Health systems: changes in hospital efficiency and profitability
This study investigates potential changes in hospital performance after health system entry, while differentiating between hospital technical and cost efficiency and hospital profitability. In the first stage we obtained (bootstrapped) data envelopment analysis (DEA) efficiency scores. Then, genetic...
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| Veröffentlicht in: | Health care management science 2016-06, Vol.19 (2), p.130-143 |
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| creator | Büchner, Vera Antonia Hinz, Vera Schreyögg, Jonas |
| description | This study investigates potential changes in hospital performance after health system entry, while differentiating between hospital technical and cost efficiency and hospital profitability. In the first stage we obtained (bootstrapped) data envelopment analysis (DEA) efficiency scores. Then, genetic matching is used as a novel matching procedure in this context along with a difference-in-difference approach within a panel regression framework. With the genetic matching procedure, independent and health system hospitals are matched along a number of environmental and organizational characteristics. The results show that health system entry increases hospital technical and cost efficiency by between 0.6 and 3.4 % in four alternative post-entry periods, indicating that health system entry has not a transitory but rather a permanent effect on hospital efficiency. Regarding hospital profitability, the results reveal an increase in hospital profitability only 1 year after health system entry, and the estimations suggest that this effect is a transitional phenomenon. Overall, health system entry may serve as an appropriate management instrument for decision makers to increase hospital performance. |
| doi_str_mv | 10.1007/s10729-014-9303-1 |
| format | Article |
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In the first stage we obtained (bootstrapped) data envelopment analysis (DEA) efficiency scores. Then, genetic matching is used as a novel matching procedure in this context along with a difference-in-difference approach within a panel regression framework. With the genetic matching procedure, independent and health system hospitals are matched along a number of environmental and organizational characteristics. The results show that health system entry increases hospital technical and cost efficiency by between 0.6 and 3.4 % in four alternative post-entry periods, indicating that health system entry has not a transitory but rather a permanent effect on hospital efficiency. Regarding hospital profitability, the results reveal an increase in hospital profitability only 1 year after health system entry, and the estimations suggest that this effect is a transitional phenomenon. 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In the first stage we obtained (bootstrapped) data envelopment analysis (DEA) efficiency scores. Then, genetic matching is used as a novel matching procedure in this context along with a difference-in-difference approach within a panel regression framework. With the genetic matching procedure, independent and health system hospitals are matched along a number of environmental and organizational characteristics. The results show that health system entry increases hospital technical and cost efficiency by between 0.6 and 3.4 % in four alternative post-entry periods, indicating that health system entry has not a transitory but rather a permanent effect on hospital efficiency. Regarding hospital profitability, the results reveal an increase in hospital profitability only 1 year after health system entry, and the estimations suggest that this effect is a transitional phenomenon. Overall, health system entry may serve as an appropriate management instrument for decision makers to increase hospital performance.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>25304876</pmid><doi>10.1007/s10729-014-9303-1</doi><tpages>14</tpages></addata></record> |
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| ispartof | Health care management science, 2016-06, Vol.19 (2), p.130-143 |
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| subjects | Access to information Algorithms Business and Management Competitive advantage Cooperation Cost control Data analysis Data envelopment analysis Delivery of Health Care - economics Econometrics Economics, Hospital Efficiency Efficiency, Organizational Germany Health Administration Health care Health care networks Health Informatics Health services Hospital Administration - methods Hospital costs Hospitals Humans Management Operations Research/Decision Theory Prospective payment systems Quality of care Regression Analysis Studies |
| title | Health systems: changes in hospital efficiency and profitability |
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