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Efficiency of hospitals in Germany: a DEA-bootstrap approach

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Author Info
Matthias Staat
Abstract

Various attempts to assess the performance of German hospitals have generated a wide range of estimates regarding their efficiency. These attempts were based on different, often rather small data sets consisting of heterogeneous hospitals; the techniques applied range from simple benchmarking approaches to studies which employ Data Envelopment Analysis (DEA). Some studies report 'dramatic differences in efficiency’ and propose savings potentials of 50%; others find an average efficiency in excess of 95% and characterize almost 75% of their observations as fully efficient. This study presents results for two datasets representative of two segments of the German hospital system. These segments comprise all hospitals that have one internal medicine and one surgery department; the hospitals are located in the old federal states of Germany. None of the hospitals provides tertiary care. DEA can be applied because all hospitals offer a comparable quality and range of services. The results were estimated with a DEA-bootstrapping procedure and suggest an average bias--corrected efficiency of around 80%.

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Article provided by Taylor and Francis Journals in its journal Applied Economics.

Volume (Year): 38 (2006)
Issue (Month): 19 (October)
Pages: 2255-2263
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Handle: RePEc:taf:applec:v:38:y:2006:i:19:p:2255-2263

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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. Simar, L. & Wilson, P.W., 1999. "Statistical Inference in Nonparametric Frontier Models: the State of the Art," Papers 9904, Catholique de Louvain - Institut de statistique.
  2. I. Gijbels & E. Mammen & B. Park & L. Simar, . "On Estimation of Monotone and Concave Frontier Function," Sonderforschungsbereich 373 1998-9, Humboldt Universitaet Berlin.
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  3. Bruce Hollingsworth & P.J. Dawson & N. Maniadakis, 1999. "Efficiency measurement of health care: a review of non‐parametric methods and applications," Health Care Management Science, Springer, vol. 2(3), pages 161-172, July. [Downloadable!] (restricted)
  4. B. Hollingsworth & P. Smith, 2003. "Use of ratios in data envelopment analysis," Applied Economics Letters, Taylor and Francis Journals, vol. 10(11), pages 733-735, September. [Downloadable!] (restricted)
  5. Mobley, Lee Rivers & Magnussen, Jon, 1998. "An International Comparison of Hospital Efficiency: Does Institutional Environment Matter?," Applied Economics, Taylor and Francis Journals, vol. 30(8), pages 1089-1100, August. [Downloadable!] (restricted)
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  1. Annika Herr, 2008. "Cost and technical efficiency of German hospitals: does ownership matter?," Health Economics, John Wiley & Sons, Ltd., vol. 17(9), pages 1057-1071. [Downloadable!]
  2. Annika Frohloff, 2007. "Cost and Technical Efficiency of German Hospitals – A Stochastic Frontier Analysis," Ruhr Economic Papers 0002, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen. [Downloadable!]
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