IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v14y2017i9p1047-d111602.html
   My bibliography  Save this article

Study of the Relevance of the Quality of Care, Operating Efficiency and Inefficient Quality Competition of Senior Care Facilities

Author

Listed:
  • Jwu-Rong Lin

    (Department of International Business, Tunghai University, Taichung 40704, Taiwan)

  • Ching-Yu Chen

    (Department of International Business, Tunghai University, Taichung 40704, Taiwan)

  • Tso-Kwei Peng

    (Department of Business Administration, Asia University, Taichung 41354, Taiwan)

Abstract

The purpose of this research is to examine the relation between operating efficiency and the quality of care of senior care facilities. We designed a data envelopment analysis, combining epsilon-based measure and metafrontier efficiency analyses to estimate the operating efficiency for senior care facilities, followed by an iterative seemingly unrelated regression to evaluate the relation between the quality of care and operating efficiency. In the empirical studies, Taiwan census data was utilized and findings include the following: Despite the greater operating scale of the general type of senior care facilities, their average metafrontier technical efficiency is inferior to that of nursing homes. We adopted senior care facility accreditation results from Taiwan as a variable to represent the quality of care and examined the relation of accreditation results and operating efficiency. We found that the quality of care of general senior care facilities is negatively related to operating efficiency; however, for nursing homes, the relationship is not significant. Our findings show that facilities invest more in input resources to obtain better ratings in the accreditation report. Operating efficiency, however, does not improve. Quality competition in the industry in Taiwan is inefficient, especially for general senior care facilities.

Suggested Citation

  • Jwu-Rong Lin & Ching-Yu Chen & Tso-Kwei Peng, 2017. "Study of the Relevance of the Quality of Care, Operating Efficiency and Inefficient Quality Competition of Senior Care Facilities," IJERPH, MDPI, vol. 14(9), pages 1-18, September.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:9:p:1047-:d:111602
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/14/9/1047/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/14/9/1047/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Belleflamme, Paul & Peitz, Martin, 2014. "Asymmetric information and overinvestment in quality," European Economic Review, Elsevier, vol. 66(C), pages 127-143.
    2. Jos Blank & Evelien Eggink, 2014. "The impact of policy on hospital productivity: a time series analysis of Dutch hospitals," Health Care Management Science, Springer, vol. 17(2), pages 139-149, June.
    3. George Battese & D. Rao & Christopher O'Donnell, 2004. "A Metafrontier Production Function for Estimation of Technical Efficiencies and Technology Gaps for Firms Operating Under Different Technologies," Journal of Productivity Analysis, Springer, vol. 21(1), pages 91-103, January.
    4. Kathleen Carey & Theodore Stefos, 2011. "Controlling for quality in the hospital cost function," Health Care Management Science, Springer, vol. 14(2), pages 125-134, June.
    5. George E. Battese & D. S. Prasada Rao, 2002. "Technology Gap, Efficiency, and a Stochastic Metafrontier Function," International Journal of Business and Economics, School of Management Development, Feng Chia University, Taichung, Taiwan, vol. 1(2), pages 87-93, August.
    6. Cliff Huang & Tai-Hsin Huang & Nan-Hung Liu, 2014. "A new approach to estimating the metafrontier production function based on a stochastic frontier framework," Journal of Productivity Analysis, Springer, vol. 42(3), pages 241-254, December.
    7. Tone, Kaoru & Tsutsui, Miki, 2010. "An epsilon-based measure of efficiency in DEA - A third pole of technical efficiency," European Journal of Operational Research, Elsevier, vol. 207(3), pages 1554-1563, December.
    8. Charnes, A. & Cooper, W. W. & Rhodes, E., 1978. "Measuring the efficiency of decision making units," European Journal of Operational Research, Elsevier, vol. 2(6), pages 429-444, November.
    9. White, Michelle J, 2004. "The "Arms Race" on American Roads: The Effect of Sport Utility Vehicles and Pickup Trucks on Traffic Safety," Journal of Law and Economics, University of Chicago Press, vol. 47(2), pages 333-355, October.
    10. Tone, Kaoru, 2001. "A slacks-based measure of efficiency in data envelopment analysis," European Journal of Operational Research, Elsevier, vol. 130(3), pages 498-509, May.
    11. Paula James, 2002. "Is The Medical Arms Race Still Present In Today’s Managed Care Environment?," Working Papers 02-09, New York University, Leonard N. Stern School of Business, Department of Economics.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Alice Tran & Kim-Huong Nguyen & Len Gray & Tracy Comans, 2019. "A Systematic Literature Review of Efficiency Measurement in Nursing Homes," IJERPH, MDPI, vol. 16(12), pages 1-18, June.
    2. Enrique Arvelo & Jesica de Armas & Monserrat Guillen, 2020. "Assessing the Distribution of Elderly Requiring Care: A Case Study on the Residents in Barcelona and the Impact of COVID-19," IJERPH, MDPI, vol. 17(20), pages 1-15, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ze Tian & Fang-Rong Ren & Qin-Wen Xiao & Yung-Ho Chiu & Tai-Yu Lin, 2019. "Cross-Regional Comparative Study on Carbon Emission Efficiency of China’s Yangtze River Economic Belt Based on the Meta-Frontier," IJERPH, MDPI, vol. 16(4), pages 1-19, February.
    2. Qunwei Wang & Ye Hang & Jin‐Li Hu & Ching‐Ren Chiu, 2018. "An alternative metafrontier framework for measuring the heterogeneity of technology," Naval Research Logistics (NRL), John Wiley & Sons, vol. 65(5), pages 427-445, August.
    3. Ying Li & Yung-ho Chiu & Tai-Yu Lin, 2019. "Energy and Environmental Efficiency in Different Chinese Regions," Sustainability, MDPI, vol. 11(4), pages 1-26, February.
    4. Yongqi Feng & Haolin Zhang & Yung-ho Chiu & Tzu-Han Chang, 2021. "Innovation efficiency and the impact of the institutional quality: a cross-country analysis using the two-stage meta-frontier dynamic network DEA model," Scientometrics, Springer;Akadémiai Kiadó, vol. 126(4), pages 3091-3129, April.
    5. Chin‐wei Huang & Hsiao‐Yin Chen, 2023. "Using nonradial metafrontier data envelopment analysis to evaluate the metatechnology and metafactor ratios for the Taiwanese hotel industry," Managerial and Decision Economics, John Wiley & Sons, Ltd., vol. 44(4), pages 1904-1919, June.
    6. Fang-Rong Ren & Ze Tian & Yu-Ting Shen & Yung-Ho Chiu & Tai-Yu Lin, 2019. "Energy, CO 2 , and AQI Efficiency and Improvement of the Yangtze River Economic Belt," Energies, MDPI, vol. 12(4), pages 1-17, February.
    7. He, Yan & Chiu, Yung-ho & Zhang, Bin, 2015. "The impact of corporate governance on state-owned and non-state-owned firms efficiency in China," The North American Journal of Economics and Finance, Elsevier, vol. 33(C), pages 252-277.
    8. Chiu, Yung-Ho & Lee, Jen-Hui & Lu, Ching-Cheng & Shyu, Ming-Kuang & Luo, Zhengying, 2012. "The technology gap and efficiency measure in WEC countries: Application of the hybrid meta frontier model," Energy Policy, Elsevier, vol. 51(C), pages 349-357.
    9. Víctor Giménez & Jorge R. Keith & Diego Prior, 2019. "Do healthcare financing systems influence hospital efficiency? A metafrontier approach for the case of Mexico," Health Care Management Science, Springer, vol. 22(3), pages 549-559, September.
    10. Delnava, Haleh & Khosravi, Ali & El Haj Assad, Mamdouh, 2023. "Metafrontier frameworks for estimating solar power efficiency in the United States using stochastic nonparametric envelopment of data (StoNED)," Renewable Energy, Elsevier, vol. 213(C), pages 195-204.
    11. Xiangyu Teng & Danting Lu & Yung-ho Chiu, 2019. "Emission Reduction and Energy Performance Improvement with Different Regional Treatment Intensity in China," Energies, MDPI, vol. 12(2), pages 1-18, January.
    12. Yu, Ming-Miin & Lin, Chung-I & Chen, Kuan-Chen & Chen, Li-Hsueh, 2021. "Measuring Taiwanese bank performance: A two-system dynamic network data envelopment analysis approach," Omega, Elsevier, vol. 98(C).
    13. Carlucci, Fabio & Corcione, Carlo & Mazzocchi, Paolo & Trincone, Barbara, 2021. "The role of logistics in promoting Italian agribusiness: The Belt and Road Initiative case study," Land Use Policy, Elsevier, vol. 108(C).
    14. Chiu, Yung-ho & Luo, Zhengying & Chen, Yu-Chuan & Wang, Zebin & Tsai, Min-Pei, 2013. "A comparison of operating performance management between Taiwan banks and foreign banks based on the Meta-Hybrid DEA model," Economic Modelling, Elsevier, vol. 33(C), pages 433-439.
    15. Han‐Chung Chou & Shiu‐Wan Hung & Wen‐Min Lu, 2022. "Exploring competition efficiency of automobile brands: An extensional data envelopment analysis‐metafrontier framework," Managerial and Decision Economics, John Wiley & Sons, Ltd., vol. 43(1), pages 206-218, January.
    16. Xiao-Ning Li & Ying Feng & Pei-Ying Wu & Yung-Ho Chiu, 2021. "An Analysis of Environmental Efficiency and Environmental Pollution Treatment Efficiency in China’s Industrial Sector," Sustainability, MDPI, vol. 13(5), pages 1-25, February.
    17. Qin, Quande & Li, Xin & Li, Li & Zhen, Wei & Wei, Yi-Ming, 2017. "Air emissions perspective on energy efficiency: An empirical analysis of China’s coastal areas," Applied Energy, Elsevier, vol. 185(P1), pages 604-614.
    18. Haixiang Xu & Rui Zhang, 2024. "Dynamic Analysis of Urban Land Use Efficiency in the Western Taiwan Strait Economic Zone," Land, MDPI, vol. 13(8), pages 1-26, August.
    19. Afsharian, Mohsen & Ahn, Heinz & Harms, Sören Guntram, 2019. "Performance comparison of management groups under centralised management," European Journal of Operational Research, Elsevier, vol. 278(3), pages 845-854.
    20. Camanho, Ana S. & Stumbriene, Dovile & Barbosa, Flávia & Jakaitiene, Audrone, 2023. "The assessment of performance trends and convergence in education and training systems of European countries," European Journal of Operational Research, Elsevier, vol. 305(1), pages 356-372.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:14:y:2017:i:9:p:1047-:d:111602. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.