Productivity Developments in Swedish Hospitals: A Malmquist Output Index Approach

Färe, Rolf; Grosskopf, Shawna; Lindgren, Björn; Roos, Pontus

doi:10.1007/978-94-011-0637-5_13

Cited by 492 publications

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“…Second, the number of patient days is often included among the outputs [cf. Burgess and Wilson (1996), Färe et al (1994), Linna (1998)]. However, time spent in hospital amounts to an input required by the hospital and provided by patients.…”

Section: The Goals Of Decision Makersmentioning

confidence: 99%

“…One possibility is that important (technical) inputs and outputs that would have favored Swiss hospitals are lacking. However, the sets of outputs and inputs used here are at least as comprehensive as those of other studies that do not have access to diagnostic information [Banker et al (1986), Färe et al (1994), Steinmann and Zweifel (2003)]. Another reason may be the fact that patients in Switzerland, in particular those many covered by supplementary health insurance, have a larger choice of hospital without being exposed to cost differences.…”

Section: Efficiency Comparison Restricted To Comparable Observationsmentioning

confidence: 99%

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Measuring and comparing the (in)efficiency of German and Swiss hospitals

Steinmann

Dittrich

Karmann

et al. 2004

Eur J Health Econom

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. A nonparametric Data Envelopment Analysis (DEA) is performed on hospitals in the federal state of Saxony (Germany) and in Switzerland. This study is of interest from three points of view. First, contrary to most existing work, patient days are not treated as an output but as an input. Second, the usual DEA assumption of a homogeneous sample is tested and rejected for a large part of the observations. The proposed solution is to restrict DEA to comparable observations in the two countries. Finally, hospital beds are treated as a discretionary input in one DEA and as a fixed input in the other, and the effect on efficiency is related to differences in hospital planning in Germany and Switzerland. Based on the comparable observations, hospitals of Saxony have higher efficiency scores than their Swiss counterparts. Terms of use: Documents inJEL-Classification: I11, I18, C61

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Section: The Goals Of Decision Makersmentioning

confidence: 99%

Section: Efficiency Comparison Restricted To Comparable Observationsmentioning

confidence: 99%

Measuring and comparing the (in)efficiency of German and Swiss hospitals

Steinmann

Dittrich

Karmann

et al. 2004

Eur J Health Econom

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“…TEC 0,1 represents the change in relative technical efficiency or how far is the processs from each period best practice production frontier. Following Färe et al (1994), SEC 0,1 shows if the distance between the technically efficient projections and the benchmark optimal scale frontier has increased or reduced.…”

Section: Efficiency and Productivity Measurementmentioning

confidence: 99%

“…In this case, we can determine the exiting relationship between the Fisher index and the geometric mean of the base and comparison period Malmquist productivity indexes: Finally, we can extend the discussion on (23) focusing on the technical part of the Fisher index. With regard to the Malmquist productivity index, it is possible to rely on the extensive Malmquist decomposition literature initiated by Färe et al (1994) and continued by Ray and Desli (1997) to identify the relevant sources of productivity change. The simplest way to decompose the Malmquist productivity index The first factor in the right hand side of this expresion captures the change in the best practice production frontiers evaluated at (x i 0 , y i 0 ) and (x i 1 , y i 1 ), i.e.…”

Section: Efficiency and Productivity Change Measurementmentioning

confidence: 99%

“…Specifically, to calculate this economic performance measure for any process (activity) i' we must solve the following linear and scale efficiency (the ratio of the former to the latter)− and a residual allocative efficiency component. Therefore, to accomplish the return to dollar efficiency decomposition we need to calculate the generalized distance functions Färe et al (1994). For a thoughtful discussion of the alternative Malmquist productivity index decomposition see Zofío (2004).…”

Section: T T M I T Im T I T N I T In T Imentioning

confidence: 99%

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Return to Dollar, Generalized Distance Function and the Fisher Productivity Index

Zofío

Prieto²

2006

Spanish Economic Review

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Exploring the duality between a return to dollar definition of profit and the generalized distance function we establish the relationship between the Laspeyres, Paasche and Fisher productivity indexes and their alternative Malmquist indexes counterparts. By proceeding this way, we propose a consistent decomposition of these productivity indexes into two mutually exclusive components. A technical component represented by the Malmquist index and an economical component which can be identified with the contribution that allocative criteria make to productivity change. With regard to the Fisher index, we indicate how researchers can further decompose the Malmquist technical component rendering explicit the sources of productivity change. We also show how the proposed model can be implemented by means of Data Envelopment Analysis techniques, and illustrate the empirical process with an example data set.

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The Impact of Health Care Policy Initiatives on Productivity

Tambour

1997

Health Econ.

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This paper analyses productivity growth in health care delivery in Sweden and the impact of health care policy initiatives on productivity. In particular we consider the maximum waiting time guarantee introduced in Sweden 1992. The intention of the maximum waiting time guarantee was to shorten the waiting lists, partly through increased productivity. We measure productivity growth by estimating Malmquist productivity indices using non-parametric linear programming models. The productivity models are applied to data from a sample of public ophthalmology departments from 1988 to 1993. Positive productivity changes are found in several years, although no significant differences between the periods are found.

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Productivity Developments in Swedish Hospitals: A Malmquist Output Index Approach

Cited by 492 publications

References 0 publications

Measuring and comparing the (in)efficiency of German and Swiss hospitals

Measuring and comparing the (in)efficiency of German and Swiss hospitals

Return to Dollar, Generalized Distance Function and the Fisher Productivity Index

The Impact of Health Care Policy Initiatives on Productivity

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