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L'analisi dell'efficienza tecnica nel settore della sanità. Un'applicazione al caso della Lombardia

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  • Gilberto Turati
  • Gian Paolo Barbetta

Abstract

L’analisi dell’efficienza tecnica nel settore della sanità. Un’applicazione al caso della Lombardia (di Gian Paolo Barbetta e Gilberto Turati) - ABSTRACT: The paper measures the technical efficiency in the health care industry. Our aim is twofold: on one side we have a methodological goal, while on the other we want to apply different methodologies developed to measure technical efficiency to a set of empirical data; moreover, we want to explain different efficiency levels of hospitals located in Lombardia. After proposing a brief review of the most important measures (Debreu-Farrell, Shepard’s distance function) and methodologies (dea, stochastic frontiers) in the measurement of technical efficiency, we survey the recent empirical literature on efficiency assessment in the health care sector. We then apply efficiency estimation techniques to a cross-section of public and private hospitals in Lombardia. Our results show that dea efficiency scores are not robust to different model specifications; moreover, efficiency measures obtained with dea and with the alternative stochastic frontier approach show high levels of correlation only when input and output are defined in the same way. Second stage results are more controversial. There seems to be a direct relationship between technical efficiency and firms’ dimensions. Moreover, we found no evidence to support the hypothesis of structural differences in efficiency between nonprofit private hospitals and public hospitals.

Suggested Citation

  • Gilberto Turati & Gian Paolo Barbetta, 2001. "L'analisi dell'efficienza tecnica nel settore della sanità. Un'applicazione al caso della Lombardia," ECONOMIA PUBBLICA, FrancoAngeli Editore, vol. 2001(2).
  • Handle: RePEc:fan:epepep:v:html10.3280/ep2001-002004
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    Cited by:

    1. Sandro Brusco & Luca Colombo & Umberto Galmarini, 2010. "Local Governments Tax Autonomy, Lobbying, and Welfare," Department of Economics Working Papers 10-01, Stony Brook University, Department of Economics.
    2. Gian Paolo Barbetta & Gilberto Turati & Angelo M. Zago, 2007. "Behavioral differences between public and private not-for-profit hospitals in the Italian national health service," Health Economics, John Wiley & Sons, Ltd., vol. 16(1), pages 75-96.
    3. Angelo Baglioni, 2006. "Entry into a network industry: consumers’ expectations and firms’ pricing policies," DISCE - Quaderni dell'Istituto di Economia e Finanza ief69, Università Cattolica del Sacro Cuore, Dipartimenti e Istituti di Scienze Economiche (DISCE).
    4. Giuseppe Mastromatteo, 2011. "H.P. Minsky And Policies To Countervail Crises," DISCE - Quaderni dell'Istituto di Economia e Finanza ief0102, Università Cattolica del Sacro Cuore, Dipartimenti e Istituti di Scienze Economiche (DISCE).
    5. Maria Flavia Ambrosanio & Massimo Bordignon & Floriana Cerniglia, 2010. "Constitutional Reforms, Fiscal Decentralization and Regional Fiscal Flows in Italy," Chapters,in: The Political Economy of Inter-Regional Fiscal Flows, chapter 4 Edward Elgar Publishing.
    6. Antonio Affuso & Cataldo Ferrarese & Guido Nannariello, 2013. "Spending Review: un’analisi di efficienza delle Capitanerie di porto," SCIENZE REGIONALI, FrancoAngeli Editore, vol. 2013(3), pages 111-143.
    7. Luca Colombo & Herbert Dawid & Kordian Kabus, 2012. "When do thick venture capital markets foster innovation? An evolutionary analysis," Journal of Evolutionary Economics, Springer, vol. 22(1), pages 79-108, January.
    8. Stefano Colombo, 2008. "Discriminatory prices, endogenous locations and the Prisoner Dilemma problem," DISCE - Quaderni dell'Istituto di Economia e Finanza ief0079, Università Cattolica del Sacro Cuore, Dipartimenti e Istituti di Scienze Economiche (DISCE).
    9. Giuseppe Mastromatteo, 2011. "The Debate on the Crisis: Recent Reappraisals of the Concept of Functional Finance," DISCE - Quaderni dell'Istituto di Economia e Finanza ief0105, Università Cattolica del Sacro Cuore, Dipartimenti e Istituti di Scienze Economiche (DISCE).
    10. Baglioni, Angelo & Monticini, Andrea, 2010. "The intraday interest rate under a liquidity crisis: The case of August 2007," Economics Letters, Elsevier, vol. 107(2), pages 198-200, May.

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