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A major feature of healthcare systems is substantial variation in hospital productivity. Productivity widely varies … across NHS hospitals. This research investigates factors that may explain variations in hospital productivity. We employ a … hospital effects to identify some of the determinants of hospital performance. The findings point to the significance of …
Persistent link: https://www.econbiz.de/10014126059
improvement in the productivity of Vietnamese hospitals over the period 1998-2006, with a progress in total factor productivity of … 1.4% per year. Furthermore, the differences in hospital efficiency can be attributed to both the regulatory changes and … hospital-specific characteristics. The user fees and autonomy measures were found to increase technical efficiency. Provincial …
Persistent link: https://www.econbiz.de/10014213818
Do healthcare providers pick their patients? This paper uses patient-level administrative data on skilled nursing facilities in California to estimate a structural model of selective admission practices in the nursing home industry. I exploit within-facility covariation between occupancy and...
Persistent link: https://www.econbiz.de/10013235001
We analyze the efficiency and productivity growth of a representative sample of Portuguese hospitals from 1997 to 2004 …, using an innovative approach by employing the directional distance function and the Luenberger productivity indicator. The … productivity indicator that is decomposed into the usual constituents of productivity growth: technological change and efficiency …
Persistent link: https://www.econbiz.de/10005233852
The introduction of hospital reimbursement based on diagnosis related groups (DRG) in 2004 has been a conspicuous … attempt to increase hospital efficiency in the German health sector. In this paper changes of hospital efficiency, quantified … of negative spatial spillovers among German hospital performance can be diagnosed. This result is in line with a rise of …
Persistent link: https://www.econbiz.de/10008902422
Since the late eighties the Italian National Health System, in particular hospital care, has undergone deep reforms …. This paper evaluates the technical efficiency of Italian public hospitals in light of the main features of the hospital … composition of input endowment and the case-mix of hospital services provided. However a significant portion of variance is …
Persistent link: https://www.econbiz.de/10014210440
Using the 1997-1998 New South Wales public-hospitals comparison data, we investigate the hospital-level inefficiency by … errors of the outputs of the hospital. The main findings are: First, inefficiency accounts for 9.3% of total hospital costs …
Persistent link: https://www.econbiz.de/10012777982
countries. Finally, hospital beds are treated as a discretionary input in one DEA and as a fixed input in the other, and the … effect on efficiency is related to differences in hospital planning in Germany and Switzerland. Based on the comparable …
Persistent link: https://www.econbiz.de/10010507017
global budgeting. In this paper we investigate whether the different reimbursement systems adopted in the Italian hospital … different financing mechanisms on hospital’s performance. To this purpose, we carry out a two-stage Data Envelopment Analysis …. The results show a significant impact of the use of DRG-based PPS on hospital efficiency level. In particular, we find …
Persistent link: https://www.econbiz.de/10014141156
The Australian state of Victoria experienced a fundamental change in public hospital funding in 1993 with the … hospital efficiency levels …
Persistent link: https://www.econbiz.de/10013060741