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The Impact of Health Care Policy Initiatives on Productivity

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  • Magnus Tambour

Abstract

This paper analyses productivity growth in health care delivery in Sweden and the impact of health care policy initiatives on productivity. In particular we consider the maximum waiting time guarantee introduced in Sweden 1992. The intention of the maximum waiting time guarantee was to shorten the waiting lists, partly through increased productivity. We measure productivity growth by estimating Malmquist productivity indices using non‐parametric linear programming models. The productivity models are applied to data from a sample of public ophthalmology departments from 1988 to 1993. Positive productivity changes are found in several years, although no significant differences between the periods are found. © 1997 by John Wiley & Sons, Ltd.

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  • Magnus Tambour, 1997. "The Impact of Health Care Policy Initiatives on Productivity," Health Economics, John Wiley & Sons, Ltd., vol. 6(1), pages 57-70, January.
    • Handle: RePEc:wly:hlthec:v:6:y:1997:i:1:p:57-70
    DOI: 10.1002/(SICI)1099-1050(199701)6:1<57::AID-HEC243>3.0.CO;2-#
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    References listed on IDEAS

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    1. Fried, Harold O. & Lovell, C. A. Knox & Schmidt, Shelton S. (ed.), 1993. "The Measurement of Productive Efficiency: Techniques and Applications," OUP Catalogue, Oxford University Press, number 9780195072181.
    2. Fare, R. & Grosskopf, S. & Roos, P., 1995. "Productivity and quality changes in Swedish pharmacies," International Journal of Production Economics, Elsevier, vol. 39(1-2), pages 137-144, April.
    3. Caves, Douglas W & Christensen, Laurits R & Diewert, W Erwin, 1982. "The Economic Theory of Index Numbers and the Measurement of Input, Output, and Productivity," Econometrica, Econometric Society, vol. 50(6), pages 1393-1414, November.
    4. Hanning, Marianne, 1996. "Maximum waiting-time guarantee -- an attempt to reduce waiting lists in Sweden," Health Policy, Elsevier, vol. 36(1), pages 17-35, April.
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    1. Pedraja, Francisco & Salinas, Javier & Smith, Peter, 2001. "Evaluating the Introduction of a Quasi-Market in Community Care: Assessment of a Malmquist Index Approach," Efficiency Series Papers 2001/10, University of Oviedo, Department of Economics, Oviedo Efficiency Group (OEG).
    2. Jimenez, Javier Salinas & Chaparro, Francisco Pedraja & Smith, Peter C., 2003. "Evaluating the introduction of a quasi-market in community care," Socio-Economic Planning Sciences, Elsevier, vol. 37(1), pages 1-13, March.
    3. Andrew H. Briggs & Bernie J. O'Brien, 2001. "The death of cost‐minimization analysis?," Health Economics, John Wiley & Sons, Ltd., vol. 10(2), pages 179-184, March.
    4. Rotstein, Dalia L. & Alter, David A., 2006. "Where does the waiting list begin? A short review of the dynamics and organization of modern waiting lists," Social Science & Medicine, Elsevier, vol. 62(12), pages 3157-3160, June.
    5. Chang, Shyr-Juh & Hsiao, Hsing-Chin & Huang, Li-Hua & Chang, Hsihui, 2011. "Taiwan quality indicator project and hospital productivity growth," Omega, Elsevier, vol. 39(1), pages 14-22, January.

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