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A reasonable benchmarking frontier using DEA : an incentive scheme to improve efficiency in public hospitals

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  • Prior, Diego
  • Surroca, Jordi

Abstract

There exists research relating management concepts with productivity measurement methods that offers useful solutions for improving management control in the public sector. Within this sphere, we connect agency theory with efficiency analysis and describe how to define an incentives scheme that can be applied in the public sector to monitor the efficiency and productivity of managers. To fulfill the main objective of this research, we propose an iterative process for determining what we define as a ‘reasonable frontier’, a concept that provides the foundation required to establish the incentive scheme for the managers. Our ‘reasonable frontier’ has the following properties: i) it detects the presence of outliers, ii) it proposes a procedure to establish the influence introduced by extreme observations, and iii) it sorts out the problem of data masking. The proposed method is applied to a sample of hospitals taken from the public network of the Spanish health service. The results obtained confirm the applicability of the proposal made. Summing up, we define and apply a useful method, combining aspects of agency theory and efficiency analysis, which is of interest to those public authorities trying to design effective incentive schemes which influence the decision making of the public managers.

Suggested Citation

  • Prior, Diego & Surroca, Jordi, 2007. "A reasonable benchmarking frontier using DEA : an incentive scheme to improve efficiency in public hospitals," DEE - Working Papers. Business Economics. WB wb071105, Universidad Carlos III de Madrid. Departamento de Economía de la Empresa.
  • Handle: RePEc:cte:wbrepe:wb071105
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    1. Malo, Miguel A. & Muñoz-Bullón, Fernando, 2008. "Long-term effects of involuntary job separations on labour careers," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 37(2), pages 767-788, April.
    2. Frank, Robert H, 1978. "Why Women Earn Less: The Theory and Estimation of Differential Overqualification," American Economic Review, American Economic Association, vol. 68(3), pages 360-373, June.
    3. Even, William E, 1987. "Career Interruptions Following Childbirth," Journal of Labor Economics, University of Chicago Press, vol. 5(2), pages 255-277, April.
    4. O'Neill, June, 1985. "The Trend in the Male-Female Wage Gap in the United States," Journal of Labor Economics, University of Chicago Press, vol. 3(1), pages 91-116, January.
    5. Sicherman, Nachum & Galor, Oded, 1990. "A Theory of Career Mobility," Journal of Political Economy, University of Chicago Press, vol. 98(1), pages 169-192, February.
    6. Mincer, Jacob & Polachek, Solomon, 1974. "Family Investment in Human Capital: Earnings of Women," Journal of Political Economy, University of Chicago Press, vol. 82(2), pages 76-108, Part II, .
    7. Robst, John & VanGilder, Jennifer, 2000. "Atrophy rates in male and female occupations," Economics Letters, Elsevier, vol. 69(3), pages 407-413, December.
    8. Reuben Gronau, 1974. "The Effect of Children on the Housewife's Value of Time," NBER Chapters,in: Economics of the Family: Marriage, Children, and Human Capital, pages 457-490 National Bureau of Economic Research, Inc.
    9. Hausman, Jerry, 2015. "Specification tests in econometrics," Applied Econometrics, Publishing House "SINERGIA PRESS", vol. 38(2), pages 112-134.
    10. Mary Corcoran & Greg J. Duncan, 1979. "Work History, Labor Force Attachment, and Earnings Differences between the Races and Sexes," Journal of Human Resources, University of Wisconsin Press, vol. 14(1), pages 3-20.
    11. Killingsworth, Mark R. & Heckman, James J., 1987. "Female labor supply: A survey," Handbook of Labor Economics,in: O. Ashenfelter & R. Layard (ed.), Handbook of Labor Economics, edition 1, volume 1, chapter 2, pages 103-204 Elsevier.
    12. Marin, Alan & Psacharopoulos, George, 1982. "The Reward for Risk in the Labor Market: Evidence from the United Kingdom and a Reconciliation with Other Studies," Journal of Political Economy, University of Chicago Press, vol. 90(4), pages 827-853, August.
    13. Stephen Nickell, 1982. "The Determinants of Occupational Success in Britain," Review of Economic Studies, Oxford University Press, vol. 49(1), pages 43-53.
    14. Fernando Muñoz-Bullón & Miguel A. Malo, 2003. "Employment status mobility from a life-cycle perspective," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 9(7), pages 119-162, October.
    15. Polachek, Solomon William, 1975. "Differences in Expected Post-school Investments as a Determinant of Market Wage Differentials," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 16(2), pages 451-470, June.
    16. Jacob Mincer & Haim Ofek, 1982. "Interrupted Work Careers: Depreciation and Restoration of Human Capital," Journal of Human Resources, University of Wisconsin Press, vol. 17(1), pages 3-24.
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    Keywords

    Incentives;

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