IDEAS home Printed from https://ideas.repec.org/p/chy/respap/45chedp.html
   My bibliography  Save this paper

Some regression-based indicators of hospital performance

Author

Listed:
  • Adam Wagstaff

Abstract

The development of performance indicators for the NHS has resulted in renewed interest in regression-based measures of hospital performance. This paper considers three regression-based measures of hospital efficiency, including the index of hospital ‘costliness’ proposed by Martin Feldstein and currently used by the DHSS as a financial performance indicator. The paper begins with a critique of Feldstein’s index and then goes on to show how its defects can be overcome using stochastic frontier regression models. Two such models are considered: a cross-section model in which it is assumed that inefficiency follows a particular distribution and a panel-data model in which it is assumed that inefficiency remains constant over the sample period. All three approaches are illustrated using data from 49 acute hospitals owned and operated by the Spanish Ministry of Health. The paper is written with the non-economist in mind and is aimed primarily at statisticians and other persons in the NHS who have an interest in performance indicators. It may also be of interest, however, to persons with a general interest in the measurement of the efficiency of public sector organisations.

Suggested Citation

  • Adam Wagstaff, 1988. "Some regression-based indicators of hospital performance," Working Papers 045chedp, Centre for Health Economics, University of York.
    • Handle: RePEc:chy:respap:45chedp
    as

    Download full text from publisher

    File URL: http://www.york.ac.uk/media/che/documents/papers/discussionpapers/CHE%20Discussion%20Paper%2045.pdf
    File Function: First version, 1988
    Download Restriction: no
    ---><---

    More about this item

    Keywords

    Feldstein’s index;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:chy:respap:45chedp. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Gill Forder (email available below). General contact details of provider: https://edirc.repec.org/data/chyoruk.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.