hospitals change their provision of care to insured heart attack patients in response to reduced revenues, the evidence I have …

We analyze the efficiency and productivity growth of a representative sample of Portuguese hospitals from 1997 to 2004 … change. The results show that, on average, Portuguese hospitals did not experience productivity growth during the period … analyzed. In addition, the incidence of positive productivity growth across Portuguese hospitals was remarkably low. …

volumes at Swedish public sector hospitals. Using detailed register data on more than 100,000 episodes of advanced cancer …

Using the 1997-1998 New South Wales public-hospitals comparison data, we investigate the hospital-level inefficiency by … in large hospitals and 11.3% in small hospitals, when including complexity indicators. Second, diseconomies of scale … exist in very large hospitals, whereas scale economies appear in very small hospitals. Third, scope effects are found in …