Working Paper of Public Health Volume 2012 - Azienda Ospedaliera ...

More documents

Recommendations

Info

Azienda Ospedaliera Nazionale“SS. Antonio e Biagio e Cesare Arrigo”Working Paper of Public Healthnr. 16/2012Taking Italian regions into account, table 2 presents descriptive statistics of efficiency scores,which have been obtained from the data proposed in the previous table and adopting theabove-mentioned methodology.According to this methodology, we can rank the various Italian regions. The most efficientone is Marche, in which two hospitals have a score equal to zero; whereas the worst regionsare Sicily and Campania. However, there are only three hospitals with anomalous scores:A.O. “G. Rummo” and A.O. “S.G. Moscati” (Campania), and A.O. “Gravina e S. Pietro” ofCaltagirone (Sicily), which will be dropped in the second stage.Moreover, note that some Italian regions (i.e. Valle d’Aosta, Abruzzi and Molise) and theautonomous provinces of Trento and Bolzano have been dropped since there are noobservations. In other words, the regional healthcare systems of these observations are shapedaround medical centers linked to the Local Health Authorities.Table 2Efficiency scores, Italian regions (2007), weak disposability assumptionRegion Mean Std. Dev. Freq.Basilicata 4 0.009187 0.012992 2Calabria 4 1.000000 0.000000 2Campania 4 5.174808 9.774207 10Emilia Romagna 2 0.016396 0.036663 5Friuli Venetia Giulia 2 0.195734 0.046389 3Lazio 3 0.358458 0.327520 5Liguria 1 0.077128 0.118245 3Lombardy 1 0.149334 0.168133 29Marche 3 0.000000 0.000000 2Piedmont 1 0.222437 0.309571 8Puglia 4 0.206719 0.292345 2Sardinia 5 1.000000 0.000000 2Sicily 5 259.266710 931.193880 13Tuscany 3 0.203307 0.169660 4Umbria 3 0.000000 0.000000 2Veneto 2 0.052052 0.040912 2total 36.557101 346.329860 941 North-west; 2 North-east; 3 Center; 4 South; 5 Islands;According to the classification of the Italian National Institute of Statistics (ISTAT), table 3proposes the same descriptive statistics but in aggregate version, considering 5 geographicalmacro-areas (i.e. North-west, North-east, Center, South, and Islands).Table 3 indicates the most efficient Italian macro-area (i.e. North-east), as well as the worstone (i.e. South of Italy), but without considering the above-mentioned anomalous values. In4 The choice of this specific year is affected by data availability. Indeed, data about technical inputs are currentlyproposed only for that year.9
Azienda Ospedaliera Nazionale“SS. Antonio e Biagio e Cesare Arrigo”Working Paper of Public Healthnr. 16/2012other words, the three anomalous observations are not considered in this table (A.O. “G.Rummo”, A.O. “S.G. Moscati”, and A.O. “Gravina e S. Pietro”).Table 3Efficiency scores, Italian macro areas (2007), weak disposability assumptionMacro area Mean Std. Dev. Freq.Islands 1.00000 0.00000 14South 0.74513 0.42951 14Center 0.20042 0.25836 13North-east 0.07733 0.09022 10North-west 0.15854 0.19906 40total 0.37530 0.41313 91In the second stage, the authors try to explain what might affect hospital inefficiency byperforming an empirical analysis, i.e. a regression analysis of efficiency scores (dependentvariable) for some key explanatory variables (independent variables). Table 4 shows theseexplanatory variables but considering only inefficient hospitals, i.e. efficiency scores higherthan zero (24 hospitals are efficient and they do not appear in the second stage).Table 4Descriptive statistics of explanatory variablesVariable Obs. Mean Std. Dev. Min MaxEntropy Index 67 2.22895 0.16284 1.38000 2.4200North-west 67 0.43284 0.49921 0.00000 1.0000North-east 67 0.08955 0.28769 0.00000 1.0000Center 67 0.08955 0.28769 0.00000 1.0000South 67 0.17910 0.38633 0.00000 1.0000Islands 67 0.20896 0.40963 0.00000 1.0000Administrative employees (number) 67 262.05970 170.76240 9.00000 798.0000People in charge Index 67 1.50799 1.85756 0.33448 13.6477D Index 67 1.00052 0.50030 0.00000 2.5333C Index 67 0.87938 0.27142 0.22533 1.5796B Index 67 1.02991 0.51600 0.04255 2.2127A Index 67 2.04245 2.65957 0.00000 12.8596* If a log transformation is appliedSource: Italian national healthcare systemThe Entropy Index represents the level of specialization of the medical centers. Taking thesupply of medical treatments into account, this variable should normalize the consideredsample. Moreover, according to the classification suggested in the previous tables, fivedummy variables are adopted to capture the effect of the geographical macro-areas.According to the current bibliography on management (Simon, 1947), the administrativestructure of an institution should be shaped around a hierarchical pyramid with few people incharge at the top and many workers with lower skills at the bottom. As for Italy and its public10
Page 2 and 3:
La serie di Working Paper of Public
Page 4 and 5:
Azienda Ospedaliera Nazionale“SS.
Page 6 and 7:
Page 8 and 9:
Page 10 and 11:
Page 12 and 13:
Page 14 and 15:
Page 16 and 17:
Page 18 and 19:
Page 20 and 21:
Page 22 and 23:
Page 24 and 25:
Azienda Ospedaliera NazionaleSS. An
Page 26 and 27:
Page 28 and 29:
Page 30 and 31:
Page 32 and 33:
Page 34 and 35:
Page 36 and 37:
Page 38 and 39:
Page 40 and 41:
Page 42 and 43:
Page 44 and 45:
Page 46 and 47:
Page 48 and 49:
Page 50 and 51:
Page 52 and 53:
Page 54 and 55:
Page 56 and 57:
Page 58 and 59:
Page 60 and 61:
Page 62 and 63:
Page 64 and 65:
Page 66 and 67:
Page 68 and 69:
Page 70 and 71:
Page 72 and 73:
Page 74 and 75:
Page 76 and 77:
Page 78 and 79:
Page 80 and 81:
Page 82 and 83:
Page 84 and 85:
Page 86 and 87:
Page 88 and 89:
Page 90 and 91:
Page 92 and 93:
Page 94 and 95:
Page 96 and 97:
Page 98 and 99:
Page 100 and 101:
Page 102 and 103:
Page 104 and 105:
Page 106 and 107:
Page 108 and 109:
Page 110 and 111:
Page 112 and 113:
Page 114 and 115:
Page 116 and 117:
Page 118 and 119:
Page 120 and 121:
Page 122 and 123:
Page 124 and 125:
Page 126 and 127:
Page 128 and 129:
Page 130 and 131:
Page 132 and 133:
Page 134 and 135: Azienda Ospedaliera Nazionale“SS.
Page 234 and 235:
Page 236 and 237:
Page 238 and 239:
Page 240 and 241:
Page 242 and 243:
Page 244 and 245:
Page 246 and 247:
Page 248 and 249:
Page 250 and 251:
show all

Working Paper of Public Health Volume 2012 - Azienda Ospedaliera ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?