Abstract

The objective of this study is to assess the efficiency of the operations strategy matrix in the healthcare system of U.S. states amid COVID-19. Output-Oriented Data Envelopment Analysis was used to assess the efficiency of the operations strategy matrix. Strategic Decision Areas (Capacity, Supply Network, Process Technology, and Development and Organization) were considered inputs while competitive priorities (Quality, Cost, Delivery, and Flexibility) were considered outputs. According to results; Alaska, Alabama, Arkansans, Florida, Hawaii, Iowa, Idaho, Louisiana, Minnesota, Missouri, Mississippi, Montana, North Carolina, New Jersey, New York, Oklahoma, South Carolina, South Dakota, Texas, Vermont, Wisconsin, and Wyoming are relatively efficient. Additionally, Connecticut, Louisiana, Minnesota, New Jersey, Rhode Island, Tennessee, Utah, Vermont, Washington, and Wyoming are fully efficient while South Dakota is the state that needs the most improvement in terms of strategic decision areas and competing priorities. On the other hand, inefficient states have larger population and GDP than efficient states. Based on these results, implications for sustainable development goals (SDGs) are drawn.

Highlights

  • A novel coronavirus named COVID-19 was identified in Wuhan/China on 31 December 2019, and the World Health Organization (WHO) assessed that COVID-19 could be characterized as a pandemic on 11 March 2020

  • There have been many actions implemented to cope with the pandemic, the increasing number of COVID-19 cases poses a major threat to healthcare delivery [4]

  • This study provides the first overview of the healthcare systems of U.S states in the context of COVID-19, based on the first 17 months of the pandemic

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Summary

Introduction

A novel coronavirus named COVID-19 was identified in Wuhan/China on 31 December 2019, and the World Health Organization (WHO) assessed that COVID-19 could be characterized as a pandemic on 11 March 2020. Centers for Disease Control and Prevention (CDC), a service organization that protects the public’s health, has prepared a global response to COVID-19. It includes the goals limiting human-to-human transmission, minimizing the impact of COVID-19 in some states with limited healthcare delivery capacity, and reducing certain threats that pose a risk to the United States’ healthcare system [2]. In this context, public health, and social measures have been implemented to prepare and respond to the pandemic [3]. There have been many actions implemented to cope with the pandemic, the increasing number of COVID-19 cases poses a major threat to healthcare delivery [4]

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