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La ineficiencia en costes de los hospitales del Insalud:un estudio detallado / Cost inefficiency in spanish public hospitals: A detailled stydy

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  • GARCÍA PRIETO, C.

    () (Departamento de Fundamentos del Análisis Económico. Universidad de Valladolid.)

Abstract

En este trabajo se mide la ineficiencia técnica y asignativa de los hospitales gestionados por el INSALUD, y se ofrecen los rasgos determinantes del perfil que caracteriza a los centros que resultan ineficientes técnicamente.La principal aportación se refiere al estudio de las causas de la ineficiencia técnica, y al método empleado, que consiste en un análisis econométrico simultáneo de todos los aspectos estudiados. Para ello se estima un sistema compuesto por una frontera de costes y las ecuaciones de participación de los factores. En la frontera, se considera que el componente de ineficiencia técnica es función de una serie de factores explicativos, específicos de cada empresa.Los resultados confirman la existencia de ambos tipos de ineficiencia, pero contrariamente a las conclusiones de trabajos anteriores, con un menor peso de la ineficiencia asignativa frente a la técnica. Los hospitales con mayor grado de ineficiencia técnica se caracterizan por un elevado nivel de actividad pero escasamente diversificada. No poseen un alto equipamiento técnico pero cuentan con al menos un centro de especialidades asociado. This paper measures the technical and allocative efficiency of the Spanish public hospitals, and analyses the characteristics of the centres that are technically inefficient.The main contribution is an econometric study realised in one step of the indexes of both types of efficiency and the determinants of technical efficiency. To do this, a system made up of a cost frontier and the input share equations is estimated. On the frontier, the technical inefficiency component is a function of a set of firm-specific variables.The results confirm the existence of both types of inefficiency, the allocative inefficiency having less importance than the technical. The hospitals with a greater degree of technical inefficiency are characterised by high activity levels accompanied by little diversification of cases. They do not possess highly technical equipment but have at least an outpatient attendance centre for specialities, dependent on them.

Suggested Citation

  • García Prieto, C., 2003. "La ineficiencia en costes de los hospitales del Insalud:un estudio detallado / Cost inefficiency in spanish public hospitals: A detailled stydy," Estudios de Economía Aplicada, Estudios de Economía Aplicada, vol. 21, pages 467-484, December.
  • Handle: RePEc:lrk:eeaart:21_3_4
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    References listed on IDEAS

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    More about this item

    Keywords

    Technical efficiency; allocative efficiency; cost frontier system; hospital efficiency.;

    JEL classification:

    • C51 - Mathematical and Quantitative Methods - - Econometric Modeling - - - Model Construction and Estimation
    • D24 - Microeconomics - - Production and Organizations - - - Production; Cost; Capital; Capital, Total Factor, and Multifactor Productivity; Capacity
    • I10 - Health, Education, and Welfare - - Health - - - General

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