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Efficiency in Northern Ireland Hospitals - A Non-parametric Analysis

  • Donal. G. McKillop

    (Queen's University of Belfast)

  • J. Colin Glass

    (University of Ulster)

  • Christine A. Kerr

    (University of Ulster)

  • Gillian McCallion

    (University of Ulster)

Registered author(s):

    The study examines the technical, scale and size efficiency of acute hospitals in Northern Ireland over the six-year period, 1986-1992. The efficiency estimates are used to investigate whether the empirical evidence supports the subsequent current rationalisation policy for hospital provision in Northern Ireland. Non-parametric analysis is used to measure the efficiency of larger and smaller hospitals relative to best practice. The results cautiously support the current policy of expanding larger hospitals and restructuring/closing smaller hospitals, but also indicate that the expansion of large hospitals may not yield substantial efficiency gains.

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    File URL: http://www.esr.ie/vol30_2/4_McKillop.pdf
    File Function: First version, 1999
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    Article provided by Economic and Social Studies in its journal Economic and Social Review.

    Volume (Year): 30 (1999)
    Issue (Month): 2 ()
    Pages: 175-196

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    Handle: RePEc:eso:journl:v:30:y:1999:i:2:p:175-196
    Contact details of provider: Web page: http://www.esr.ie

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    1. Robert Rosenman & Kris Siddharthan & Melissa Ahern, 1997. "Output Efficiency of Health Maintenance Organizations in Florida," Health Economics, John Wiley & Sons, Ltd., vol. 6(3), pages 295-302.
    2. David Parkin & Bruce Hollingsworth, 1997. "Measuring production efficiency of acute hospitals in Scotland, 1991-94: validity issues in data envelopment analysis," Applied Economics, Taylor & Francis Journals, vol. 29(11), pages 1425-1433.
    3. 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.
    4. Maindiratta, Ajay, 1990. "Largest size-efficient scale and size efficiencies of decision-making units in data envelopment analysis," Journal of Econometrics, Elsevier, vol. 46(1-2), pages 57-72.
    5. Dranove, David, 1998. "Economies of scale in non-revenue producing cost centers: Implications for hospital mergers," Journal of Health Economics, Elsevier, vol. 17(1), pages 69-83, January.
    6. Per Andersen & Niels Christian Petersen, 1993. "A Procedure for Ranking Efficient Units in Data Envelopment Analysis," Management Science, INFORMS, vol. 39(10), pages 1261-1264, October.
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