Day surgery and hospital efficiency: empirical analysis of Norwegian hospitals, 1999–2001

Martinussen, Pål E.; Midttun, Linda

doi:10.1016/j.healthpol.2003.09.003

Cited by 21 publications

(16 citation statements)

References 24 publications

(28 reference statements)

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“…Table 1 provides descriptive statistics of the inputs/outputs used and the environmental factors for the 13 administrative regions. 6 The descriptive statistics indicate high disparities among the administrative regions regarding the number of medical staff, hospital beds and in patient care. The fact that we have so many variations may be explained upon the different population sizes among the Greek prefectures.…”

Section: Datamentioning

confidence: 99%

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A conditional nonparametric analysis for measuring the efficiency of regional public healthcare delivery: An application to Greek prefectures

Halkos

Tzeremes

2011

Health Policy

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Section: Datamentioning

confidence: 99%

“…In general nonparametric techniques have been applied in several empirical studies measuring hospital's operational efficiency [6][7][8][9]. One of the pioneered studies using DEA in this area was the one by Grosskopf and Valdmanis [10].…”

Section: Introductionmentioning

confidence: 99%

A conditional nonparametric analysis for measuring the efficiency of regional public healthcare delivery: An application to Greek prefectures

Halkos

Tzeremes

2011

Health Policy

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“…At the same time, however, the results suggest that outpatient activity appears to have an adverse effect on estimates of cost efficiency. This finding is opposite to that of the previous Norwegian studies by Kittelsen and Magnussen [4] and Martinussen and Midttun [5]. In these latter studies, outpatient output was measured as hospital's revenue related to outpatient care because, at the time the studies were undertaken, outpatient DRGs were not available.…”

Section: Discussionmentioning

confidence: 64%

“…Studies by Kittelsen and Magnussen [4] and Martinussen and Midttun [5] suggest that increasing the proportion of activity undertaken on an outpatient basis might have a positive effect on efficiency. Information on the overall effect of outpatient activities on both hospital costs and efficiency is not available and this is what we aim to address in this study.…”

Section: Introductionmentioning

confidence: 99%

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Substituting inpatient for outpatient care: what is the impact on hospital costs and efficiency?

2009

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Substitution of inpatient for outpatient care is seen as a means to increase patient throughput and control costs. The purpose of this study was to assess the impact of increased outpatient care on hospital costs and efficiency using Finnish specialty-level data from years 2003-2006 to which we applied stochastic frontier analysis. The results reveal that outpatient services have a smaller impact on total costs than inpatient services. At the same time, increased outpatient activity appears to have an adverse effect on estimated cost efficiency. This counterintuitive finding is probably due to the low weight given to outpatient activities by the Diagnosis Related Groups (DRG) system. A common weighting for inpatient and outpatient services is required in order to assess accurately the impact of outpatient care on efficiency.

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The measurement of efficiency and productivity of health care delivery

2008

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The 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.

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Day surgery and hospital efficiency: empirical analysis of Norwegian hospitals, 1999–2001

Cited by 21 publications

References 24 publications

A conditional nonparametric analysis for measuring the efficiency of regional public healthcare delivery: An application to Greek prefectures

A conditional nonparametric analysis for measuring the efficiency of regional public healthcare delivery: An application to Greek prefectures

Substituting inpatient for outpatient care: what is the impact on hospital costs and efficiency?

The measurement of efficiency and productivity of health care delivery

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