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Regional Quantity, Productivity and Efficiency Measures of the Swiss Health Care System

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Author Info
Reto Schleiniger
Abstract

In Switzerland, there are substantial cantonal differences in per capita cost of the mandatory health care system. The present paper breaks these differences down into price and quantity effects revealing both, a large quantity and a somewhat smaller price variance across cantons. As a statistical fact, a positive correlation of price and quantity index results. Dividing the inferred quantity output index by a corresponding input index yields a measure of total factor productivity. While the canton of Zurich exhibits the highest productivity, the measures in Geneva, Neuchâtel, Berne and Vaud are far below average. Finally, a data envelopment analysis of hospital services shows little evidence for variable returns to scale implying that low productivities are, for the most part, due to pure technological slacks.

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Publisher Info
Article provided by Swiss Society of Economics and Statistics (SSES) in its journal Swiss Journal of Economics and Statistics.

Volume (Year): 144 (2008)
Issue (Month): III (September)
Pages: 459-476
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Handle: RePEc:ses:arsjes:2008-iii-8

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Related research
Keywords: price and quantity indices; productivity and efficiency measures; health care;

Find related papers by JEL classification:
D24 - Microeconomics - - Production and Organizations - - - Production; Capital and Total Factor Productivity; Capacity
I12 - Health, Education, and Welfare - - Health - - - Health Production

References listed on IDEAS
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.:

  1. Hill, Robert J, 1997. "A Taxonomy of Multilateral Methods for Making International Comparisons of Prices and Quantities," Review of Income and Wealth, Blackwell Publishing, vol. 43(1), pages 49-69, March.
  2. António Afonso & Ludger Schuknecht & Vito Tanzi, 2005. "Public sector efficiency: An international comparison," Public Choice, Springer, vol. 123(3), pages 321-347, June. [Downloadable!] (restricted)
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  3. L. Steinmann & P. Zweifel, 2003. "On the (in)efficiency of Swiss hospitals," Applied Economics, Taylor and Francis Journals, vol. 35(3), pages 361-370, January. [Downloadable!] (restricted)
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This page was last updated on 2009-12-11.


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