journal article Aug 13, 2008

The measurement of efficiency and productivity of health care delivery

Health Economics Vol. 17 No. 10 pp. 1107-1128 · Wiley
Abstract
AbstractThe measurement of efficiency and productivity of health service delivery has become a small industry. This is a review of 317 published papers on frontier efficiency measurement. The techniques used are mainly based on non‐parametric data envelopment analysis, but there is increasing use of parametric techniques, such as stochastic frontier analysis. Applications to hospitals and other health care organizations and areas are reviewed and summarised, and some meta‐type analysis undertaken. Cautious conclusions are that public provision may be potentially more efficient than private, in certain settings. The paper also considers conceptualizations of efficiency, and points to dangers and opportunities in generating such information. Finally, some criteria for assessing the use and usefulness of efficiency studies are established, with a view to helping both researchers and those assessing whether or not to act upon published results. Copyright © 2008 John Wiley & Sons, Ltd.
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References
110
[3]
Anderson RI "The efficiency of nursing home chains and the implications of non‐profit status" Journal of Real Estate Portfolio Management (1999) 10.1080/10835547.1999.12089586
[4]
Anderson RI "Nursing home quality, chain affiliation, profit status and performance" Journal of Real Estate Research (2003) 10.1080/10835547.2003.12091100
[5]
Andes S "Measuring efficiency of physician practices using data envelopment analysis" Manage Care, (2002)
[6]
Asian Development Bank (2006)
[12]
Burgess JF (2006)
[17]
Coelli T (2005)
[18]
Collier DA "Benchmarking physician performance" The Journal of Medical Practice Management Part 1 (2006)
[19]
Collier DA "Benchmarking physician performance, part 2" The Journal of Medical Practice Management (2006)
[34]
Ferrier GD "Exploring psychiatric hospital performance using data envelopment analysis and cluster analysis" Journal of Medical Economics (2002)
[36]
Folland S (2001)
[37]
Gannon B "Testing for variation in technical efficiency of hospitals in Ireland" Economics Social Reviews (2005)
[38]
Gao J "Equitable resource allocation and operational efficiency evaluation" International Journal of Health Care Finance and Economics (2006)
[41]
Gravelle H "Comparing the efficiency of national health systems: a sensitivity analysis of the WHO approach" Applied Health Economics and Health Policy (2003)
[42]
Grosskopf S (1993)

Showing 50 of 110 references

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Metrics
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Citations
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References
Details
Published
Aug 13, 2008
Vol/Issue
17(10)
Pages
1107-1128
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Cite This Article
Bruce Hollingsworth (2008). The measurement of efficiency and productivity of health care delivery. Health Economics, 17(10), 1107-1128. https://doi.org/10.1002/hec.1391
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