A Method for Identifying Cost-Efficient Practices in the Treatment of Thoracic Empyema

Abstract

Background There is a need to identify cost-efficient practices in delivering health care. Aims To illustrate how cost-efficient practices can be identified and disseminated in treating thoracic empyema. Methods Data Envelopment Analysis (DEA) was used to identify the scope for reducing Length of Stay (LOS), and therefore costs, at inpatient spell level for thoracic empyema. Findings LOS reduction potential was identified representing about 50% of the recorded LOS. Significant differences in potential for LOS reduction were also found between consultant teams and between sources of patient admission. Conclusions DEA enables multiple conditioning factors affecting costs at inpatient spell level to be taken into account simultaneously. It enables management to identify and disseminate best practice within its own hospital. The approach can be transferred to other inpatient settings beyond thoracic empyema.

Publication DOI: https://doi.org/10.12968/bjhc.2019.0010
Divisions: Aston Business School > Operations & Information Management
Aston Business School
Additional Information: This document is the Accepted Manuscript version of a Published Work that appeared in final form in British Journal of Healthcare Management, copyright © MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see https://doi.org/10.12968/bjhc.2019.0010
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Related URLs: https://www.mag ... /bjhc.2019.0010 (Publisher URL)
PURE Output Type: Article
Published Date: 2020-07-14
Accepted Date: 2019-12-16
Authors: Thanassoulis, Emmanuel ( 0000-0002-3769-5374)
Takamura-Tweedy, Alexander
Patel, Mitul
Rao, Satish

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Version: Accepted Version

Access Restriction: Restricted to Repository staff only until 14 January 2021.


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