{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T13:15:23Z","timestamp":1774703723116,"version":"3.50.1"},"reference-count":35,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2010,9,28]],"date-time":"2010-09-28T00:00:00Z","timestamp":1285632000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Syst"],"published-print":{"date-parts":[[2011,10]]},"DOI":"10.1007\/s10916-010-9598-5","type":"journal-article","created":{"date-parts":[[2010,9,27]],"date-time":"2010-09-27T08:18:44Z","timestamp":1285575524000},"page":"1075-1083","source":"Crossref","is-referenced-by-count":34,"title":["An Efficiency Data Envelopment Analysis Model Reinforced by Classification and Regression Tree for Hospital Performance Evaluation"],"prefix":"10.1007","volume":"35","author":[{"given":"Chun-Ling","family":"Chuang","sequence":"first","affiliation":[]},{"given":"Peng-Chan","family":"Chang","sequence":"additional","affiliation":[]},{"given":"Rong-Ho","family":"Lin","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2010,9,28]]},"reference":[{"key":"9598_CR1","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.healthpol.2007.01.008","volume":"83","author":"V Aletras","year":"2007","unstructured":"Aletras, V., Kontodimopoulos, N., Zagouldoudis, A., and Niakas, D., The short-term effect on technical and scale efficiency of eslishing regional health systems and general management in Greek NHS hospitals. Health Policy 83:236\u2013245, 2007.","journal-title":"Health Policy"},{"issue":"2","key":"9598_CR2","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/0167-6296(87)90001-4","volume":"6","author":"S Grosskopf","year":"1987","unstructured":"Grosskopf, S., and Valdmanis, V., Measuring hospital performance: A non-parametric approach. J. Health Econ. 6(2):89\u2013107, 1987.","journal-title":"J. Health Econ."},{"issue":"1","key":"9598_CR3","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1287\/mnsc.42.1.110","volume":"42","author":"J Burgess","year":"1996","unstructured":"Burgess, J., Wilson, P. W., and James, F., Hospital ownership and technical inefficiency. Manage. Sci. 42(1):110\u2013123, 1996.","journal-title":"Manage. Sci."},{"key":"9598_CR4","doi-asserted-by":"crossref","first-page":"1571","DOI":"10.1016\/S0167-7187(03)00073-0","volume":"21","author":"N Sari","year":"2003","unstructured":"Sari, N., Efficiency outcomes of market concentration and managed care. Int. J. Ind Organiz 21:1571\u20131589, 2003.","journal-title":"Int. J. Ind Organiz"},{"key":"9598_CR5","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/0377-2217(78)90138-8","volume":"3","author":"A Charnes","year":"1978","unstructured":"Charnes, A., Cooper, W. W., and Rhodes, E., Measuring the efficiency of decision making units. Eur. J. Oper. Res. 3:429\u2013444, 1978.","journal-title":"Eur. J. Oper. Res."},{"issue":"2","key":"9598_CR6","first-page":"183","volume":"18","author":"TR Nunamaker","year":"1983","unstructured":"Nunamaker, T. R., Measuring routine nursing service efficiency: a comparison of cost per patient day and data envelopment analysis models. Health Serv. Res. 18(2):183\u2013208, 1983.","journal-title":"Health Serv. Res."},{"issue":"4","key":"9598_CR7","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1007\/BF00999268","volume":"14","author":"YG Huang","year":"1990","unstructured":"Huang, Y. G., An application of data envelopment analysis: Measuring the relative performance of Florida General Hospitals. J. Med. Syst. 14(4):191\u2013196, 1990.","journal-title":"J. Med. Syst."},{"issue":"2","key":"9598_CR8","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/S0305-0483(98)00014-0","volume":"26","author":"HH Chang","year":"1998","unstructured":"Chang, H. H., Determinants of hospital efficiency: The case of central government-owned hospitals in Taiwan. Omega Int. J. Manag. Sci. 26(2):307\u2013317, 1998.","journal-title":"Omega Int. J. Manag. Sci."},{"issue":"2","key":"9598_CR9","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1016\/j.ejor.2003.09.019","volume":"161","author":"L Ling","year":"2005","unstructured":"Ling, L., and Butler, T. W., The utility of returns to scale in DEA programming: An analysis of Michigan rural hospitals. Eur. J. Oper. Res. 161(2):469\u2013477, 2005.","journal-title":"Eur. J. Oper. Res."},{"issue":"2","key":"9598_CR10","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1016\/j.ejor.2003.09.017","volume":"161","author":"A Chen","year":"2005","unstructured":"Chen, A., Hwang, Y., and Shao, B., Measurement and sources of overall and input inefficiencies: Evidences and implications in hospital services. Eur. J. Oper. Res. 161(2):447\u2013468, 2005.","journal-title":"Eur. J. Oper. Res."},{"issue":"1","key":"9598_CR11","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.healthpol.2007.06.001","volume":"85","author":"M Katharaki","year":"2008","unstructured":"Katharaki, M., Approaching the management of hospital units with an operation research technique: The case of 32 Greek obstetric and gynecology public units. Health Policy 85(1):19\u201331, 2008.","journal-title":"Health Policy"},{"issue":"8","key":"9598_CR12","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1057\/jors.1996.127","volume":"47","author":"AD Athanasspoulos","year":"1996","unstructured":"Athanasspoulos, A. D., and Curram, S. P., A comparison of data envelopment analysis and artificial neural network as tool for assessing the efficiency of decision making units. J. Oper. Res. Soc. 47(8):1000\u20131016, 1996.","journal-title":"J. Oper. Res. Soc."},{"issue":"2","key":"9598_CR13","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/S0305-0548(01)00095-8","volume":"30","author":"S Wang","year":"2003","unstructured":"Wang, S., Adaptive non-parametric efficiency frontier analysis: A neural-network-based model. Comput. Oper. Res. 30(2):279\u2013295, 2003.","journal-title":"Comput. Oper. Res."},{"issue":"6","key":"9598_CR14","first-page":"381","volume":"10","author":"T Sueyoshi","year":"2005","unstructured":"Sueyoshi, T., Neural computation for DEA performance analysis. Asia Pacific Management Review 10(6):381\u2013389, 2005.","journal-title":"Asia Pacific Management Review"},{"issue":"1","key":"9598_CR15","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/j.eswa.2005.09.034","volume":"31","author":"D Wu","year":"2006","unstructured":"Wu, D., Yang, Z., and Liang, L., Using DEA-neural network approach to evaluate branch efficiency of a large Canadian bank. Expert Syst. Appl. 31(1):108\u2013115, 2006.","journal-title":"Expert Syst. Appl."},{"issue":"3","key":"9598_CR16","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/S0038-0121(99)00024-5","volume":"34","author":"J Puig-Junoy","year":"2000","unstructured":"Puig-Junoy, J., Partitioning input cost efficiency into its allocative and technical components: an empirical DEA application to hospitals. Socio-Econ. Plann. Sci. 34(3):199\u2013218, 2000.","journal-title":"Socio-Econ. Plann. Sci."},{"key":"9598_CR17","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1287\/inte.16.6.35","volume":"16","author":"RG Thompson","year":"1986","unstructured":"Thompson, R. G., Singleton, F. D., Jr., Thrall, R. M., and Smith, B. A., Comparative Site Evaluations for Locating a High-Energy Physics in Texas. Interfaces 16:35\u201349, 1986.","journal-title":"Interfaces"},{"key":"9598_CR18","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1016\/j.ejor.2009.06.036","volume":"202","author":"DK Despotis","year":"2009","unstructured":"Despotis, D. K., Stamati, L. V., and Smirlis, Y. G., Data envelopment analysis with nonlinear virtual inputs and outputs. Eur. J. Oper. Res. 202:604\u2013613, 2009.","journal-title":"Eur. J. Oper. Res."},{"issue":"9","key":"9598_CR19","doi-asserted-by":"crossref","first-page":"1078","DOI":"10.1287\/mnsc.30.9.1078","volume":"30","author":"RD Banker","year":"1984","unstructured":"Banker, R. D., Charnes, A., and Cooper, W. W., Some models for estimating technical and scale inefficiencies. Manage. Sci. 30(9):1078\u20131092, 1984.","journal-title":"Manage. Sci."},{"key":"9598_CR20","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/1-4020-7798-X_1","volume-title":"\u201cData envelopment analysis,\u201d Handbook on data envelopment analysis","author":"WW Cooper","year":"2004","unstructured":"Cooper, W. W., Seiford, L. M., and Zhu, J., \u201cData envelopment analysis,\u201d Handbook on data envelopment analysis, vol. 71. Kluwer Academic, Boston, pp. 1\u201339, 2004."},{"issue":"3","key":"9598_CR21","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/j.econedurev.2005.03.003","volume":"25","author":"J Ruggiero","year":"2006","unstructured":"Ruggiero, J., Measurement error, education production and data envelopment analysis. Econ. Educ. Rev. 25(3):327\u2013333, 2006.","journal-title":"Econ. Educ. Rev."},{"issue":"1","key":"9598_CR22","first-page":"37","volume":"33","author":"M Greer","year":"2006","unstructured":"Greer, M., Are the discount carriers actually more efficient than the legacy carriers? A data envelopment analysis. Int. J. Transp. Econ. 33(1):37\u201355, 2006.","journal-title":"Int. J. Transp. Econ."},{"issue":"1","key":"9598_CR23","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1023\/A:1013090804067","volume":"26","author":"JM Kirigia","year":"2002","unstructured":"Kirigia, J. M., Emrouznejad, A., and Sambo, L. G., Measurement of technical efficiency of public hospitals in Kenya using data envelopment analysis. J. Med. Syst. 26(1):39\u201345, 2002.","journal-title":"J. Med. Syst."},{"issue":"4","key":"9598_CR24","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1023\/A:1023749102724","volume":"27","author":"K Field","year":"2003","unstructured":"Field, K., and Emrouznejad, A., Measuring the performance of neonatal care units in Scotland. J. Med. Syst. 27(4):315\u2013324, 2003.","journal-title":"J. Med. Syst."},{"issue":"2","key":"9598_CR25","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1023\/B:JOMS.0000023298.31972.c9","volume":"28","author":"JM Kirigia","year":"2004","unstructured":"Kirigia, J. M., Emrouznejad, A., Sambo, L. G., Munguti, N., and Liambila, W., Using data envelopment analysis to measure the technical efficiency of public health centers in Kenya. J. Med. Syst. 28(2):155\u2013166, 2004.","journal-title":"J. Med. Syst."},{"issue":"6","key":"9598_CR26","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1007\/s10916-006-9032-1","volume":"30","author":"F Masiye","year":"2006","unstructured":"Masiye, F., Kirigia, J. M., Emrouznejad, A., Sambo, L. G., Mounkaila, A., Chimfwembe, D., and David Okello, D., Efficient management of health centres human resources in Zambia. J. Med. Syst. 30(6):473\u2013481, 2006.","journal-title":"J. Med. Syst."},{"issue":"6","key":"9598_CR27","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1007\/s10916-008-9157-5","volume":"32","author":"JM Kirigia","year":"2008","unstructured":"Kirigia, J. M., Emrouznejad, A., Cassoma, B., Asbu, E. Z., and Barry, S., A performance assessment method for hospitals: The case of municipal hospitals in Angola. J. Med. Syst. 32(6):509\u2013519, 2008.","journal-title":"J. Med. Syst."},{"key":"9598_CR28","doi-asserted-by":"crossref","DOI":"10.1007\/0-387-29122-9","volume-title":"Introduction to data envelopment analysis and its uses: With DEA-solver software and references","author":"WW Cooper","year":"2006","unstructured":"Cooper, W. W., Seiford, L. M., and Tone, T., Introduction to data envelopment analysis and its uses: With DEA-solver software and references. Springer, New York, 2006."},{"issue":"3","key":"9598_CR29","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.seps.2007.07.002","volume":"42","author":"A Emrouznejad","year":"2008","unstructured":"Emrouznejad, A., Parker, B. R., and Tavares, G., Evaluation of research in efficiency and productivity: A survey and analysis of the first 30\u00a0years of scholarly literature in DEA. Socio-Econ. Plann. Sci. 42(3):151\u2013157, 2008.","journal-title":"Socio-Econ. Plann. Sci."},{"issue":"3","key":"9598_CR30","doi-asserted-by":"crossref","first-page":"253","DOI":"10.2307\/2343100","volume":"123","author":"MJ Farrell","year":"1957","unstructured":"Farrell, M. J., The measurement of productive efficiency. J. R. Stat. Soc., A 123(3):253\u2013281, 1957.","journal-title":"J. R. Stat. Soc., A"},{"issue":"6","key":"9598_CR31","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/j.jairtraman.2006.08.002","volume":"12","author":"LC Lin","year":"2006","unstructured":"Lin, L. C., and Hong, C. H., Operational performance evaluation of international major airports: An application of data envelopment analysis. J. Air Transp. Manag. 12(6):342\u2013351, 2006.","journal-title":"J. Air Transp. Manag."},{"issue":"1","key":"9598_CR32","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.cie.2008.05.012","volume":"56","author":"A Emrouznejad","year":"2009","unstructured":"Emrouznejad, A., and Shale, E., A combined neural network and DEA for measuring efficiency of large scale datasets. Comput. Ind. Eng. 56(1):249\u2013254, 2009.","journal-title":"Comput. Ind. Eng."},{"issue":"2","key":"9598_CR33","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1016\/S0377-2217(03)00412-0","volume":"159","author":"H Chang","year":"2004","unstructured":"Chang, H., Cheng, M. A., and Das, S., Hospital ownership and operating efficiency: Evidence from Taiwan. Eur. J. Oper. Res. 159(2):513\u2013527, 2004.","journal-title":"Eur. J. Oper. Res."},{"issue":"2","key":"9598_CR34","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/S0377-2217(00)00149-1","volume":"132","author":"RG Dyson","year":"2001","unstructured":"Dyson, R. G., Allen, R., Camanho, A. S., Podinovski, V. V., Sarrico, C. S., and Shale, E. A., Pitfalls and protocols in DEA. Eur. J. Oper. Res. 132(2):245\u2013259, 2001.","journal-title":"Eur. J. Oper. Res."},{"key":"9598_CR35","unstructured":"Lin, R. H., and Chen, C. W. Using data envelopment analysis and ANN to measure performance of hospital. Management innovation and new prospect conference, Taiwan, 2008 May (in Chinese)."}],"container-title":["Journal of Medical Systems"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10916-010-9598-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s10916-010-9598-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10916-010-9598-5","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,3]],"date-time":"2023-06-03T14:02:47Z","timestamp":1685800967000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s10916-010-9598-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,9,28]]},"references-count":35,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2011,10]]}},"alternative-id":["9598"],"URL":"https:\/\/doi.org\/10.1007\/s10916-010-9598-5","relation":{},"ISSN":["0148-5598","1573-689X"],"issn-type":[{"value":"0148-5598","type":"print"},{"value":"1573-689X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,9,28]]}}}