Using data envelopment analysis for assessing the performance of pediatric emergency department physicians

Javier Fiallos, Jonathan Patrick (), Wojtek Michalowski and Ken Farion
Additional contact information
Javier Fiallos: Elizabeth Bruyere Hospital
Jonathan Patrick: University of Ottawa
Wojtek Michalowski: University of Ottawa
Ken Farion: Children’s Hospital of Eastern Ontario

Health Care Management Science, 2017, vol. 20, issue 1, No 9, 129-140

Abstract: Abstract In attempting to measure the performance of providers in a service industry such as health care, it is crucial that the measurement tool recognize both the efficiency and quality of service provided. We develop a Data Envelopment Analysis (DEA) model to help assess the performance of emergency department (ED) physicians at a partner hospital. The model incorporates efficiency measures as inputs and quality measures as outputs. We demonstrate the importance of a nuanced approach that recognizes the heterogeneity of patients that an ED physician encounters and the important role s/he plays as a mentor for physicians in training. In the study, patients were grouped according to their presenting complaint and ED physicians were assessed on each group separately. Performance variations were evident between physicians within each complaint group as well as between groups. A secondary grouping divided patients based on whether the attending physician was assisted by a trainee. Almost all ED physicians showed better performance scores when not assisted by trainees or ED fellows.

Keywords: ED operations; ED physician; Performance evaluation; Data envelopment analysis (search for similar items in EconPapers)
Date: 2017
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Citations: View citations in EconPapers (5)

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DOI: 10.1007/s10729-015-9344-0

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