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An Empirical Survey Of Frontier Efficiency Measurement Techniques In Healthcare Services

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Author Info
Andrew Worthington
Abstract

Healthcare institutions worldwide are increasingly the subject of analyses aimed at defining, measuring and improving organisational efficiency. However, despite the importance of efficiency measurement in healthcare services, it is only relatively recently that the more advanced econometric and mathematical frontier techniques have been applied to hospitals, nursing homes, health management organisations and physician practices. This paper attempts to provide a synoptic survey of the comparatively few empirical analyses of frontier efficiency measurement in healthcare services. Both the measurement of inefficiency in healthcare services and the determinants of healthcare efficiency are examined.

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File URL: http://www.bus.qut.edu.au/faculty/schools/economics/documents/discussionPapers/1999/Worthington_67.pdf
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Paper provided by School of Economics and Finance, Queensland University of Technology in its series School of Economics and Finance Discussion Papers and Working Papers Series with number 067.

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Date of creation: 20 Sep 1999
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Handle: RePEc:qut:dpaper:067

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Keywords: data envelopment analysis; stochastic frontiers; technical; allocative and productive efficiency;

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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. Miika Linna & Unto Häkkinen & Eero Linnakko, 1998. "An econometric study of costs of teaching and research in Finnish hospitals," Health Economics, John Wiley & Sons, Ltd., vol. 7(4), pages 291-305.
  2. U.-G. Gerdtham & M. Löthgren & M. Tambour & C. Rehnberg, 1999. "Internal markets and health care efficiency: a multiple-output stochastic frontier analysis," Health Economics, John Wiley & Sons, Ltd., vol. 8(2), pages 151-164.
  3. Eduardo Ley, 1991. "Eficiencia productiva: un estudio aplicado al sector hospitalario," Investigaciones Economicas, Fundación SEPI, vol. 15(1), pages 71-88, January. [Downloadable!]
  4. Vitaliano, Donald F. & Toren, Mark, 1994. "Cost and efficiency in nursing homes: a stochastic frontier approach," Journal of Health Economics, Elsevier, vol. 13(3), pages 281-300, October. [Downloadable!] (restricted)
  5. Newhouse, Joseph P., 1994. "Frontier estimation: How useful a tool for health economics?," Journal of Health Economics, Elsevier, vol. 13(3), pages 317-322, October. [Downloadable!] (restricted)
  6. Zuckerman, Stephen & Hadley, Jack & Iezzoni, Lisa, 1994. "Measuring hospital efficiency with frontier cost functions," Journal of Health Economics, Elsevier, vol. 13(3), pages 255-280, October. [Downloadable!] (restricted)
  7. Wagstaff, Adam, 1989. "Estimating Efficiency in the Hospital Sector: A Comparison of Three Statistical Cost Frontier Models," Applied Economics, Taylor and Francis Journals, vol. 21(5), pages 659-72, May.
  8. Kooreman, Peter, 1994. "Data envelopment analysis and parametric frontier estimation: complementary tools," Journal of Health Economics, Elsevier, vol. 13(3), pages 345-346, October. [Downloadable!] (restricted)
  9. Gertler, Paul J & Waldman, Donald M, 1992. "Quality-Adjusted Cost Functions and Policy Evaluation in the Nursing Home Industry," Journal of Political Economy, University of Chicago Press, vol. 100(6), pages 1232-56, December. [Downloadable!] (restricted)
  10. Skinner, Jonathan, 1994. "What do stochastic frontier cost functions tell us about inefficiency?," Journal of Health Economics, Elsevier, vol. 13(3), pages 323-328, October. [Downloadable!] (restricted)
  11. 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)
  12. Hadley, Jack & Zuckerman, Stephen, 1994. "The role of efficiency measurement in hospital rate setting," Journal of Health Economics, Elsevier, vol. 13(3), pages 335-340, October. [Downloadable!] (restricted)
  13. Donald F. Vitaliano & Mark Toren, 1996. "Hospital Cost and Efficiency in a Regime of Stringent Regulation," Eastern Economic Journal, Eastern Economic Association, vol. 22(2), pages 161-175, Spring. [Downloadable!]
  14. Hofler, Richard A. & Rungeling, Brian, 1994. "U.S. nursing homes : Are they cost efficient?," Economics Letters, Elsevier, vol. 44(3), pages 301-305. [Downloadable!] (restricted)
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Cited by:
(explanations, 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. Rajitkanok Puenpatom & Robert Rosenman, 2008. "Efficiency of Thai provincial public hospitals during the introduction of universal health coverage using capitation," Health Care Management Science, Springer, vol. 11(4), pages 319-338, December. [Downloadable!] (restricted)
  2. Kathleen Goffey & Andrew Worthington, 2002. "Motor Vehicle Usage Patterns in Australia: A Comparative Analysis of Driver, Vehicle & Purpose Characteristics for Household & Freight Travel," School of Economics and Finance Discussion Papers and Working Papers Series 117, School of Economics and Finance, Queensland University of Technology. [Downloadable!]
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