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Efficiency measurement of health care: a review of non‐parametric methods and applications

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Author Info
Bruce Hollingsworth ()
P.J. Dawson
N. Maniadakis

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Abstract

There has been increasing interest in measuring the productive performance of health care services, since the mid-1980s. This paper reviews this literature and, in particular, the concept and measurement of efficiency and productivity. Concerning measurement, we focus on the use of Data Envelopment Analysis (DEA), a technique particularly appropriate when multiple outputs are produced from multiple inputs. Applications to hospitals and to the wider context of general health care are reviewed and the empirical evidence from both the USA and Europe (EU) is that public rather than private provision is more efficient. Copyright Kluwer Academic Publishers 1999

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File URL: http://hdl.handle.net/10.1023/A:1019087828488
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Publisher Info
Article provided by Springer in its journal Health Care Management Science.

Volume (Year): 2 (1999)
Issue (Month): 3 (July)
Pages: 161-172
Download reference. The following formats are available: HTML (with abstract), plain text (with abstract), BibTeX, RIS (EndNote, RefMan, ProCite), ReDIF
Handle: RePEc:kap:hcarem:v:2:y:1999:i:3:p:161-172

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Web page: http://www.springerlink.com/link.asp?id=101767

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  1. Marketta Veihola & Pekka Aroviita & Riitta Kekomäki & Miika Linna & Harri Sintonen, 2008. "Discarded cellular components and the technical efficiency of component preparation," The European Journal of Health Economics, Springer, vol. 9(4), pages 325-331, November. [Downloadable!] (restricted)
  2. António Afonso & Sónia Fernandes, 2008. "Assessing Hospital Efficiency: Non-parametric Evidence for Portugal," Working Papers 2008/07, Department of Economics at the School of Economics and Management (ISEG), Technical University of Lisbon.. [Downloadable!]
  3. Jeff Richardson & John Wildman & Iain K. Robertson, 2003. "A critique of the World Health Organisation's evaluation of health system performance," Health Economics, John Wiley & Sons, Ltd., vol. 12(5), pages 355-366. [Downloadable!]
  4. Anatoly I. Pilyavsky & William E. Aaronson & Patrick M. Bernet & Michael D. Rosko & Vivian G. Valdmanis & Mikhail V. Golubchikov, 2006. "East-west: does it make a difference to hospital efficiencies in Ukraine?," Health Economics, John Wiley & Sons, Ltd., vol. 15(11), pages 1173-1186. [Downloadable!]
  5. 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, University of Venice "Ca' Foscari", Department of Economics. [Downloadable!]
  6. Rowena Jacobs, 2000. "Alternative methods to examine hospital efficiency: Data Envelopment Analysis and Stochastic Frontier Analysis," Working Papers 177chedp, Centre for Health Economics, University of York. [Downloadable!]
  7. 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. [Downloadable!]
  8. Antonio Giuffrida and & Hugh Gravelle, . "Measuring Performance in Primary Care: Econometric Analysis and DEA," Discussion Papers 99/36, Department of Economics, University of York. [Downloadable!]
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  9. Jean Spinks & Bruce Hollingsworth, 2005. "Health production and the socioeconomic determinants of health in OECD countries: the use of efficiency models," Centre for Health Economics Working Papers 151/05, Monash University, Centre for Health Economics. [Downloadable!]
  10. Anatoly Pilyavsky & Matthias Staat, 2008. "Efficiency and productivity change in Ukrainian health care," Journal of Productivity Analysis, Springer, vol. 29(2), pages 143-154, April. [Downloadable!] (restricted)
  11. Bruce Hollingsworth & John Wildman, 2003. "The efficiency of health production: re-estimating the WHO panel data using parametric and non-parametric approaches to provide additional information," Health Economics, John Wiley & Sons, Ltd., vol. 12(6), pages 493-504. [Downloadable!]
  12. Kim Rose Olsen & Andrew Street, 2008. "The analysis of efficiency among a small number of organisations: How inferences can be improved by exploiting patient-level data," Health Economics, John Wiley & Sons, Ltd., vol. 17(6), pages 671-681. [Downloadable!]
  13. Francisco Aguado Correa & Maria Jose Alvarez Gil & Lucia Barcos Redin, 2005. "Benefits Of Connecting Rfid And Lean Principles In Health Care," Business Economics Working Papers wb054410, Universidad Carlos III, Departamento de Economía de la Empresa. [Downloadable!]
  14. Pinar Guven Uslu & Thuy Pham Linh, 2008. "Effects of Changes in Public Policy on Efficiency and Productivity of General Hospitals in Vietnam," Working Papers 08-30, Centre for Competition Policy, University of East Anglia. [Downloadable!]
  15. Matthias Staat, 2006. "Efficiency of hospitals in Germany: a DEA-bootstrap approach," Applied Economics, Taylor and Francis Journals, vol. 38(19), pages 2255-2263, October. [Downloadable!] (restricted)
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