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Comparaison des différentes mesures d'efficacité technique : une application aux centres hospitaliers français

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  • Hervé Leleu
  • Benoît Dervaux

Abstract

[fre] Comparaison des différentes mesures d'efficacité technique : une application aux centres hospitaliers français . par Hervé Leleu et Benoît Dervaux . L'engouement pour les techniques non paramétriques d'estimation de frontières de production dans le domaine hospitalier tient à leur capacité à prendre en compte les spécificités de ce secteur. Ces travaux recourent pratiquement tous à la méthodologie Data Envelopment Analysis (DEA) sous diverses hypothèses de rendements à l'échelle. Dans cet article, après avoir étudié les propriétés théoriques des différentes mesures d'efficacité, nous procédons à l'évaluation de l'efficacité productive de 137 hôpitaux publics français. Nous analysons l'impact du choix de la mesure d'efficacité sur la distribution des scores et sur les résultats des modèles explicatifs de la performance des hôpitaux. Nous constatons que le choix de la mesure modifie la distribution des scores d'efficacité mais affecte peu le classement des établissements au regard de leur performance relative. [eng] Comparison of Different Measurements of Technical Efficiency: a Study of French Hospitals . by Hervé Leleu and Benoît Dervaux . The enthusiasm for non-parametric techniques of assessing production frontiers in hospitals stems from their ability to take account of the sector's specific features. "Virtually all such techniques use data envelopment analysis (DEA) methodology with various hypotheses for returns to scale. In this paper, after examining the theoretical features of various efficiency measurements, we set out to assess the productive efficiency of 137 French public hospitals. We analyse the impact which the choice of efficiency measurement has on score distribution and the outcome of explanatory models of hospital performance. We find that the choice of measurement alters the efficiency score distribution but has little effect on hospital classification in terms of relative performance.

Suggested Citation

  • Hervé Leleu & Benoît Dervaux, 1997. "Comparaison des différentes mesures d'efficacité technique : une application aux centres hospitaliers français," Économie et Prévision, Programme National Persée, vol. 129(3), pages 101-119.
    • Handle: RePEc:prs:ecoprv:ecop_0249-4744_1997_num_129_3_5866
    DOI: 10.3406/ecop.1997.5866
    Note: DOI:10.3406/ecop.1997.5866
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    Cited by:

    1. Andrew E. Clark & Carine Milcent, 2008. "Keynesian hospitals? Public employment and political pressure," PSE Working Papers halshs-00586792, HAL.
    2. Tito Nestor TIEHI, 2023. "Impact of HIV and Covid-19 pandemics on ivorian health system efficiency," Bulletin of Applied Economics, Risk Market Journals, vol. 10(1), pages 103-113.
    3. Clark, Andrew E. & Milcent, Carine, 2011. "Public employment and political pressure: The case of French hospitals," Journal of Health Economics, Elsevier, vol. 30(5), pages 1103-1112.
    4. Didier Balsan, 2002. "Le coût unitaire de l'activité hospitalière publique en 1997 : le poids des déterminants régionaux," Revue Française d'Économie, Programme National Persée, vol. 17(2), pages 101-115.
    5. Djily Diagne, 2006. "Mesure de l'efficience technique dans le secteur de l'éducation: une application de la méthode DEA," Swiss Journal of Economics and Statistics (SJES), Swiss Society of Economics and Statistics (SSES), vol. 142(II), pages 231-262, June.

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