title: Regional variation in VAMC's operative efficiency.
abstract: The Department of Veterans Affairs is managed by a global budget regulated by Congress. How effective the VA handles this budget can provide insight into future plans for any form of universal health insurance. Using Date Envelope Analysis (DEA) this study shows that 51 of 158 continental VAMCs operate relatively efficiently. Variation in operative efficiency could be explained by Service Area size and geographic regional location. This finding suggests more active regional planning may improve veteran hospital operative efficiency.
authors.affiliation: Medical College of Virginia-McGuire VAMC, Richmond 23294.
authors.forename: E D
authors.initials: ED
authors.lastname: Perez
mesh_terms: D000553:Ambulatory Care / Q000706:statistics & numerical data; D002017:Budgets / Q000592:standards*; D003953:Diagnosis-Related Groups / Q000706:statistics & numerical data; D004526:Efficiency; D005377:Financial Management, Hospital / Q000191:economics / Q000592:standards*; D006302:Health Services Research; D006742:Hospital Bed Capacity / Q000706:statistics & numerical data; D006787:Hospitals, Veterans / Q000191:economics* / Q000458:organization & administration; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D016014:Linear Models; D010564:Personnel, Hospital / Q000193:education / Q000706:statistics & numerical data; D012040:Regional Health Planning; D012111:Residence Characteristics; D014481:United States; D014493:United States Department of Veterans Affairs / Q000191:economics / Q000592:standards