Specifically, mergers occurring later in the study period and mergers between similarly sized hospitals displayed greater change in operating characteristics than did mergers occurring earlier in the study period and mergers between hospitals of dissimilar size. Three articles performed analyses using a sample of private for-profit and not-for-profit hospitals [59, 61, 64]. I grew up and went through school (in a medium-sized Southern city) thinking that a "small" hospital was 1000 bed was a "large" hospital. Copyright: © 2017 Giancotti et al. Generally, authors showed that concentrating health services in city centres does have negative implications for efficiency. In this context, Banker et al. Finally, concerning hospital ownership, the popular choice of setting for scale efficiency studies was Public Hospitals (50%). In these cases, before the empirical analysis, authors described the context of analysis (health reforms, regions or model). Two studies used a sample of district hospitals [52, 57]. However, most authors found that large hospitals (over 300 beds) might have a greater potential for … Therefore, another round of searching was performed on these articles using the same terms in the search bar in the PDF version of the individual article. In GHI Analysis. If you toil at a big urban hospital, your sphere of interest encompasses GME, training, research, and safety net care. We performed a systematic search of 45 past years (1969–2014) of research published in peer-reviewed scientific journals recorded by the Social Sciences Citation Index concerning this topic. This systematic search was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement [7] (S1 Table). Yes Conversely, the primary motives behind horizontal mergers were potential economies of scale and increasing market power. The mean scale efficiency was 94.6%. In both studies, district hospitals were operating inefficiently. One study investigated efficiency effect of health reforms. [74] analysed a decade of experience in Austria and Estonia in restructuring and reorganizing hospital care. In a second phase, they applied the method of analysis to a sample of hospitals. Technical and scale efficiency scores of hospitals were analysed in 4 articles. Hospitals’ inefficiency reflected the revenue-based behaviour of hospitals in which unnecessary care, over-prescription of drugs, and the adoption of high-tech treatments were commonly found. The expected benefits from the reform had not in general been achieved, at least in the short term. Constant returns to scale also prevailed in Greek public hospitals [62, 63] and in Washington State hospitals in 1988–1993 [64]. It might make good economic sense to enlarge the size and scope of a hospital to make better use of available expertise, infrastructure and equipment. Key targets for cancer, hospital care and A&E have been missed for over three years - with delays for hospital care and in A&E hitting their highest levels since both targets were introduced. Geographical disparities in health resource allocation and county hospital productivity were noted. In order to reduce the selection bias three members of the research team reviewed the titles, abstracts, and keywords of all records, which were retrieved separately, to determine whether the studies met the inclusion criteria. On average, full-time employees in the Hospitals Industry Group work 42.4 hours per week and have an average annual salary of $71,437. Scope and agglomeration economies for Washington state hospitals from 1997 to 2002 & services (. Their analysis government and non-government hospitals a quick post on something we do not think about.! To create quality might be explained by the size of the articles ( 5 ) were focussed on analysis! 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