A Method for Identifying Cost-Efficient Practices in the Treatment of Thoracic Empyema

Emmanuel Thanassoulis*, Alexander Takamura-Tweedy , Mitul Patel, Satish Rao

*Corresponding author for this work

Research output: Contribution to journalArticle


There is a need to identify cost-efficient practices in delivering health care.
To illustrate how cost-efficient practices can be identified and disseminated in treating thoracic empyema.
Data Envelopment Analysis (DEA) was used to identify the scope for reducing Length of Stay (LOS), and therefore costs, at inpatient spell level for thoracic empyema.
LOS reduction potential was identified representing about 50% of the recorded LOS. Significant differences in potential for LOS reduction were also found between consultant teams and between sources of patient admission.
DEA enables multiple conditioning factors affecting costs at inpatient spell level to be taken into account simultaneously. It enables management to identify and disseminate best practice within its own hospital. The approach can be transferred to other inpatient settings beyond thoracic empyema.
Original languageEnglish
JournalBritish Journal of Healthcare Management
Issue number7
Publication statusPublished - 14 Jul 2020

Bibliographical note

This document is the Accepted Manuscript version of a Published Work that appeared in final form in British Journal of Healthcare Management, copyright © MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see https://doi.org/10.12968/bjhc.2019.0010

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