Abstract:The present paper focuses attention on the sensitivity of technical inefficiency to most commonly used one-sided distributions of the inefficiency error term, namely the truncated normal, the half-normal, and the exponential distributions. A generalized version of the half-normal, which does not embody the zero-mean restriction, is also explored. For each distribution, the likelihood function and the counterpart of the estimator of technical efficiency are explicitly stated (Jondrow, J., Lovell, C. A. K., Mate… Show more
“…These parametric assumptions may lead to misspecification of rðÁÞ and invalidate any optimal derived properties of the proposed estimators (generally maximum likelihood), and consequently lead to erroneous inference. In addition, as recently pointed out by Baccouche and Kouki (2003), estimated inefficiency levels and firm efficiency rankings are sensitive to the specification of the joint density of ðY t ; X t Þ. Hence, different density specifications can lead to different conclusions regarding technology and efficiency from the same random sample.…”
“…These parametric assumptions may lead to misspecification of rðÁÞ and invalidate any optimal derived properties of the proposed estimators (generally maximum likelihood), and consequently lead to erroneous inference. In addition, as recently pointed out by Baccouche and Kouki (2003), estimated inefficiency levels and firm efficiency rankings are sensitive to the specification of the joint density of ðY t ; X t Þ. Hence, different density specifications can lead to different conclusions regarding technology and efficiency from the same random sample.…”
“…Recently, Baccouche and Kouki [52] examined the sensitivity of SFA cost efficiency estimates to the choice of the distribution of the inefficiency error term when using a panel of firms. 4 They found that the generalized halfnormal and truncated normal provide more reliable inefficiency estimates than the exponential and the half normal.…”
This study measures the effect of TennCare, a Medicaid managed care reform initiated in 1994, on the efficiency of hospitals in Tennessee. We apply a multiple-output stochastic frontier approach to a panel dataset that represents all short-term acute care hospitals operating in Tennessee for 1990-2001 and find a modest gain in operating efficiency overall. Our results also reveal that the effect of reform on hospital efficiency varies significantly with the admitting hospital's TennCare patient load and whether the hospital is located in an urban or rural area. During the study period, high-TennCare hospitals in urban areas saw efficiency gains in the 4 years immediately after the implementation of the program while high-TennCare hospitals in rural areas had significant efficiency losses. The effects immediately following the program's implementation on low-TennCare urban and rural hospitals are similar to those experienced by hospitals with high-TennCare admissions but the magnitude of the effects are much smaller. Policymakers considering large scale reforms of this type should be careful to take into consideration the likely differential responses from urban and rural hospitals that are prone to differ in payer mix and capacity to improve efficiency.
“…Some of the literature has shown that measures of the inefficiencies based on models with misspecified distributions on the one-sided error u i can be misleading. For instance, Baccouche and Kouki (2003) pointed out that estimated inefficiency indices are sensitive to the most commonly used one-sided distributions of u i , but are insensitive or unaffected by the choice of the parametric functional form of the production frontier. A similar result is also found in Caudill and Ford (1993), where heteroscedasticity in the one-sided error component leads to overestimation of the intercept and underestimation of the slope and the variance of the two-sided error component in the linear parametric frontier production function.…”
Akaike information criterion, Kullback–Leibler information criterion, Likelihood ratio test, Stochastic frontier model, Takeuchi information criterion, C12, C52, C67, D24,
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