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首页> 外文期刊>International journal of health care quality assurance >Surgeons' efficiency change is a major determinant of their productivity change
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Surgeons' efficiency change is a major determinant of their productivity change

机译：外科医生的效率变化是其生产力变化的主要决定因素

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Purpose - The sustainability of the Japanese healthcare system is in question because the government has had a huge fiscal debt. Despite an enormous effort to cut the deficit, our healthcare expenditure is increasing every year because of the rapidly aging population. One of the solutions for this problem is to improve the productivity of healthcare. The purpose of this paper is to determine the factors that change surgeons' productivity in one year. Design/methodology/approach - The authors collected data of all surgical procedures performed at Teikyo University Hospital from April 1 through September 30 in 2014 and 2015, and computed the surgeons' Malmquist index (MI), efficiency change (EC) and technical change (TC) using non-radial and non-oriented Malmquist model under the constant returns-to-scale assumptions. The authors then divided the surgeons into two groups; one whose productivity progressed and the other whose productivity regressed. These two groups were compared to identify factors that may influence their ML Findings - The only significant difference between the two groups was ECs (p < 0.0001). The other factors, such as TC, experience, surgical volume, emergency cases, surgical specialty, academic ranks, medical schools and gender, were not significantly different between the two groups. Originality/value - EC is a major determinant of surgeons' productivity change. The best way to improve surgeons' productivity may be to enhance their efficiency regardless of their surgical volume and personal backgrounds.
机译：目的-由于日本政府的巨额财政债务，日本医疗体系的可持续性受到质疑。尽管为削减赤字做出了巨大努力，但由于人口迅速老龄化，我们的医疗保健支出每年都在增加。解决此问题的方法之一是提高医疗保健的生产率。本文的目的是确定在一年内改变外科医生生产率的因素。设计/方法/方法-作者收集了2014年和2015年4月1日至9月30日在帝京大学医院进行的所有手术程序的数据，并计算了外科医生的Malmquist指数（MI），效率变化（EC）和技术变化（ TC）在不变的规模收益假设下使用非径向和非定向的Malmquist模型。然后，作者将外科医生分为两组。一个生产力提高，而另一个生产力降低。比较这两组以确定可能影响其ML结果的因素-两组之间唯一的显着差异是EC（p <0.0001）。两组之间的其他因素（例如TC，经验，手术量，急诊病例，外科专业，学历，医学院和性别）没有显着差异。独创性/价值-EC是决定外科医生生产率变化的主要因素。不管外科医生的手术量和个人背景如何，提高外科医生工作效率的最好方法可能是提高他们的效率。

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