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La performance della rete ospedaliera pubblica della regione Veneto. L?impatto delle variabili ambientali e operative sull?efficienza

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  • Bettina Campedelli
  • Andrea Guerrina
  • Giulia Romano
  • Chiara Leardini

Abstract

Il presente lavoro misura l?efficienza delle strutture della rete ospedaliera pubblica del Veneto con il metodo Data Envelopment Analysis (DEA) e individua quali variabili operative e ambientali sono in grado di condizionarne l?andamento. Rispetto alla letteratura esistente, questo studio empirico permette di indagare in profondita le determinanti di efficienza di un sistema sanitario regionale in quanto, in collaborazione con la Sezione Programmazione Risorse Finanziarie della Regione Veneto, si basa sull?elaborazione e l?analisi di un dataset longitudinale recente (2011-2012) contenente dati tecnici, di costo e di provento riferiti a uno specifico sistema sanitario regionale. Tra i risultati emersi ricordiamo gli impatti negativi prodotti sull?efficienza da un aumento dell?anzianita della popolazione, dei giorni medi di ospedalizzazione e dalla presenza del pronto soccorso; effetti positivi si riscontrano invece con l?aumento della scala dimensionale.

Suggested Citation

  • Bettina Campedelli & Andrea Guerrina & Giulia Romano & Chiara Leardini, 2014. "La performance della rete ospedaliera pubblica della regione Veneto. L?impatto delle variabili ambientali e operative sull?efficienza," MECOSAN, FrancoAngeli Editore, vol. 2014(92), pages 119-142.
    • Handle: RePEc:fan:mesame:v:html10.3280/mesa2014-092007
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    1. Roberto Cellini & Giacomo Pignataro & Ilde Rizzo, 2000. "Competition and Efficiency in Health Care: An Analysis of the Italian Case," International Tax and Public Finance, Springer;International Institute of Public Finance, vol. 7(4), pages 503-519, August.
    2. O'Neill, Liam & Rauner, Marion & Heidenberger, Kurt & Kraus, Markus, 2008. "A cross-national comparison and taxonomy of DEA-based hospital efficiency studies," Socio-Economic Planning Sciences, Elsevier, vol. 42(3), pages 158-189, September.
    3. Berta, Paolo & Callea, Giuditta & Martini, Gianmaria & Vittadini, Giorgio, 2010. "The effects of upcoding, cream skimming and readmissions on the Italian hospitals efficiency: A population-based investigation," Economic Modelling, Elsevier, vol. 27(4), pages 812-821, July.
    4. 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.
    5. Isabel M. García‐Sánchez, 2006. "Efficiency Measurement in Spanish Local Government: The Case of Municipal Water Services," Review of Policy Research, Policy Studies Organization, vol. 23(2), pages 355-372, March.
    6. 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, January.
    7. De Nicola, Arianna & Gitto, Simone & Mancuso, Paolo, 2011. "A two-stage DEA model to evaluate the efficiency of the Italian health system," MPRA Paper 39126, University Library of Munich, Germany.
    8. Andrea Guerrini & Giulia Romano & Bettina Campedelli, 2013. "Economies of Scale, Scope, and Density in the Italian Water Sector: A Two-Stage Data Envelopment Analysis Approach," Water Resources Management: An International Journal, Published for the European Water Resources Association (EWRA), Springer;European Water Resources Association (EWRA), vol. 27(13), pages 4559-4578, October.
    9. Silvio Daidone & Francesco D’Amico, 2009. "Technical efficiency, specialization and ownership form: evidences from a pooling of Italian hospitals," Journal of Productivity Analysis, Springer, vol. 32(3), pages 203-216, December.
    10. R. D. Banker & A. Charnes & W. W. Cooper, 1984. "Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis," Management Science, INFORMS, vol. 30(9), pages 1078-1092, September.
    11. Emrouznejad, Ali & Parker, Barnett R. & Tavares, Gabriel, 2008. "Evaluation of research in efficiency and productivity: A survey and analysis of the first 30 years of scholarly literature in DEA," Socio-Economic Planning Sciences, Elsevier, vol. 42(3), pages 151-157, September.
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    1. D'Aniello, Luca & Spano, Maria & Cuccurullo, Corrado & Aria, Massimo, 2022. "Academic Health Centers’ configurations, scientific productivity, and impact: Insights from the Italian setting," Health Policy, Elsevier, vol. 126(12), pages 1317-1323.
    2. Lorenzo Costumato & Fabiana Scalabrini & Andrea Bonomi Savignon, 2021. "Ideal-tipi di performance management nella pianificazione delle Aziende Sanitarie. Una prima rilevazione empirica a livello nazionale," MECOSAN, FrancoAngeli Editore, vol. 0(117), pages 7-26.
    3. Lino Cinquini & Cristina Campanale & Flavio Del Bianco & Chiara Oppi, 2021. "Un modello di performance management per mitigare il problema dell?ambiguit? nell?organizzazione della prevenzione collettiva: il caso della Regione Friuli-Venezia Giulia," MECOSAN, FrancoAngeli Editore, vol. 0(117), pages 77-109.

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