| Titre : | Technical Efficiency, Specialization and Ownership Form: Evidences from a Pooling of Italian Hospitals. |
| Titre original: | Efficacité technique, spécialisation et statut : résultats issus d'un groupe d'hôpitaux italiens. |
| Titre de série : | CEIS Research papers, 143 |
| Auteurs : | S. DAIDONE ; F. D'AMICO ; Centre For Economic and International Studies. (C.E.I.S.). Rome. ITA |
| Type de document : | Document de travail |
| Editeur : | Rochester : Social Science Electronic Publishing, 2009 |
| Format : | 28p., fig., tabl. |
| Langues: | Anglais |
| Catégories : |
[BDSP5] CANDES > STOCHASTIC FRONTIER ANALYSIS [BDSP5] Economie descriptive > Entreprise > Secteur privé [BDSP5] Economie descriptive > Productivité [BDSP5] Etablissement sanitaire > Structure curative > Hôpital [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Evaluation > Efficacité [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Organisation > Spécialisation [BDSP5] Géographie politique > Monde > Europe > Italie [BDSP5] Organisation hospitalière > Gestion hospitalière > Indicateur gestion hospitalière > PMSI > GHM [BDSP5] Organisation hospitalière > Gestion hospitalière > Indicateur gestion hospitalière > Taux sortie |
| Résumé : | We evaluate how the productive structure and level of specialization of a hospital affect technical efficiency by analyzing a six-year panel database (2000/2005) drawn from hospital discharge records and Ministry of Health data. We adopt a distance function approach, while measuring the technical efficiency level with stochastic frontier techniques. After controlling for environmental variables and hospital case-mix, inefficiency is negatively associated with specialization and positively associated with capitalization. Capitalization is typical of private structures which, on average, use resources less efficiently with respect to public and not-for-profit hospitals. Finally, by looking at scale elasticities, we find some evidence of unexploited economies of scale, leaving room for centralization. |
| En ligne : | ftp://www.ceistorvergata.it/repec/rpaper/RP143.pdf |