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Substituting inpatient for outpatient care: what is the impact on hospital costs and efficiency?

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  • Kirsi Vitikainen
  • Miika Linna
  • Andrew Street

Abstract

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Suggested Citation

  • Kirsi Vitikainen & Miika Linna & Andrew Street, 2010. "Substituting inpatient for outpatient care: what is the impact on hospital costs and efficiency?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(4), pages 395-404, August.
    • Handle: RePEc:spr:eujhec:v:11:y:2010:i:4:p:395-404
    DOI: 10.1007/s10198-009-0211-0
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    References listed on IDEAS

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    1. Davis, Karen & Russell, Louise B, 1972. "The Substitution of Hospital Outpatient Care for Inpatient Care," The Review of Economics and Statistics, MIT Press, vol. 54(2), pages 109-120, May.
    2. Schmidt, Peter & Sickles, Robin C, 1984. "Production Frontiers and Panel Data," Journal of Business & Economic Statistics, American Statistical Association, vol. 2(4), pages 367-374, October.
    3. Hilbe, Joseph M., 2006. "A Review of LIMDEP 9.0 and NLOGIT 4.0," The American Statistician, American Statistical Association, vol. 60, pages 187-202, May.
    4. Battese, G E & Coelli, T J, 1995. "A Model for Technical Inefficiency Effects in a Stochastic Frontier Production Function for Panel Data," Empirical Economics, Springer, vol. 20(2), pages 325-332.
    5. Martinussen, Pal E. & Midttun, Linda, 2004. "Day surgery and hospital efficiency: empirical analysis of Norwegian hospitals, 1999-2001," Health Policy, Elsevier, vol. 68(2), pages 183-196, May.
    6. Willam Greene, 2005. "Fixed and Random Effects in Stochastic Frontier Models," Journal of Productivity Analysis, Springer, vol. 23(1), pages 7-32, January.
    7. Vitikainen, Kirsi & Street, Andrew & Linna, Miika, 2009. "Estimation of hospital efficiency--Do different definitions and casemix measures for hospital output affect the results?," Health Policy, Elsevier, vol. 89(2), pages 149-159, February.
    8. Sutherland, Jason M. & Botz, Chas. K., 2006. "The effect of misclassification errors on case mix measurement," Health Policy, Elsevier, vol. 79(2-3), pages 195-202, December.
    9. Miika Linna, 1998. "Measuring hospital cost efficiency with panel data models," Health Economics, John Wiley & Sons, Ltd., vol. 7(5), pages 415-427, August.
    10. Alessandra Ferrari, 2006. "The internal market and hospital efficiency: a stochastic distance function approach," Applied Economics, Taylor & Francis Journals, vol. 38(18), pages 2121-2130.
    11. repec:zbw:rwirep:0002 is not listed on IDEAS
    12. Pitt, Mark M. & Lee, Lung-Fei, 1981. "The measurement and sources of technical inefficiency in the Indonesian weaving industry," Journal of Development Economics, Elsevier, vol. 9(1), pages 43-64, August.
    13. Kittelsen, Sverre A.C. & Magnussen, Jon, 2009. "Economies of scope in Norwegian hospital production - A DEA analysis," HERO Online Working Paper Series 2003:8, University of Oslo, Health Economics Research Programme.
    Full references (including those not matched with items on IDEAS)

    Citations

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    Cited by:

    1. Monika Raulinajtys-Grzybek, 2014. "Ambulatory Patient Groups," Paradigm, , vol. 18(2), pages 121-134, December.
    2. Yoo, Ki-Bong & Ahn, Hong-Uk & Park, Eun-Cheol & Kim, Tae Hyun & Kim, Sun Jung & Kwon, Jeoung A & Lee, Sang Gyu, 2016. "Impact of co-payment for outpatient utilization among Medical Aid beneficiaries in Korea: A 5-year time series study," Health Policy, Elsevier, vol. 120(8), pages 960-966.
    3. Becker, Christian & Holle, Rolf & Stollenwerk, Björn, 2015. "The excess health care costs of KardioPro, an integrated care program for coronary heart disease prevention," Health Policy, Elsevier, vol. 119(6), pages 778-786.
    4. Johannessen, Karl-Arne & Hagen, Terje P., 2013. "Individual and hospital-specific factors influencing medical graduates' time to medical specialization," Social Science & Medicine, Elsevier, vol. 97(C), pages 170-175.
    5. Volkert, Anna & Pfaff, Holger & Scholten, Nadine, 2020. "What Really Matters? Organizational Versus Regional Determinants of Hospitals Providing Medical Service Centres," Health Policy, Elsevier, vol. 124(12), pages 1354-1362.
    6. Alejandro Arvelo-Martín & Juan José Díaz-Hernández & Ignacio Abásolo-Alessón, 2019. "Hospital productivity bias when not adjusting for cost heterogeneity: The case of Spain," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-17, June.
    7. Raulinajtys-Grzybek, Monika, 2014. "Cost accounting models used for price-setting of health services: An international review," Health Policy, Elsevier, vol. 118(3), pages 341-353.
    8. Johannessen, Karl Arne & Kittelsen, Sverre A.C. & Hagen, Terje P., 2017. "Assessing physician productivity following Norwegian hospital reform: A panel and data envelopment analysis," Social Science & Medicine, Elsevier, vol. 175(C), pages 117-126.

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    More about this item

    Keywords

    Hospital; Cost; Efficiency; Diagnosis related groups; Technological change; Outpatient care; C33; D24; L25; O33;
    All these keywords.

    JEL classification:

    • C33 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Models with Panel Data; Spatio-temporal Models
    • D24 - Microeconomics - - Production and Organizations - - - Production; Cost; Capital; Capital, Total Factor, and Multifactor Productivity; Capacity
    • L25 - Industrial Organization - - Firm Objectives, Organization, and Behavior - - - Firm Performance
    • O33 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Technological Change: Choices and Consequences; Diffusion Processes

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