The challenge of corporatisation: The experience of Portuguese public hospitals

European Journal of Health Economics

Volumn 11, Issue 4, 2010, Pages 367-381

  Rego, Guilhermina ^a   Nunes, Rui ^a   Costa, José ^b  

^a University of Porto   (Portugal)

^b UNIVERSITY OF PORTO   (Portugal)

Author keywords

Corporatisation; Data envelopment analysis; Efficiency measurement; Hospital services

Indexed keywords

ARTICLE; CALCULATION; CAPITAL; DATA ANALYSIS; DAY CARE; EMERGENCY HEALTH SERVICE; HEALTH CARE NEED; HEALTH CARE PERSONNEL; HEALTH CENTER; HOSPITAL BED CAPACITY; HOSPITAL CARE; HOSPITAL DISCHARGE; HOSPITAL MANAGEMENT; HOSPITAL SERVICE; OUTPATIENT CARE; PERFORMANCE; PORTUGAL; PRIORITY JOURNAL; PRODUCTIVITY; PUBLIC HOSPITAL; STANDARD;

EFFICIENCY, ORGANIZATIONAL; HOSPITALS, DISTRICT; HOSPITALS, PUBLIC; HUMANS; MODELS, ORGANIZATIONAL; PORTUGAL; PRIVATE SECTOR; PUBLIC SECTOR;

EID: 77954952970     PISSN: 16187598     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10198-009-0198-6     Document Type: Article

References (58)

1. Hughes, O.: Public Management and Administration, 2nd edn. Palgrave, Hampshire (1998)
2. Proeller, I.: Trends in local government in Europe. Public Manage. Rev. 8(1), 7-29 (2006). doi:10.1080/14719030500518642
3. Boyne, G., Farrell, C., Law, J., et al.: Evaluating Public Management Reforms. Principles and Practice. Managing the Public Services Series. Open University Press, Philadelphia (2003)
4. Conrad, R., Strauss, R.: A multiple-output multiple-input model of the hospital industry in North Carolina. Appl. Econ. 15, 341-352 (1983). doi:10.1080/00036848300000005
5. Cowing, T., Holtman, A.: Multiproduct short-run hospital cost functions: empirical evidence and policy implications from crosssection data. South. Econ. J. 49, 637-653 (1983). doi:10.2307/ 1058706
6. Grannemann, T., Brown, R., Pauly, M.: Estimating hospital costs. A multiple-output analysis. J. Health Econ. 5, 107-127 (1986). doi:10.1016/0167-6296(86)90001-9 (Pubitemid 16098961)
7. Vita, M.: Exploring hospital production relationships with flexible functional forms. J. Health Econ. 9, 1-21 (1990). doi: 10.1016/0167-6296(90) 90038-5 (Pubitemid 20356026)
8. Scuffham, P.A., Devlin, N.J., Jaforullah, M.: The structure of costs and production in New Zealand public hospitals: an application of the transcendental logarithmic variable cost function. Appl. Econ. 28, 75-85 (1996). doi:10.1080/00036849600000010
9. Fournier, G.M., Mitchell, J.M.: Hospital costs and competition services: a multiproduct analysis. Rev. Econ. Stat. 74(4), 627-634 (1992). doi:10.2307/2109376
10. Rosko, M., Broyles, R.: Short-term responses of hospitals to the DRG prospective pricing mechanism in New Jersey. Med. Care 25(2), 307-318 (1987). doi:10.1097/00005650-198702000-00002 (Pubitemid 17030913)
11. Hadley, J., Zuckerman, S., Feder, J.: Profits and fiscal pressure in the prospective payment system: their impacts on hospitals. Inquiry 26(3), 354-365 (1989)
12. Chesney, J.: Utilization trends before and after PPS. Inquiry 27(4), 376-381 (1990)
13. Menke, T.: Impacts of PPS on Medicare-Part B expenditures and utilization for hospital episodes of care. Inquiry 27(2), 114-126 (1990)
14. Lave, J., Frank, R.: Effect of the structure of hospital payment on length of stay. Health Serv. Res. 25(2), 327-347 (1990)
15. Hodgkin, D., McGuire, T.: Payments levels and hospital response to prospective payment. J. Health Econ. 13, 1-29 (1994). doi: 10.1016/0167-6296(94) 90002-7 (Pubitemid 24128119)
16. Ellis, R., McGuire, T.: Hospital response to prospective payment: moral hazard, selection and practice-style effects. J. Health Econ. 15, 257-277 (1996). doi:10.1016/0167-6296(96)00002-1 (Pubitemid 26238417)
17. Antioch, K.M., Walsh, M.K.: Risk adjusted capitation funding models for chronic diseases in Australia: alternatives to casemix funding. Eur. J. Health Econ. 3, 83-93 (2002). doi:10.1007/ s10198-002-0096-97
18. Antioch, K.M., Walsh, M.K.: Risk adjusted vision beyond casemix (DRG) funding in Australia: international lessons in high complexity and capitation. Eur. J. Health Econ. 5, 95-109 (2004). doi:10.1007/s10198-003-0208-z
19. Antioch, K.M., Ellis, R.P., Gillett, S., et al.: Risk adjustment policy options for casemix funding: international lessons in financing reforms. Eur. J. Health Econ. 8, 195-212 (2007)
20. Zuckerman, S., Hadley, J., Lezzoni, L.: Measuring hospital efficiency with frontier cost functions. J. Health Econ. 13(3), 255-281 (1994)
21. Farrell, M.J.: The measurement of productive efficiency. J. R. Stat. Soc. [Ser A] 120(Part 3), 253-290 (1957). http://www.rss. org.uk/main.asp?page=1711 doi:10.2307/2343100
22. Charnes, A., Cooper, W., Rhodes, E.: Measuring the efficiency of decision making units. Eur. J. Oper. Res. 2(6), 429-444 (1978). http://www.elsevier.com/ wps/find/journaldescription.cws-home/505543/description#description doi:10.1016/0377-2217(78)90138-90148
23. Färe, R., Grosskopf, S., Lovell, A.: Production Frontiers. Cambridge University Press, Cambridge (1994)
24. Charnes, A., et al.: Data Envelopment Analysis. Theory, Methodology and Applications. Kluwer, Boston (1996)
25. Cooper, W., Seiford, L., Tone, K.: Data Envelopment Analysis. A Comprehensive Text with Models. Applications, References and DEA-Solver Software. Kluwer, Boston (2004)
26. Zhu, J.: Quantitative Models for Performance Evaluation and Benchmarking. Data Envelopment Analysis with Spreadsheets and DEA Excel Solver. Kluwer, Boston (2004)
27. Ramanathan, R.: An Introduction to Data Envelopment Analysis. A Tool for Performance Measurement. Sage, London (2003)
28. Chirikos, T., Sear, A.: Measuring hospital efficiency: a comparison of two approaches. Health Ser. Res. 34(6), 1389-1408 (2000)
29. Ganley, J.A., Cubbin, J.S.: Public Sector Efficiency Measurement: Applications of Data Envelopment Analysis. North-Holland, Amsterdam (1992)
30. Bauer, P.W.: Recent developments in the econometric estimation of frontier. J Econ. 46, 39-56 (1990). doi:10.1016/0304-4076 (90)90046-V
31. Grosskopf, S., Valdmanis, V.: Measuring hospital performance. A non-parametric approach. J. Health Econ., June, vol.6 (2), pp. 89-108 (1987). http://www.elsevier.com/wps/find/journaldescription.cws-home/505560/description
32. Valdmanis, V.: Sensitivity analysis for DEA models: An empirical example using public versus NFP hospitals. Journal of Public Economics, Amsterdam, July, vol.48 (2), pp. 185-206 (1992). http://www.elsevier.com/wps/find/ journaldescription.cws-home/505578/description#description
33. Register, C., Brunning, E.: Profit incentives and technical efficiency in the production of hospital care. South. Econ. J. 53, 899-914 (1987). http://www.utc.edu/Outreach/Southern EconomicAssociation/southern-economic- journal.html doi:10.2307/ 1059684
34. Ozcan, Y., Luke, R.: A national study of the efficiency of hospitals in urban markets. Health Serv. Res. (Feb):719-739 (1993). http://www.hsr.org/hsr/ abouthsr/journal.jsp
35. Chirikos, T., Sear, A.: Measuring hospital efficiency: A comparison of two approaches. Health Serv. Res. (Feb), vol.34 (6), pp. 1389-1408 (2000). http://www.hsr.org/hsr/abouthsr/ journal.jsp
36. Magnussen, J.: Efficiency measurement and the operationalization of hospital production. Health Serv. Res. 31(1), 21-37 (1996). http://www.hsr.org/ hsr/abouthsr/journal.jsp (Pubitemid 26155840)
37. Dalmau, E., Puig-Junoy, J.: Market structure and hospital efficiency: Evaluating potential effects of deregulation in a National Health Service. Rev. Ind. Organ. 13, 447-466 (1998). http:// www.springer.com/economics/industrial? organization/journal/ 11151 doi:10.1023/A:1007775616593 (Pubitemid 28525745)
38. Al-Shammari, M.: A multi-criteria data envelopment analysis model for measuring the productive efficiency of hospitals. Int. J. Oper. Prod. Manage. Bradf. 19(9), 879-890 (1999). http://info. emeraldinsight.com/products/journals/ journals.htm?PHPSESSID=2pnd0pqs7n2v2ds9n2p4mgu914&id=ijopm doi:10.1108/0144357 9910280205 (Pubitemid 39032258)
39. Kirigia, J., Emrouznejad, A., Sambo, L.: Measurement of technical efficiency of public hospitals in Kenya: using data envelopment analysis. J. Med. Syst. 26(1), 39-45 (2002). http://www. springer.com/statistics/stats?life? sci/journal/10916 doi:10.1023/ A:1013090804067
40. Osei, D., D'Almeida, S., George, M., Kirigia, J., et al.: Technical efficiency of public district hospitals and health centres in Ghana: a pilot study. Cost Eff. Resour. Alloc. 3(9), (2005). http:// www.resource-allocation. com/
41. Ouellette, P., Vierstraete, V.: Technological change and efficiency in the presence of quasi-fixed inputs: A DEA application to the hospital sector. Eur. J. Oper. Res. 154, 755-764 (2004). http://www.elsevier.com/wps/find/ journaldescription.cws-home/505543/description#description doi:10.1016/S0377- 2217(02) 00712-9
42. Chang, H., Chang, W., Das, S., Li, S.: Healthcare regulation and the operating efficiency of hospitals: Evidence from Taiwan. J. Account. Public Policy 23, 483-510 (2004). http://www.elsevier. com/wps/find/journaldescription. cws-home/505721/description# description doi:10.1016/j.jaccpubpol.2004.10.004 (Pubitemid 39620448)
43. Banker, R., Charnes, W., Cooper, W.: Some models for estimating technical and scale inefficiencies in data envelopment analysis. Manage. Sci. 30(9), 1078-1092 (1984). http://www. informs.org/site/ManSci/ doi:10.1287/mnsc.30.9. 1078 (Pubitemid 14651320)
44. Harrison, J., Coppola, M., Wakefield, M.: Efficiency of federal hospitals in the United States. J. Med. Syst., Oct., vol.28 (5), pp. 411-422 (2004). http://www.springer.com/statistics/stats?life? sci/journal/10916
45. Chen, A., Yuhchang, H., Shao, B.: Measurement and sources of overall and input inefficiencies: evidences and implications in hospital services. Eur. J. Oper. Res. 161, 447-468 (2005). http://www.elsevier.com/wps/find/ journaldescription.cws-home/505543/description#description doi:10.1016/j.ejor. 2003.09.017
46. Bates, L., Mukherjee, K., Santerre, R.: Market structure and technical efficiency in the hospital services industry: A DEA approach. Med. Care Res. Rev. 63(4), 499-524 (2006). http://mcr.sagepub.com/current.dtl doi:10.1177/107755870628 8842 (Pubitemid 44035792)
47. Kontodimopoulos, N., Niakas, D.: Efficiency measurement of hemodialysis units in Greece with data envelopment analysis. Health Policy 71, 195-204 (2005). http://www.elsevier. com/wps/find/journaldescription.cws-home/505962/ description#description doi:10.1016/j.healthpol.2004.08.004 (Pubitemid 39647630)
48. Mobley, L., Magnussen, J.: An international comparison of hospital efficiency. Does institutional environment matter? Appl. Econ. 30(8), 1089-1100 (1998). http://www.tandf.co.uk/journals/ titles/00036846.asp doi:10.1080/000368498325255
49. Steinman, L., Dittrich, G., Karmann, A., Zweifel, P.: Measuring and comparing the (in)efficiency of German and Swiss hospitals. Eur. J. Health Econ. 5, 216-226 (2004). http://www.springerlink. com/content/110376/ doi:10.1007/s10198-004-0227-4 (Pubitemid 39382520)
50. Linna, M., Häkkinen, U., Magnussen, J.: Comparing hospital cost efficiency between Norway and Finland. Health Policy 77(3), 268-278 (2006). http://www.elsevier.com/wps/find/ journaldescription.cws-home/505962/ description#description doi:10.1016/j.healthpol.2005.07.019 (Pubitemid 43946518)
51. Golany, B., Roll, Y.: An application procedure for DEA. Omega. Int. J. Manage. Sci 17, 237-250 (1989)
52. IGIF-Instituto de Gestão Informática e Financeira da Saúde: Contabilidade Analítica 2004, Hospitais do SNS. Ministério da Saúde. Janeiro, Lisboa (2006)
53. Scheel, H.: EMS: Efficiency Measurement System User's Manual. http://www.wiso.uni-dortmund.de/lsfg/or/scheel/sem; http:// www.netlib.org. (2000)
54. Kuosmanen, T.: Modelling blank data entries in data envelopment analysis". Nonparametric Methods in Economics of Production, Natural Resources and the Environment, http://www. sls.wageningen-ur.nl/enr/staff/ kuosmanen/program1/Kuosmanen (2003)
55. Direccão-Geral da Saúde: O Hospital Português. Ministério da Saúde, Lisboa (1998)
56. Torgersen, A., Forsund, F., Kittlesen, S.: Slack-adjusted efficiency measures and ranking of efficient units. J. Prod. Anal. 7, 379-398 (1996). doi:10.1007/BF00162048
57. Andersen, P., Petersen, N.: A procedure for ranking efficient units in data envelopment analysis. Manage. Sci. 39(10), 1261-1264 (1993). doi:10.1287/mnsc.39.10.1261
58. Adler, N., Friedman, L., Sinuany-Stern, Z.: Review of ranking methods in the data envelopment analysis context. Eur. J. Oper. Res. 140, 249-265 (2002). doi:10.1016/S0377-2217(02)00068-1 (Pubitemid 34435032)