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Rationalizing Northern Ireland Hospital Services Towards Larger Providers: Best-Practice Efficiency Studies and Current Policy

Author

Listed:
  • Gillian McCallion
  • Donal G. McKillop
  • J. Colin Glass
  • Christine Kerr

Abstract

This article explores the relative efficiency of Northern Ireland hospitals, and in particular the efficiency of small hospitals relative to their large counterparts, employing a technique called data envelopment analysis. The empirical analysis revealed that larger hospitals displayed higher cost efficiency, higher allocative efficiency and higher technical efficiency than their smaller counterparts. These results support Northern Ireland’s recent strategy of concentrating hospital services in six large hospitals, supported by medium sized hospitals, and closing or restructuring smaller hospitals.

Suggested Citation

  • Gillian McCallion & Donal G. McKillop & J. Colin Glass & Christine Kerr, 1999. "Rationalizing Northern Ireland Hospital Services Towards Larger Providers: Best-Practice Efficiency Studies and Current Policy," Public Money & Management, Taylor & Francis Journals, vol. 19(2), pages 27-32, April.
    • Handle: RePEc:taf:pubmmg:v:19:y:1999:i:2:p:27-32
    DOI: 10.1111/1467-9302.00162
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    Cited by:

    1. Monica Giancotti & Annamaria Guglielmo & Marianna Mauro, 2017. "Efficiency and optimal size of hospitals: Results of a systematic search," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-40, March.
    2. Gema Gutierrez-Romero & Antonio Blanco-Oliver & Mª Teresa Montero-Romero & Mariano Carbonero-Ruz, 2021. "The Impact of CEOs’ Gender on Organisational Efficiency in the Public Sector: Evidence from the English NHS," Sustainability, MDPI, vol. 13(4), pages 1-15, February.
    3. Chowdhury, Hedayet & Zelenyuk, Valentin, 2016. "Performance of hospital services in Ontario: DEA with truncated regression approach," Omega, Elsevier, vol. 63(C), pages 111-122.
    4. O'Neill, Liam & Rauner, Marion & Heidenberger, Kurt & Kraus, Markus, 2008. "A cross-national comparison and taxonomy of DEA-based hospital efficiency studies," Socio-Economic Planning Sciences, Elsevier, vol. 42(3), pages 158-189, September.
    5. Teresa Curristine & Zsuzsanna Lonti & Isabelle Joumard, 2007. "Improving Public Sector Efficiency: Challenges and Opportunities," OECD Journal on Budgeting, OECD Publishing, vol. 7(1), pages 1-41.
    6. , Aisdl, 2021. "The Impact of CEOs’ Gender on Organisational Efficiency in the Public Sector: Evidence from the English NHS," OSF Preprints mhcxv, Center for Open Science.

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