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A cross-national comparison and taxonomy of DEA-based hospital efficiency studies

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  • O'Neill, Liam
  • Rauner, Marion
  • Heidenberger, Kurt
  • Kraus, Markus
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    Abstract

    This paper provides the first taxonomy of hospital efficiency studies that uses data envelopment analysis (DEA) and related techniques. We provide a systematic review of 79 such studies published from 1984-2004 that represent 12 countries. Only studies written in English are considered. A cross-national comparison reveals significant differences with respect to important study characteristics such as type of DEA model selected and choice of input and output categories. Compared with US studies, European efforts are more likely to measure allocative rather than technical efficiency, use longitudinal data, and use fewer observations. We take a longitudinal perspective that illustrates the life cycle of this research, as well as its diffusion across disciplines. Our taxonomy can be used by policy makers and researchers to review past, and assemble new, DEA models.

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    Bibliographic Info

    Article provided by Elsevier in its journal Socio-Economic Planning Sciences.

    Volume (Year): 42 (2008)
    Issue (Month): 3 (September)
    Pages: 158-189

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    Handle: RePEc:eee:soceps:v:42:y:2008:i:3:p:158-189

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

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    References

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    Cited by:
    1. Hu, Hsin-Hui & Qi, Qinghui & Yang, Chih-Hai, 2012. "Analysis of hospital technical efficiency in China: Effect of health insurance reform," China Economic Review, Elsevier, vol. 23(4), pages 865-877.
    2. Seijas Díaz , Amparo & Iglesias Gómez , Guillermo, 2013. "Evolution of productivity and relation with satisfaction in hospital care and specialized care of Autonomous Communities Health Systems," Investigaciones Regionales, Asociación Española de Ciencia Regional, issue 27, pages 7-32.
    3. Audibert, Martine & Mathonnat, Jacky & Pelissier, Aurore & Huang, Xiao Xian & Ma, Anning, 2013. "Health insurance reform and efficiency of township hospitals in rural China: An analysis from survey data," China Economic Review, Elsevier, vol. 27(C), pages 326-338.
    4. Ng, Ying Chu, 2011. "The productive efficiency of Chinese hospitals," China Economic Review, Elsevier, vol. 22(3), pages 428-439, September.
    5. Panagiotis Mitropoulos & Ioannis Mitropoulos & Aris Sissouras, 2013. "Managing for efficiency in health care: the case of Greek public hospitals," The European Journal of Health Economics, Springer, vol. 14(6), pages 929-938, December.
    6. Productivity Commission, 2009. "Public and Private Hospitals," Research Reports, Productivity Commission, Government of Australia, number 37.
    7. Kostas Kounetas & Fotis Papathanassopoulos, 2013. "How efficient are Greek hospitals? A case study using a double bootstrap DEA approach," The European Journal of Health Economics, Springer, vol. 14(6), pages 979-994, December.
    8. Kreng, Victor B. & Yang, Chi-Tien, 2011. "The equality of resource allocation in health care under the National Health Insurance System in Taiwan," Health Policy, Elsevier, vol. 100(2), pages 203-210.

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