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Efficiency and Program‐Contract Bargaining in Spanish Public Hospitals

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  • Juan Ventura
  • Eduardo GonzáLez
  • Ana Cárcaba

Abstract

This paper analyses the evolution of productivity in Spanish public hospitals during the period characterised by the use of program‐contracts. The results demonstrate that a significant improvement has occurred. The decomposition of the Malmquist productivity index shows that efficiency change has been the main contributor to productivity improvement. We also analyse the dynamic implications of program‐contract bargaining. In particular, the data support the hypothesis that the bargaining process has been subject to a ratchet effect, i.e., the more a hospital does today, the more the hospital is asked to do in the future. This result threatens the credibility of the program‐contract as an incentive system.

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  • Juan Ventura & Eduardo GonzáLez & Ana Cárcaba, 2004. "Efficiency and Program‐Contract Bargaining in Spanish Public Hospitals," Annals of Public and Cooperative Economics, Wiley Blackwell, vol. 75(4), pages 549-573, December.
    • Handle: RePEc:bla:annpce:v:75:y:2004:i:4:p:549-573
    DOI: 10.1111/j.1467-8292.2004.00262.x
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    References listed on IDEAS

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    1. Ray, Subhash C & Desli, Evangelia, 1997. "Productivity Growth, Technical Progress, and Efficiency Change in Industrialized Countries: Comment," American Economic Review, American Economic Association, vol. 87(5), pages 1033-1039, December.
    2. Caves, Douglas W & Christensen, Laurits R & Diewert, W Erwin, 1982. "The Economic Theory of Index Numbers and the Measurement of Input, Output, and Productivity," Econometrica, Econometric Society, vol. 50(6), pages 1393-1414, November.
    3. Hausman, Jerry, 2015. "Specification tests in econometrics," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 38(2), pages 112-134.
    4. R. D. Banker & A. Charnes & W. W. Cooper, 1984. "Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis," Management Science, INFORMS, vol. 30(9), pages 1078-1092, September.
    5. Charnes, A. & Cooper, W. W. & Rhodes, E., 1978. "Measuring the efficiency of decision making units," European Journal of Operational Research, Elsevier, vol. 2(6), pages 429-444, November.
    6. Fare, Rolf & Knox Lovell, C. A., 1978. "Measuring the technical efficiency of production," Journal of Economic Theory, Elsevier, vol. 19(1), pages 150-162, October.
    7. Patrick L. Brockett & Boaz Golany, 1996. "Using Rank Statistics for Determining Programmatic Efficiency Differences in Data Envelopment Analysis," Management Science, INFORMS, vol. 42(3), pages 466-472, March.
    8. Sueyoshi, Toshiyuki & Aoki, Shingo, 2001. "A use of a nonparametric statistic for DEA frontier shift: the Kruskal and Wallis rank test," Omega, Elsevier, vol. 29(1), pages 1-18, February.
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    Cited by:

    1. Worthington, Andrew C. & Lee, Boon L., 2008. "Efficiency, technology and productivity change in Australian universities, 1998-2003," Economics of Education Review, Elsevier, vol. 27(3), pages 285-298, June.
    2. Dino Rizzi & Vincenzo Rebba, 2006. "Measuring Hospital Efficiency through Data Envelopment Analysis when Policy-makers� Preferences Matter. An Application to a sample of Italian NHS hospitals," Working Papers 2006_13, Department of Economics, University of Venice "Ca' Foscari".
    3. Tito Nestor TIEHI, 2023. "Impact of HIV and Covid-19 pandemics on ivorian health system efficiency," Bulletin of Applied Economics, Risk Market Journals, vol. 10(1), pages 103-113.
    4. Worthington, Andrew C. & Lee, Boon L., 2008. "Efficiency, technology and productivity change in Australian universities, 1998-2003," Economics of Education Review, Elsevier, vol. 27(3), pages 285-298, June.
    5. Pablo Arocena & Ariadna García‐Prado, 2007. "Accounting for quality in the measurement of hospital performance: evidence from Costa Rica," Health Economics, John Wiley & Sons, Ltd., vol. 16(7), pages 667-685, July.
    6. Bruce Hollingsworth, 2008. "The measurement of efficiency and productivity of health care delivery," Health Economics, John Wiley & Sons, Ltd., vol. 17(10), pages 1107-1128, October.
    7. Gorgemans, Sophie & Urbina-Pérez, Olga, 2022. "New legal forms in health services: Evaluation of a Spanish public policy," Health Policy, Elsevier, vol. 126(8), pages 802-807.

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