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Effiziente Krankenhäuser? : ein Vergleich sächsischer und schweizerischer Krankenhäuser

Author

Listed:
  • Gunnar Dittrich
  • Alexander Karmann
  • Lukas Steinmann
  • Peter Zweifel

Abstract

Internationale Vergleiche von Krankenhausleistungen sind bislang selten. Die vorliegende Analyse untersucht die Effizienz der Krankenhäuser in Sachsen und der Schweiz mittels der Data Envelopment Analysis (DEA), einem Verfahren zur Ermittlung der effizienten Grenze. Dabei wird im Sinne eines Benchmarkings die Ineffizienz von Krankenhäusern in Relation zu der aus effizienten Krankenhäusern gebildeten Grenze gemessen. Die Untersuchung berücksichtigt den Einfluss institutioneller Gegebenheiten in beiden Ländern, wie z. B. die Vergütung von Krankenhausleistungen und die Krankenhausplanung. Die schweizerischen Krankenhäuser werden überraschenderweise als weniger effizient in der Erstellung eines gegebenen Leistungsbündels identifiziert.

Suggested Citation

  • Gunnar Dittrich & Alexander Karmann & Lukas Steinmann & Peter Zweifel, 2005. "Effiziente Krankenhäuser? : ein Vergleich sächsischer und schweizerischer Krankenhäuser," ifo Dresden berichtet, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 12(02), pages .9-18, April.
    • Handle: RePEc:ces:ifodre:v:12:y:2005:i:02:p:s.9-18
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    References listed on IDEAS

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    1. Rajiv D. Banker & Robert F. Conrad & Robert P. Strauss, 1986. "A Comparative Application of Data Envelopment Analysis and Translog Methods: An Illustrative Study of Hospital Production," Management Science, INFORMS, vol. 32(1), pages 30-44, January.
    2. Charnes, A. & Cooper, W. W. & Rhodes, E., 1978. "Measuring the efficiency of decision making units," European Journal of Operational Research, Elsevier, vol. 2(6), pages 429-444, November.
    3. Lee Rivers Mobley & Jon Magnussen, 1998. "An international comparison of hospital efficiency: does institutional environment matter?," Applied Economics, Taylor & Francis Journals, vol. 30(8), pages 1089-1100.
    4. Lukas Steinmann & Gunnar Dittrich & Alexander Karmann & Peter Zweifel, 2004. "Measuring and comparing the (in)efficiency of German and Swiss hospitals," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 5(3), pages 216-226, September.
    5. James F. Burgess, Jr. & Paul W. Wilson, 1996. "Hospital Ownership and Technical Inefficiency," Management Science, INFORMS, vol. 42(1), pages 110-123, January.
    6. Eulália Dalmau-Atarrodona & Jaume Puig-Junoy, 1998. "Market Structure and Hospital Efficiency: Evaluating Potential Effects of Deregulation in a National Health Service," Review of Industrial Organization, Springer;The Industrial Organization Society, vol. 13(4), pages 447-466, August.
    7. L. Steinmann & P. Zweifel, 2003. "On the (in)efficiency of Swiss hospitals," Applied Economics, Taylor & Francis Journals, vol. 35(3), pages 361-370.
    8. Jon Magnussen & Lee Rivers Mobley, 1999. "The Impact of Market Environment on Excess Capacity and the Cost of an Empty Hospital Bed," International Journal of the Economics of Business, Taylor & Francis Journals, vol. 6(3), pages 383-398.
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    More about this item

    Keywords

    Krankhaus; Benchmarking; Wirtschaftliche Effizienz; Vergleich; Sachsen; Schweiz;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • O57 - Economic Development, Innovation, Technological Change, and Growth - - Economywide Country Studies - - - Comparative Studies of Countries

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