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Giver øget brug af takststyring i sygehusvæsenet højere produktivitet?

Author

Listed:
  • Bech, Mickael

    (Syddansk Universitet, Institut for Sundhedstjenesteforskning, Sundhedsøkonomi,)

  • Lauridsen, Jørgen

    (Syddansk Universitet, Institut for Virksomhedsledelse og Økonomi)

  • Pedersen, Kjeld Møller

    (Syddansk Universitet, Institut for Sundhedstjenesteforskning, Sundhedsøkonomi)

Abstract

Over the past five years activity based reimbursement using the DRG system has gradually been implemented in Denmark. Today hospitals receive between 20-50% of their revenues as activity based reimbursement. It is believed that this will increase hospital activity and productivity more than by using capped budgets supplemented by contracts, the standard practice until the turn of the millennium. One of the objectives of this article is to analyse whether the increase in productivity has been higher over the period 2002-2004 when partial activity based reimbursement was used, compared to 1996-2001 when global budgets (capped budgets) dominated reimbursement scheme. The average annual productivity increase from 1996 to 2001 was around 1%, and the period 2002-2004 does not deviate from this. The second objective is to analyse differences in productivity across counties. These analyses show that the various degrees of activity based reimbursement across counties cannot explain differences in productivity. The results also indicate that some of the differences in productivity are due to differences in hospital structure and geographical spread of the counties.

Suggested Citation

  • Bech, Mickael & Lauridsen, Jørgen & Pedersen, Kjeld Møller, 2006. "Giver øget brug af takststyring i sygehusvæsenet højere produktivitet?," Nationaløkonomisk tidsskrift, Nationaløkonomisk Forening, vol. 2006(1), pages 326-342.
  • Handle: RePEc:hhs:jdaecn:0152
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    1. Peter Bogetoft & Jens Hougaard, 1999. "Efficiency Evaluations Based on Potential (Non-Proportional) Improvements," Journal of Productivity Analysis, Springer, vol. 12(3), pages 233-247, November.
    2. Peter Bogetoft & Jens Hougaard, 2003. "Rational Inefficiencies," Journal of Productivity Analysis, Springer, vol. 20(3), pages 243-271, November.
    3. Cunha, Flavio & Heckman, James J. & Lochner, Lance, 2006. "Interpreting the Evidence on Life Cycle Skill Formation," Handbook of the Economics of Education, in: Erik Hanushek & F. Welch (ed.), Handbook of the Economics of Education, edition 1, volume 1, chapter 12, pages 697-812, Elsevier.
    4. Hougaard, Jens Leth & Tvede, Mich, 2002. "Benchmark selection: An axiomatic approach," European Journal of Operational Research, Elsevier, vol. 137(1), pages 218-228, February.
    5. Fershtman, Chaim & Murphy, Kevin M & Weiss, Yoram, 1996. "Social Status, Education, and Growth," Journal of Political Economy, University of Chicago Press, vol. 104(1), pages 108-132, February.
    6. Pedro Martins & Jim Jin, 2010. "Firm-level social returns to education," Journal of Population Economics, Springer;European Society for Population Economics, vol. 23(2), pages 539-558, March.
    7. Joel Mokyr, 2005. "The Intellectual Origins of Modern Economic Growth," Springer Books, in: Alberto Quadrio Curzio & Marco Fortis (ed.), Research and Technological Innovation, pages 17-80, Springer.
    8. Mokyr, Joel, 2005. "The Intellectual Origins of Modern Economic Growth," The Journal of Economic History, Cambridge University Press, vol. 65(2), pages 285-351, June.
    9. Pedro Martins & Jim Jin, 2010. "Firm-level social returns to education," Journal of Population Economics, Springer;European Society for Population Economics, vol. 23(2), pages 539-558, March.
    10. Kleven, Henrik Jacobsen & Kreiner, Claus Thustrup, 2006. "The marginal cost of public funds: Hours of work versus labor force participation," Journal of Public Economics, Elsevier, vol. 90(10-11), pages 1955-1973, November.
    11. Bogetoft, Peter & Leth Hougaard, Jens, 2004. "Super efficiency evaluations based on potential slack," European Journal of Operational Research, Elsevier, vol. 152(1), pages 14-21, January.
    12. Sherman T. Folland & Richard A. Hofler, 2001. "How reliable are hospital efficiency estimates? Exploiting the dual to homothetic production," Health Economics, John Wiley & Sons, Ltd., vol. 10(8), pages 683-698, December.
    13. Michael Rosholm & Lars Skipper, 2009. "Is labour market training a curse for the unemployed? Evidence from a social experiment," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 24(2), pages 338-365, March.
    14. 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.
    15. Enrico Moretti, 2004. "Workers' Education, Spillovers, and Productivity: Evidence from Plant-Level Production Functions," American Economic Review, American Economic Association, vol. 94(3), pages 656-690, June.
    16. Mette Asmild & Jens Hougaard & Dorte Kronborg & Hans Kvist, 2003. "Measuring Inefficiency Via Potential Improvements," Journal of Productivity Analysis, Springer, vol. 19(1), pages 59-76, January.
    17. Fare, Rolf & Knox Lovell, C. A., 1978. "Measuring the technical efficiency of production," Journal of Economic Theory, Elsevier, vol. 19(1), pages 150-162, October.
    18. Yigal Gerchak & Diwakar Gupta & Mordechai Henig, 1996. "Reservation Planning for Elective Surgery Under Uncertain Demand for Emergency Surgery," Management Science, INFORMS, vol. 42(3), pages 321-334, March.
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    More about this item

    Keywords

    DRG-takster; aktivitetsbestemt afregning; takststyring; sygehusvæsenet; sundhedsvæsnet;
    All these keywords.

    JEL classification:

    • A10 - General Economics and Teaching - - General Economics - - - General

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