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Evaluating Cardiac Surgeon Performance: A Retrospective and Exploratory Study
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Author(s): Jon A. Chilingerian (Heller School for Social Policy and Management, USA)and Mitchell P. V. Glavin (Meehan School of Business, Stonehill College, USA)
Copyright: 2024
Volume: 15
Issue: 1
Pages: 27
Source title:
International Journal of Service Science, Management, Engineering, and Technology (IJSSMET)
Editor(s)-in-Chief: Ahmad Taher Azar (College of Computer & Information Sciences, Prince Sultan University, Riyadh, Saudi Arabia & Faculty of Computers and Artificial Intelligence, Benha University, Benha, Egypt)and Ghazy Assassa (Benha University, Egypt)
DOI: 10.4018/IJSSMET.335948
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Abstract
This paper uses data envelopment analysis to explore how to evaluate physician and hospital clinical efficiency for coronary artery bypass surgery. First, the DEA models (measuring overall technical and scale efficiency partitioned by severity) identified many inefficient surgeons. Regardless of time period studied, relatively few surgeons were found to be on the best-practicing production frontier (DEA efficiency score = 1). The authors offer some evidence that clinical efficiency may be subject to investing in organizational capabilities that arise from operational strategies such as developing open heart surgery as a specialty, years of experience, training, and ultimately, acquiring a cadre of “efficient” surgeons. At a minimum, these findings support including some measures of “superior” organizational capabilities, strategic focus or product specialization, continuing education, and experience in future work.
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