program at an academic health center: a case study. Acad Med 2002; 77(9):894-9.

117 American Medical Group Association. Physician compensation, productivity still on the rise. Capitation Rates Data 2002; 7(8):85-7.

118 Coleman DL, Moran E, Serfilippi D et al. Measuring physicians' productivity in a Veterans' Affairs Medical Center. Acad Med 2003; 78(7):682-9.

119 Fairchild DG, McLoughlin KS, Gharib S et al. Productivity, quality, and patient satisfaction: comparison of part-time and full-time primary care physicians. J Gen Intern Med 2001; 16(10):663-7.

120 Thomas JW, Grazier KL, Ward K. Economic profiling of primary care physicians: consistency among risk-adjusted measures. Health Serv Res 2004; 39(4 Pt 1):985-1003.

121 Gaynor M, Pauly MV. Compensation and Productive Efficiency of Partnerships: Evidence from Medical Group Practice. Journal of Political Economy 1990; 98(3):544-73.

122 Conrad DA, et al. The Impact of Financial Incentives on Physician Productivity in Medical Groups. Health Serv Res 2002; 37(4):885-906.

123 Rosenman R, Friesner D. Scope and scale inefficiencies in physician practices. Health Econ 2004; 13(11):1091-116.

124 Kralewski JE, Rich EC, Feldman R et al. The effects of medical group practice and physician payment methods on costs of care. Health Serv Res 2000; 35(3):591-613.

125 Blunt E. Role and productivity of nurse practitioners in one urban emergency department. J Emerg Nurs 1998; 24(3):234-9.

126 Cutler DMMM , Newhouse JP. Price and Productivity in Managed Care Insurance. 1998.

127 Cutler DM, McClellan M, Newhouse JP. How does managed care do it? Rand J Econ 2000; 31(3):526-48.

128 Ahern M, et al. Predictors of HMO Efficiency. Applied Economics 1996; 28(11):1381-90.

129 Rollins J, Lee K, Xu Y, Ozcan YA. Longitudinal study of health maintenance organization efficiency. Health Serv Manage Res 2001; 14(4):249-62.

130 Brockett PL, et al. A Comparison of HMO Efficiencies as a Function of Provider Autonomy. J Risk Insur 2004; 71(1):1-19.

131 Siddharthan K, Ahem M, Rosenman R. Causes of cost inefficiency in HMOs. Int J Health Care Qual Assur Inc Leadersh Health Serv 2000; 13(4-5):162-9.

132 Siddharthan K, Ahern M, Rosenman R. Data envelopment analysis to determine efficiencies of health maintenance organizations. Health Care Manag Sci 2000; 3(1):23-9.

133 Rosenman R, Siddharthan K, Ahern M. Output efficiency of health maintenance organizations in Florida. Health Econ 1997; 6(3):295-302.

134 Bryce CL, Engberg JB, Wholey DR. Comparing the agreement among alternative models in evaluating HMO efficiency. Health Serv Res 2000; 35(2):509-28.

135 Carter M, Cox R. Nurse managers' use of a computer decision support system. Differences in nursing labor costs per patient day. Nurs Leadersh Forum 2000; 5(2):57-64.

136 Dexter F, Macario A, Dexter EU. Computer simulation of changes in nursing productivity from early tracheal extubation of coronary artery bypass graft patients. J Clin Anesth 1998; 10(7):593-8.

137 Chumbler NR, Geller JM, Weier AW. The effects of clinical decision making on nurse practitioners' clinical productivity. Eval Health Prof 2000; 23(3):284-305.

138 Skinner J, Fisher E, Wennberg JE. The Efficiency of Medicare. 2001.

139 Ashby J, Guterman S, Greene T. An analysis of hospital productivity and product change. Health Aff (Millwood) 2000; 19(5):197-205.

140 Ozcan YA, Cotter JJ. An assessment of efficiency of area agencies on aging in Virginia through data envelopment analysis. Gerontologist 1994; 34(3):363-70.

141 Mansley EC, Dunet DO, May DS, Chattopadhyay SK, McKenna MT. Variation in average costs among federally sponsored state-organized cancer detection programs: economies of scale? Med Decis Making 2002;22(5 Suppl):S67-79.

142 Tyler LH, Ozcan YA, Wogen SE. Mental health case management and technical efficiency. J Med Syst 1995; 19(5):413-23.

143 Yeh J, White KR, Ozcan YA. Efficiency evaluation of community-based youth services in Virginia. Community Ment Health J 1997; 33(6):487-99.

144 DiJerome L, Dunham-Taylor J, Ash D, Brown R. Evaluating cost center productivity. Nurs Econ 1999; 17(6):334-40.

145 Ozgen H, Ozcan YA. A national study of efficiency for dialysis centers: an examination of market competition and facility characteristics for production of multiple dialysis outputs. Health Serv Res 2002;37(3):711-32.

146 Ozcan YA, Yeh SC, McCollum D, Begun JW. Trends in labor efficiency among American hospital markets. Annals of Operations Research 1996; 67:61-81.

147 Ozcan YA. Efficiency of hospital-service production in local markets - the balance-sheet of US medical armament. Socio-Economic Planning Sciences 1995; 29(2):139-50.

148 Okunade AA. Cost-Output Relation, Technological Progress, and Clinical Activity Mix of US Hospital Pharmacies. Journal of Productivity Analysis 2001; 16(2):167-93.

149 Wan TT, Wang BB. Integrated healthcare networks' performance: a growth curve modeling approach. Health Care Manag Sci 2003; 6(2):117-24.

150 Wan TT, Lin BY, Ma A. Integration mechanisms and hospital efficiency in integrated health care delivery systems. J Med Syst 2002; 26(2):127-43.

151 Andes S, Metzger LM, Kralewski J, Gans D. Measuring efficiency of physician practices using data envelopment analysis. Manag Care 2002; 11(11):48-54.

152 Schinnar AP, Kamis-Gould E, Delucia N, Rothbard AB. Organizational determinants of efficiency and effectiveness in mental health partial care programs. Health Serv Res 1990; 25(2):387-420.

153 Ozcan YA, Begun JW, McKinney MM. Benchmarking organ procurement organizations: a national study. Health Serv Res 1999; 34(4):855-74; discussion 875-8.

154 Larson EH, Hart LG, Ballweg R. National estimates of physician assistant productivity. J Allied Health 2001; 30(3):146-52.

155 Boston DW. Clinical productivity indicators for a dental general practice residency program. Spec Care Dentist 1991; 11(5):173-8.

156 Alexander JA, Wheeler JR, Nahra TA, Lemak CH. Managed care and technical efficiency in outpatient substance abuse treatment units. J Behav Health Serv Res 1998; 25(4):377-96.

157 Sinay T. Productive efficiency of rural health clinics: the Midwest experience. J Rural Health 2001; 17(3):239-50.

Page last reviewed April 2008
Internet Citation: Appendix G (continued, 4) - References: Health Care Efficiency Measures: Identification, Categorization, and Evaluation. April 2008. Agency for Healthcare Research and Quality, Rockville, MD.