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首页> 外文期刊>Health care management science >The economics of cancer care: longitudinal changes in provider efficiency.
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The economics of cancer care: longitudinal changes in provider efficiency.

机译：癌症治疗的经济学：提供者效率的纵向变化。

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Renewed debate over competition in healthcare suggests that greater specialization is good for the health economy. In essence, greater specialization is hypothesized to lead to lower average costs, due to learning curve effects, scale, or other operating efficiencies. This hypothesis was tested in oncology care, since this disease group is one of the few with existing specialized cancer centers already in place. Data envelopment analysis (DEA), and specifically a longitudinal Malmquist index over a 5-year period was applied to the major, specialized inpatient cancer centers to determine if these specialized centers achieve higher productivity over time, and if scale leads to higher operating efficiency. Results suggest policy and payer implications since these DRG-exempt hospitals may not be improving their technical efficiency over time. Despite advancements in technology and greater scale, the average efficiency of cancer care has marginally declined. Similarly, when compared to other hospitals with greater numbers of other service offerings, oncology care has not benefited from increasing returns to scale.
机译：关于医疗保健竞争的新辩论表明，更高的专业化水平对健康经济有利。本质上，由于学习曲线效果，规模或其他运营效率，假设更高的专业化水平会导致平均成本降低。该假设已在肿瘤治疗中进行了测试，因为该疾病组是少数几个已经建立了专门癌症中心的组织之一。数据包络分析（DEA），特别是5年期间的纵向Malmquist指数，已应用于主要的专业住院癌症中心，以确定这些专业中心是否随时间推移实现了更高的生产率，以及规模是否带来了更高的运营效率。结果表明政策和付款人的影响，因为这些免DRG的医院可能不会随着时间的推移提高其技术效率。尽管技术进步和规模更大，但是癌症护理的平均效率还是有所下降。同样，与提供更多其他服务的其他医院相比，肿瘤护理并没有从规模收益的增加中受益。

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