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Research
Management Reform at the Discretion of Public Hospitals in Japan
Motoi Miura
Yamagata University Graduate School of Medical Sciences Department of Health Policy Science
Corresponding Author
ORCiD: https://orcid.org/0000-0001-8032-7086
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This work is licensed under a CC BY 4.0 License. Read Full License
Background: The purpose of this study is to evaluate whether the management reform carried out at the discretion of each public hospital has affected the management efficiency of public hospitals.
Methods: This was a retrospective cohort study of public hospitals in Japan. The dependent variable was a technical efficiency score calculated using data envelopment analysis. The independent variable was the presence or absence of a reform plan. Nine control variables were collected in this study; hospital location conditions, nursing standards, transfer to other accounts ratio, disaster base hospital designation, clinical training hospital designation, population under 15 years old, number of hospitals per 1,000 km2, number of beds per 100,000 population, and population density. Univariate and multivariate analysis was performed. A P value < 0.05 was considered statistically significant.
Results: There was no significant difference in technical efficiency in univariate analysis and multivariate analysis between public hospitals with and without reform plan.
Conclusions: Management efficiency did not improve among public hospitals with management reforms plans. The reason for this lack of improvement is considered to be due to the fact that the management reforms plans were formulated and implemented at each hospital’s discretion.
Keywords
Public hospital, Data envelopment analysis, efficiency
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This is a preprint. It has not completed peer review.
Research
Management Reform at the Discretion of Public Hospitals in Japan
Motoi Miura
Yamagata University Graduate School of Medical Sciences Department of Health Policy Science
Corresponding Author
ORCiD: https://orcid.org/0000-0001-8032-7086
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 26 May, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Health Policy
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: The purpose of this study is to evaluate whether the management reform carried out at the discretion of each public hospital has affected the management efficiency of public hospitals.
Methods: This was a retrospective cohort study of public hospitals in Japan. The dependent variable was a technical efficiency score calculated using data envelopment analysis. The independent variable was the presence or absence of a reform plan. Nine control variables were collected in this study; hospital location conditions, nursing standards, transfer to other accounts ratio, disaster base hospital designation, clinical training hospital designation, population under 15 years old, number of hospitals per 1,000 km2, number of beds per 100,000 population, and population density. Univariate and multivariate analysis was performed. A P value < 0.05 was considered statistically significant.
Results: There was no significant difference in technical efficiency in univariate analysis and multivariate analysis between public hospitals with and without reform plan.
Conclusions: Management efficiency did not improve among public hospitals with management reforms plans. The reason for this lack of improvement is considered to be due to the fact that the management reforms plans were formulated and implemented at each hospital’s discretion.