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Comparing the allocative efficiencies of hospitals

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  • Morey, RC
  • Fine, DJ
  • Loree, SW
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    Abstract

    A new technique for comparing the performance of firms in controlling costs is introduced and applied to a sample of 60 hospitals. The multi-output, multi-input approach utilizes observed costs, process counts and non-controllable factors for a sample of hospitals to form peer groups to build allocative cost frontiers. The approach can be used to provide insights regarding conjectures about the relative efficiencies of various institutional types as well as the cost differentials associated with different levels of quality of care. The programming approach handles environmental factors such as case mix severity, the teaching mission of the institution, etc. Our illustrative results found an average of a 14% differential in the efficient cost between public and not-for-profits. Much better data is needed before any definitive findings can be stated, but the type of insights regarding the varying degree of separation of the cost frontiers for different levels of outputs is concretely illustrated.

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    Bibliographic Info

    Article provided by Elsevier in its journal Omega.

    Volume (Year): 18 (1990)
    Issue (Month): 1 ()
    Pages: 71-83

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    Handle: RePEc:eee:jomega:v:18:y:1990:i:1:p:71-83

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    Keywords: efficiency relative hospitals costs multi-attribute environmental;

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    Cited by:
    1. Barros, Carlos Pestana & Menezes, Antonio & Vieira, José A. Cabral & Peypoch, Nicolas & Solonandrasana, Bernardin, 2007. "An Analysis of Hospital Efficiency and Productivity Growth Using the Luenberger Productivity Indicator," IZA Discussion Papers 2689, Institute for the Study of Labor (IZA).
    2. García Prieto, C., 2003. "La ineficiencia en costes de los hospitales del Insalud:un estudio detallado / Cost inefficiency in spanish public hospitals: A detailled stydy," Estudios de Economía Aplicada, Estudios de Economía Aplicada, vol. 21, pages 467-484, December.
    3. Puig-Junoy, Jaume, 2000. "Partitioning input cost efficiency into its allocative and technical components: an empirical DEA application to hospitals," Socio-Economic Planning Sciences, Elsevier, vol. 34(3), pages 199-218, September.
    4. Ozcan, Yasar A., 1995. "Efficiency of hospital service production in local markets: The balance sheet of U.S. medical armament," Socio-Economic Planning Sciences, Elsevier, vol. 29(2), pages 139-150, June.
    5. Beatriz Gonzalez Lopez-Valcarcel & Patricia Barber Perez, 1996. "Changes in the efficiency of spanish public hospitals after the introduction of program-contracts," Investigaciones Economicas, Fundación SEPI, vol. 20(3), pages 377-402, September.
    6. O'Neill, Liam & Rauner, Marion & Heidenberger, Kurt & Kraus, Markus, 2008. "A cross-national comparison and taxonomy of DEA-based hospital efficiency studies," Socio-Economic Planning Sciences, Elsevier, vol. 42(3), pages 158-189, September.
    7. Giokas, Dimitris I., 2001. "Greek hospitals: how well their resources are used," Omega, Elsevier, vol. 29(1), pages 73-83, February.
    8. N. Maniadakis & N. Kotsopoulos & P. Prezerakos & J. Yfantopoulos, 2009. "Health Care Services Performance Measurement: Theory, Methods and Empirical Evidence," European Research Studies Journal, European Research Studies Journal, vol. 0(3), pages 151-170.

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