An analysis of efficiency and productivity in Swiss hospitals

Mehdi Farsi · Massimo Filippini

77 citations0/0 files storedRePEc: Research Papers in Economics

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Efficiency Analysis Using DEA Healthcare Policy and Management Healthcare Quality and Management

Abstract

This paper examines the productive efficiency of the hospital sector in Switzerland. A panel data of 214 general hospitals over the four-year period between 1998 and 2001 has been analyzed. A descriptive analysis of the data casts some light on differences across hospital types especially regarding case mix severity and length of hospitalizations. The final sample used for the cost frontier analysis consists of 459 observations from 156 hospitals that is, an unbalanced panel with an average length of three years. The adopted methodology is based on a stochastic total cost frontier with a Cobb-Douglas functional form. Given the limited number of periods and the sample?s low within variation, a pooled cross-sectional model has been used. Several specifications have been considered. The main outputs are measured by the DRGadjusted number of hospitalizations and the hospital?s outpatient revenues. Services of capital, physicians and other employees are considered as input factors. The cost frontier analysis suggests a significant potential for improving efficiency. The results also point to unexploited scale economies in the majority of the sample. An analysis of inefficiency estimates indicates that the differences among various ownershipsubsidization types are not statistically significant.

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References

1977Formulation and estimation of stochastic frontier production function models 2005An Introduction to Efficiency and Productivity Analysis 1971Bureaucracy and Representative Government 2000Stochastic Frontier Analysis 1982On the estimation of technical inefficiency in the stochastic frontier production function model 2004Reconsidering heterogeneity in panel data estimators of the stochastic frontier model 1984Production Frontiers and Panel Data 1981The measurement and sources of technical inefficiency in the Indonesian weaving industry

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