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Efficiency Indicators Versus Frontier Methods: An Empirical Investigation of Italian Public HospitalsLorenzo ClementiUniversité Libre de Bruxelles (ULB) - European Center for Advanced Research in Economics and Statistics (ECARES); University of Rome I Antonello Maruottiaffiliation not provided to SSRN February 1, 2007 Statistica, Vol. LXVII, No. 3, 2007 Abstract: Efficiency has a key-role in the measurement of the impact of the National Health Service (NHS) reforms. We investigate the issue of inefficiency in health sector and provide empirical evidence derived from Italian public hospitals. Despite the importance of efficiency measurement in health care services, only recently advanced econometric methods have been applied to hospital data. We provide a synoptic survey of few empirical analyses of efficiency measurement in health care services. An estimate of the cost efficiency level in Italian public hospitals of the cost efficiency during 2001-2003 is obtained through a sample. We propose an efficiency indicator and provide cost frontiers for such hospitals, using data envelopment analysis (DEA) and stochastic frontier analysis (SFA). Moreover, we examine the determinants of health care efficiency in a two-stage estimation framework.
Number of Pages in PDF File: 18 Keywords: hospital efficiency measurement, performance indicators JEL Classification: H50, B23 Accepted Paper SeriesDate posted: February 12, 2011Suggested CitationContact Information
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