The effect of experience, ownership and focus on productive efficiency: A longitudinal study of U.S. hospitals

David Xin Ding

Research output: Contribution to journalArticlepeer-review

52 Scopus citations

Abstract

Focusing on organizational learning research in healthcare settings, this paper studies how experience, ownership and focus affect productive efficiency in U.S. hospitals. Building on organizational learning theory, health economics and the focused factory concept, we propose that hospitals learn to improve productive efficiency and the relationship between productive efficiency and cumulative experience is curvilinear. We also hypothesize that clinical focus has a positive effect on productive efficiency and that nonprofit hospitals and proprietary hospitals trade off costs and quality differently. The proposed hypotheses are tested with yearly performance data for over 3700 major U.S. hospitals spanning from 1996 to 2010. We find strong support for the proposed hypotheses.

Original languageEnglish (US)
Pages (from-to)1-14
Number of pages14
JournalJournal of Operations Management
Volume32
Issue number1-2
DOIs
StatePublished - Jan 2014

All Science Journal Classification (ASJC) codes

  • Strategy and Management
  • Management Science and Operations Research
  • Industrial and Manufacturing Engineering

Fingerprint

Dive into the research topics of 'The effect of experience, ownership and focus on productive efficiency: A longitudinal study of U.S. hospitals'. Together they form a unique fingerprint.

Cite this