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Technical and Allocative Inefficiency in Spanish Public Hospitals

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Part of the book series: Contributions to Economics ((CE))

Abstract

The OECD economies are undergoing an upward trend in health expenditure. The usual explanations for this tendency are based on such elements as the progressive ageing of population, the increasing use of technology in health procedures, and the fact that public health services become more extensive (cover more people) year after year.

I wish to thank professors Guillem López-Casasnovas, Carlos Pérez Domínguez and José Miguel Sánchez Molinero for their comments, which I have found very helpful. However, I am responsible for any possible mistake.

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References

  • Aigner, D., Lovell, C.A.K., Schmidt, P.: Formulation and Estimation of Stochastic Frontier Production Function Models. Journal of Econometrics 6, 21–37 (1977)

    Article  Google Scholar 

  • Bauer, P.W.: Recent Developments in the Econometric Estimation of Frontiers. Journal of Econometrics 46, 39–56 (1990)

    Article  Google Scholar 

  • Byrnes, P., Valdmanis, V.: Analysing Technical and Allocative Efficiency of Hospitals. In: Charnes, A., Cooper, W., Lewin, A.Y., Seiford, L.M., Data Envelopment Analysis: Theory Methodology and Application. Kluwer Academic Publisher 1994

    Google Scholar 

  • Coelli, T., Rao, D.S.P., Battese, G.E.: An Introduction to Efficiency and Productivity Analysis. Kluwer Academic Publishers 1998

    Google Scholar 

  • Comisión de Análisis y Evaluatión del Sistema Nacional de Salud: Informe y Recomendaciones. Madrid 1991

    Google Scholar 

  • Eakin, B.K.: Allocative Inefficiency in the Production of Hospital Services. Southern Economic Journal 58, 240–248 (1991)

    Article  Google Scholar 

  • Eakin, B.K., Kniesner, T.J.: Estimating a Non-Minimum Cost Function for Hospitals. Southern Economic Journal 54, 583–97 (1988)

    Article  Google Scholar 

  • Farrel, M.J.: The Measurement of Productive Efficiency. Journal of Royal Statistical Society 120, 253–281 (1957)

    Article  Google Scholar 

  • Forsund, F., Lovell, D.A.K., Schmidt, P.: A Survey of Frontier Production Functions and of Their Relationship to Efficiency Measurement. Journal of Econometrics 13, 5–25 (1980)

    Article  Google Scholar 

  • González, B., Barber, P.: Changes in the Efficiency of Spanish Public Hospitals after the Introduction of Program-Contracts. Investigaciones Económicas XX 3, 377–402 (1996)

    Google Scholar 

  • Government Committee on Choices in Health Care: Report. Zoetermeer. The Nederlands 1991

    Google Scholar 

  • Greene, W.H.: The Econometric Approach to Efficiency Analysis. In: Fried, H.O., Lovell, C.A.K., Schmidt, S.S., The Measurement of Productive Efficiency. Oxford University Press 1993

    Google Scholar 

  • INE: Estadística de Establecimientos Sanitarios con Régimen de Internado. EESRI 1994

    Google Scholar 

  • Jondrow, J., Lovell, C.A.K., Materov, I.S., Schmidt, P.: On the Estimation of Technical Inefficiency in the Stochastic Frontier Production Models. Journal of Econometrics 4,23, 269–274 (1982)

    Google Scholar 

  • Kumbhakar, S.C.: The Measurement and Decomposition of Cost-inefficiency: the Translog Cost System. Oxford Economic Papers 43, 667–683 (1991)

    Google Scholar 

  • Kumbhakar, S.C.: Modelling Allocative Inefficiency in a Translog Cost Function and Cost Share Equations: An Exact Relationship. Journal of Econometrics 76, 351–356 (1997)

    Article  Google Scholar 

  • López, G., Saez, M.: Finance Versus Costs for Teaching Hospital in Spain. Working paper. CRES-UPF 1998

    Google Scholar 

  • López, G., Wagstaff, A.: Eficiencia y Competitividad en los Servicios Publicos: Algunas Consideraciones Relativas a la Asistencia Sanitaria. Moneda y crédito 196, 181–231 (1993)

    Google Scholar 

  • Melfi, C. A.: Estimation and Decomposition of Productive Efficiency in a Panel Data Model: An Application to Electric Utilities. Unpublished Doctoral Dissertation. University of North Carolina. Chapel Hill. NC 1984

    Google Scholar 

  • Morey, R.C., Fine, D.J., Loree, S.W.: Comparing the Allocative Efficiencies of Hospitals. Omega 18, 71–83 (1990)

    Article  Google Scholar 

  • Puig-Junoy, J.: Partitioning Input Cost Efficiency Into Its Allocative and Technical Components. An Empirical DEA Application to Hospitals. Socio-Economic Planning Sciences, 34,3, 199–218.

    Google Scholar 

  • Schmidt, P.: An Error Structure for System of Translog Cost and Share Equations. Econometrics Workshop Paper 8309. Michigan State University 1984

    Google Scholar 

  • Schmidt, P., Lovell. C.A.K.: Estimating Technical and Allocative Inefficiency Relative to Stochastic Production and Cost Frontiers. Journal of Econometrics 9, 343–366 (1979)

    Article  Google Scholar 

  • Shephard, R.W.: Cost and Production Functions. Princeton University Press 1953

    Google Scholar 

  • Ventura, J., González, E.: Análisis de la Eficiencia Técnica Hospitalaria del Insalud GD en Castilla y León. Revista de Investigatión Económica y Social de Castilla y León 1, 39–50 (1999)

    Google Scholar 

  • Wagstaff, A., López, G.: Hospital Costs in Catalonia: a Stochastic Frontier Analysis. Applied Economics Letters 3, 471–474 (1996)

    Article  Google Scholar 

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García-Prieto, C. (2004). Technical and Allocative Inefficiency in Spanish Public Hospitals. In: Coto-Millán, P. (eds) Essays on Microeconomics and Industrial Organisation. Contributions to Economics. Physica, Heidelberg. https://doi.org/10.1007/978-3-7908-2670-8_6

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  • DOI: https://doi.org/10.1007/978-3-7908-2670-8_6

  • Publisher Name: Physica, Heidelberg

  • Print ISBN: 978-3-7908-0104-0

  • Online ISBN: 978-3-7908-2670-8

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