Abstract
Mixed methods research is interesting to understand complex processes. Organ transplants are complex processes in need of improved final performance in times of budgetary restrictions. As the main objective a mixed method approach is used in this article to quantify the technical efficiency and the excellence achieved in organ transplant systems and to prove the influence of organizational structures and internal processes in the observed technical efficiency. The results show that it is possible to implement mechanisms for the measurement of the different components by making use of quantitative and qualitative methodologies. The analysis show a positive relationship between the levels related to the Baldrige indicators and the observed technical efficiency in the donation and transplant units of the 11 analyzed hospitals. Therefore it is possible to conclude that high levels in the Baldrige indexes are a necessary condition to reach an increased level of the service offered.
Highlights
Organ transplant systems are in need of fundamental changes if they are to provide increasing levels of service delivery under more demanding circumstances and severe budget constraints
With regards to the existing limitations observed in parametric models, this paper develops an approach to compute technical efficiency providing enough flexibility in the model structure to allow for: (1) multi-output analysis of technical efficiency as well as (2) the modeling of complex data structures present in longitudinal observations or hierarchical business units in health care
We are interested in finding the technical efficiency of each hospital for the combined response of the two outputs: kidney transplant and liver transplant and this calls for multilevel technology functions
Summary
Organ transplant systems are in need of fundamental changes if they are to provide increasing levels of service delivery under more demanding circumstances and severe budget constraints. In response to the challenge of how to best optimize the resource utilization in organ transplant processes, there is an increasing interest, according to published literature, in the analysis of productivity and efficiency achieved in health care systems [3,4]. With regards to this challenge two are the main purposes of this paper: (1) to provide formal methods to conduct quantitative appraisal of the performance observed in health care delivery systems and (2) to further investigate the effect of systems processes and internal structures on this performance. It demands lots of resources that must be efficiently managed
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