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Hospital ownership and efficiency: A review of studies with particular focus on Germany

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  • Tiemann, Oliver
  • Schreyögg, Jonas
  • Busse, Reinhard

Abstract

The German hospital market has been subject over the past two decades to a variety of healthcare reforms. Particularly the introduction of diagnosis-related groups (DRGs) in 2004 aimed to increase efficiency of hospitals. The objective of the paper is to review recent studies comparing the efficiency of German public, private non-profit and private for-profit hospitals. The results of the studies are quite mixed. However, in line with the evidence found in studies from other countries, especially the US, the evidence from Germany suggests that private ownership (i.e., private non-profit and private for-profit) is not necessarily associated with higher efficiency compared to public ownership. This may be a surprising result to many policy makers as private for-profit hospitals are often perceived the most efficient ownership type by the public.

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Bibliographic Info

Article provided by Elsevier in its journal Health Policy.

Volume (Year): 104 (2012)
Issue (Month): 2 ()
Pages: 163-171

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Handle: RePEc:eee:hepoli:v:104:y:2012:i:2:p:163-171

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Web page: http://www.elsevier.com/locate/healthpol

Related research

Keywords: Performance measurement; Hospitals; Data envelopment analysis; Stochastic Frontier Analysis; Germany;

References

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Cited by:
  1. Matthias Vogl, 2012. "Assessing DRG cost accounting with respect to resource allocation and tariff calculation: the case of Germany," Health Economics Review, Springer, vol. 2(1), pages 1-12, December.
  2. Cláudia Araújo & Carlos Barros & Peter Wanke, 2014. "Efficiency determinants and capacity issues in Brazilian for-profit hospitals," Health Care Management Science, Springer, vol. 17(2), pages 126-138, June.

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