Measuring the operational and financial efficiency using a Malmquist data envelopment analysis: a case of Egyptian hospitals
Abstract
Purpose: The efficient use of organizational resources is integral to the existence of prime firms. This study, using Malmquist data envelopment analysis (DEA), aims to assess in the level of operational and financial efficiency and its determinants for ensuring and sustaining excellent performance in 33 Egyptian private hospitals. Design/methodology/approach: This study adopted a Malmquist DEA approach to assess the changes in operational and financial efficiency in Egyptian hospitals. Tobit regression was also used to identify the significant variables affecting their efficiency. In addition, a sensitivity analysis is carried out for model validations. Findings: Out of 33 hospitals, 17 were found inefficient due to the decline in their technical efficiency. Moreover, the total value of the software programs and operational expenses and the total number of employees are common factors affecting both operational and financial efficiency. In addition, the number of physicians significantly affects the hospital's financial efficiency. Practical implications: The study sheds light on the value of using DEA to assess efficiency. DEA in the context of emerging economy such as Egypt's can be a useful tool for decision-makers and practitioners in identifying and addressing performance weaknesses and thus supports continuous improvement in performance. Originality/value: Several studies have adopted the DEA approach to assess the overall efficiency of hospitals in Europe and the United States. However, in the MENA region, these studies are uncommon. This study is thought to be one of the earliest attempts to assess hospitals' efficiency in Egypt.
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The DEA methodology can provide essential information for DMUs for continuous improvement that may support inefficient units to reach the best practices.
“it can provide essential information for DMUs for continuous improvement that may support inefficient units to reach the best practices”
From Does the Efficiency of a Firm's Intellectual Capital and Working Capital Management Affect Its Performance? (2024) · cites this paper as Habib & Shahwan, 2020
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- Authors
- Habib, A. M., & Shahwan, T. M.
- Affiliations
- Zagazig University (EG)
- Venue
- Benchmarking: An International Journal
- Publisher
- Emerald
- Published
- 2020-07-19
- Volume
- 27
- Issue
- 9
- Pages
- 2521-2536
- ISSN
- 1463-5771 (ISSN-L)
- OpenAlex
- W3045331685
- Cited by
- 58
- References
- 46
- Citations by year
- 2026: 10 · 2025: 4 · 2024: 13 · 2023: 22 · 2022: 5 · 2021: 4
- FWCI
- 4.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Benchmarking An International Journal (publishedVersion)
- Topics
- Social Sciences › Decision Sciences › Management Science and Operations Research › Efficiency Analysis Using DEA
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Health Sciences › Health Professions › Emergency Medical Services › Healthcare Operations and Scheduling Optimization
- Keywords
- hospital efficiency, operational efficiency, financial efficiency, Malmquist productivity index, private hospitals, Egyptian hospitals, technical efficiency, determinants of efficiency, physician workforce, operating costs, emerging markets
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