Riforme del servizio sanitario nazionale e dinamica dell'efficienza ospedaliera in Piemonte
AbstractIn this paper we estimate cost efficiency and technological characteristics of public hospitals in Piedmont over the period from 2000 to 2004. During the Nineties, different regulatory reforms aiming at controlling health expenditure affected the Italian National Health Service, ranging from the introduction of a new reimbursement scheme for hospitals (DRG-based) at the micro level, to the implementation of fiscal federalism at the macro level. We argue that all these legislative interventions rendered producers more prone to control costs, in order to be able to meet financial constraints. Our empirical findings support this hypothesis: average cost inefficiency, computed after estimating a Translog stochastic cost frontier by the Battese and Coelli (1992) approach, reduced remarkably during the observed years, while the adoption of more effective technologies shifted upward the minimum-cost frontier. We also find evidence of relevant scale economies not exploited by producers, which decrease with hospital size (number of beds) and output complexity (average DRG weight).
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoArticle provided by Società editrice il Mulino in its journal Politica economica.
Volume (Year): (2006)
Issue (Month): 2 ()
Contact details of provider:
NHS reforms; public hospitals; productive efficiency; stochastic cost frontier.;
Other versions of this item:
- Chiara Canta & Massimiliano Piacenza & Turati Gilberto, 2005. "Riforme del Servizio Sanitario Nazionale e dinamica dell’efficienza ospedaliera in Piemonte," CERIS Working Paper 200515, Institute for Economic Research on Firms and Growth - Moncalieri (TO).
- D21 - Microeconomics - - Production and Organizations - - - Firm Behavior: Theory
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
- L32 - Industrial Organization - - Nonprofit Organizations and Public Enterprise - - - Public Enterprises; Public-Private Enterprises
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Alessandro Sembenelli & Laura Rondi & Fabio Schiantarelli & Brian Sack, 1993. "Firms' Financial And Real Responses To Business Cycle Shocks And Monetary Tightening: Evidence For Large And Small Italian Companies," CERIS Working Paper 199305, Institute for Economic Research on Firms and Growth - Moncalieri (TO).
- Elisabetta Mafrolla & Eugenio D’Amico, 2013. "Patients’ mobility as an indicator for (in)efficiency:a panel data analysis on Italian health care authorities," Health Economics Review, Springer, vol. 3(1), pages 1-13, December.
- Piacenza, Massimiliano & Turati, Gilberto & Vannoni, Davide, 2010. "Restructuring hospital industry to control public health care expenditure: The role of input substitutability," Economic Modelling, Elsevier, vol. 27(4), pages 881-890, July.
- Simona Sanguineti & Alessio Tei, 2012. "L’efficienza delle aziende di Trasporto Pubblico Locale: confronto tra le maggiori realtà italiane," ECONOMIA E DIRITTO DEL TERZIARIO, FrancoAngeli Editore, vol. 2012(3), pages 359-377.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ().
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.