In a paper published by Ma (1994) it was argued that the prospective payment system in the hospital industry was superior to the cost based reimbursement system to achieve both cost reduction and quality improvement ob jectives. In the analysis, it was assumed that quality and costs decisions...

We extend the standard frontier efficiency models (data envelopment analysis [DEA] and stochastic frontier analysis [SFA]) by allowing the “decision making units” (DMUs) whose performances are assessed to consist of two different levels within hierarchical organizations. Generally, the lower...

Hospital productivity has been a research topic for over two decades. We expand on this research to include measures of dis/economies of scope. By using the Free Coordination Hull (FCH) we are able to determine if hospitals in our sample can become more efficient if they provide more services...

Tunisian’s public hospitals have been often deemed inefficiency, yet unfortunately no empirical study has demonstrated the breadth and/or depth of this inefficiency. To address this issue, we develop a non parametric methodology to measure efficiency at patient level for five cardiology wards....

In this paper, we introduce two new indicators of the operational and the financial performance of bank branches networks. We develop an alternative approach to the traditional productivity measures to take into account size, environmental and structural effects in the benchmark process. We use...

Nous analysons les conséquences du passage d’un financement par dotation globale à un financement prospectif lié à l’activité et tentons de déterminer en quoi la réforme pourrait être préjudiciable ou bénéfique à la santé financière des hôpitaux publics. Nous développons un...

The duality between measures of economic and technical efficiency has been extensively studied in the productive efficiency analysis. This duality ensures a meaningful interpretation of technical efficiency as economic efficiency evaluated at the most favorable shadow prices. This paper...

The impact of the transition from a global budget payment to an activity-based financing system on public hospitals financial equilibrium is analyzed in this paper. To do so, we develop a theoretical model where patients? demand is related to joint decisions made by hospital managers and...

The duality between measures of economic and technical efficiency has been extensively studied in the productive efficiency analysis. This duality ensures a meaningful interpretation of technical efficiency as economic efficiency evaluated at the most favorable shadow prices. This paper...

Dans ce papier, nous proposons deux nouveaux indicateurs pour mesurer la performance opérationnelle et la performance financière des réseaux d’agences bancaires. Nous développons une approche alternative aux mesures classiques de productivité pour prendre en compte des effets de taille,...