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The impact of policy on hospital productivity: a time series analysis of Dutch hospitals

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  • Jos Blank
  • Evelien Eggink

Abstract

The health care industry, in particular the hospital industry, is under an increasing degree of pressure, by an ageing population, advancing expensive medical technology a shrinking labor. The pressure on hospitals is further increased by the planned budget cuts in public spending by many current administrations as a result of the economic and financial crises. However, productivity increases may alleviate these problems. Therefore we study whether productivity in the hospital sector is growing, and whether this productivity growth can be influenced by government policy. Using an econometric time series analysis of the hospital sector in the Netherlands, productivity is estimated for the period 1972–2010. Then, productivity is linked to the different regulation regimes during that period, ranging from output funding in the 1970s to the current liberalized hospital market. The results indicate that the average productivity of the hospital sector in different periods differs and that these differences are related to the structure of regulation in those periods. Copyright Springer Science+Business Media New York 2014

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  • Jos Blank & Evelien Eggink, 2014. "The impact of policy on hospital productivity: a time series analysis of Dutch hospitals," Health Care Management Science, Springer, vol. 17(2), pages 139-149, June.
    • Handle: RePEc:kap:hcarem:v:17:y:2014:i:2:p:139-149
    DOI: 10.1007/s10729-013-9257-8
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    3. Adam Pilny & Felix Roesel, 2020. "Are Doctors Better Health Ministers?," American Journal of Health Economics, University of Chicago Press, vol. 6(4), pages 498-532.
    4. See, Kok Fong & Ng, Ying Chu, 2021. "Do hospital reform and ownership matter to Shenzhen hospitals in China? A productivity analysis," Economic Analysis and Policy, Elsevier, vol. 72(C), pages 145-155.
    5. Kwon, Sanguk & Cho, Seong-Hoon & Roberts, Roland K. & Kim, Hyun Jae & Park, Kihyun & Edward Yu, T., 2016. "Effects of electricity-price policy on electricity demand and manufacturing output," Energy, Elsevier, vol. 102(C), pages 324-334.
    6. Jwu-Rong Lin & Ching-Yu Chen & Tso-Kwei Peng, 2017. "Study of the Relevance of the Quality of Care, Operating Efficiency and Inefficient Quality Competition of Senior Care Facilities," IJERPH, MDPI, vol. 14(9), pages 1-18, September.
    7. Víctor Giménez & Jorge R. Keith & Diego Prior, 2019. "Do healthcare financing systems influence hospital efficiency? A metafrontier approach for the case of Mexico," Health Care Management Science, Springer, vol. 22(3), pages 549-559, September.
    8. Kwon, Sanguk & Cho, Seong-Hoon & Roberts, Roland Keith & Kim, Taeyoung & Yu, T. Edward, 2015. "Effects of changes in electricity price on electricity demand and resulting effects on manufacturing output," 2015 Annual Meeting, January 31-February 3, 2015, Atlanta, Georgia 196850, Southern Agricultural Economics Association.
    9. José M. Cordero & Agustín García-García & Enrique Lau-Cortés & Cristina Polo, 2021. "Efficiency and Productivity Change of Public Hospitals in Panama: Do Management Schemes Matter?," IJERPH, MDPI, vol. 18(16), pages 1-21, August.
    10. Kwon, Sanguk & Cho, Seong-Hoon & Roberts, Roland K. & Kim, Hyun Jae & Park, KiHyun & Edward Yu, Tun-Hsiang, 2016. "Short-run and the long-run effects of electricity price on electricity intensity across regions," Applied Energy, Elsevier, vol. 172(C), pages 372-382.

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