Advanced Search
MyIDEAS: Login

The impact of upcoding, cream skimming and readmissions on hospitals’ efficiency: the case of Lombardy

Contents:

Author Info

  • Paolo Berta
  • Giuditta Callea

    ()

  • Gianmaria Martini
  • Giorgio Vittadini

Abstract

This paper investigates the efficiency of Italian hospitals during the period 1998–2007 and consider the impact of some DRG distortions like uocoding, cream skimming and readmission. We apply both a stochastic frontier approach and a multilevel model. We show that readmissions are the most relevant distortion. Moreover, cream skimming has a negative impact for public and private hospitals and upcoding has a clear positive but little impact only for public hospitals. These results imply that the reaction of the different hospital types to the public policy aimed to reduced the DRG distortions is different. Private hospitals tend to reduce the DRGs while the public hospitals increase the readmissions. Last, private hospitals are less efficient than public and not–for–profit ones, once we take the DRG distortions (and other covariates) into account, both for the SF approach and the ML model.

Download Info

If 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.
File URL: http://hdl.handle.net/10446/408
Download Restriction: no

Bibliographic Info

Paper provided by Department of Economics and Technology Management, University of Bergamo in its series Working Papers with number 0806.

as in new window
Length:
Date of creation: 2008
Date of revision:
Handle: RePEc:brh:wpaper:0806

Contact details of provider:
Postal: viale Marconi 5, 24044 Dalmine
Phone: 0352052341
Web page: http://www.unibg.it/struttura/en_struttura.asp?cerca=en_dige_intro
More information through EDIRC

Related research

Keywords: DRG distortions; hospital efficiency; ownership forms; stochastic frontier; multi level.;

Find related papers by JEL classification:

References

No references listed on IDEAS
You can help add them by filling out this form.

Citations

Lists

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

Statistics

Access and download statistics

Corrections

When requesting a correction, please mention this item's handle: RePEc:brh:wpaper:0806. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (University of Bergamo Library).

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.