The impact of policy on hospital productivity: a time series analysis of Dutch hospitals
The health care industry, in particular the hospital industry, is under an increasing degree of pressure, by an ageing population, advancing expensive medical technology a shrinking labor. The pressure on hospitals is further increased by the planned budget cuts in public spending by many current ad...
Gespeichert in:
Veröffentlicht in: | Health care management science 2014-06, Vol.17 (2), p.139-149 |
---|---|
Hauptverfasser: | , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 149 |
---|---|
container_issue | 2 |
container_start_page | 139 |
container_title | Health care management science |
container_volume | 17 |
creator | Blank, Jos L. T. Eggink, Evelien |
description | The health care industry, in particular the hospital industry, is under an increasing degree of pressure, by an ageing population, advancing expensive medical technology a shrinking labor. The pressure on hospitals is further increased by the planned budget cuts in public spending by many current administrations as a result of the economic and financial crises. However, productivity increases may alleviate these problems. Therefore we study whether productivity in the hospital sector is growing, and whether this productivity growth can be influenced by government policy. Using an econometric time series analysis of the hospital sector in the Netherlands, productivity is estimated for the period 1972–2010. Then, productivity is linked to the different regulation regimes during that period, ranging from output funding in the 1970s to the current liberalized hospital market. The results indicate that the average productivity of the hospital sector in different periods differs and that these differences are related to the structure of regulation in those periods. |
doi_str_mv | 10.1007/s10729-013-9257-8 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1519261902</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3283437631</sourcerecordid><originalsourceid>FETCH-LOGICAL-c469t-94ab4bef2dd6debac338a9d80961fdef52493555c6ea7d29d349baa8da62ec3</originalsourceid><addsrcrecordid>eNp1kM1LwzAchoMoTqd_gBcJePFSzUeTJt5kfsLAgzt4C2mSuox2rU0r9L83s3OI4OkXyPO--eUB4AyjK4xQdh0wyohMEKaJJCxLxB44wiwjiaRC7sczFTyRnKAJOA5hhRBiiONDMCEpYQILegTeFksHfdVo08G6gE1dejPAeg2XdWh8p0vYtLXtTec_fTfcQA07XzkYXOtdgHqtyyH4sIne9Z1Z7mLhBBwUcbjT7ZyC14f7xewpmb88Ps9u54lJuewSmeo8zV1BrOXW5dpQKrS0AkmOC-sKRlJJGWOGO51ZIi1NZa61sJoTZ-gUXI6tccuP3oVOVT4YV5Z67eo-KMywJBxLRCJ68Qdd1X0bP_BNCSYlS7NI4ZEybR1C6wrVtL7S7aAwUhvpapSuonS1ka5EzJxvm_u8cnaX-LEcATICIV6t31376-l_W78AN26NjQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1518599547</pqid></control><display><type>article</type><title>The impact of policy on hospital productivity: a time series analysis of Dutch hospitals</title><source>MEDLINE</source><source>SpringerNature Complete Journals</source><source>EBSCOhost Business Source Complete</source><creator>Blank, Jos L. T. ; Eggink, Evelien</creator><creatorcontrib>Blank, Jos L. T. ; Eggink, Evelien</creatorcontrib><description>The health care industry, in particular the hospital industry, is under an increasing degree of pressure, by an ageing population, advancing expensive medical technology a shrinking labor. The pressure on hospitals is further increased by the planned budget cuts in public spending by many current administrations as a result of the economic and financial crises. However, productivity increases may alleviate these problems. Therefore we study whether productivity in the hospital sector is growing, and whether this productivity growth can be influenced by government policy. Using an econometric time series analysis of the hospital sector in the Netherlands, productivity is estimated for the period 1972–2010. Then, productivity is linked to the different regulation regimes during that period, ranging from output funding in the 1970s to the current liberalized hospital market. The results indicate that the average productivity of the hospital sector in different periods differs and that these differences are related to the structure of regulation in those periods.</description><identifier>ISSN: 1386-9620</identifier><identifier>EISSN: 1572-9389</identifier><identifier>DOI: 10.1007/s10729-013-9257-8</identifier><identifier>PMID: 24258183</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Administrative expenses ; Aging ; Budgeting ; Budgets ; Business and Management ; Cost benefit analysis ; Econometrics ; Economic Competition ; Economic development ; Efficiency, Organizational - trends ; Funding ; Government Regulation ; Health Administration ; Health care access ; Health care industry ; Health care policy ; Health Informatics ; Health Policy ; Hospital Administration ; Hospital Bed Capacity ; Hospitalization ; Hospitals ; Humans ; Insurance companies ; Literature reviews ; Management ; Medical technology ; Netherlands ; Operations Research/Decision Theory ; Ownership ; Patients ; Population ; Productivity ; Profits ; Regulation ; Studies ; Time series</subject><ispartof>Health care management science, 2014-06, Vol.17 (2), p.139-149</ispartof><rights>Springer Science+Business Media New York 2013</rights><rights>Springer Science+Business Media New York 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c469t-94ab4bef2dd6debac338a9d80961fdef52493555c6ea7d29d349baa8da62ec3</citedby><cites>FETCH-LOGICAL-c469t-94ab4bef2dd6debac338a9d80961fdef52493555c6ea7d29d349baa8da62ec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10729-013-9257-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10729-013-9257-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24258183$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blank, Jos L. T.</creatorcontrib><creatorcontrib>Eggink, Evelien</creatorcontrib><title>The impact of policy on hospital productivity: a time series analysis of Dutch hospitals</title><title>Health care management science</title><addtitle>Health Care Manag Sci</addtitle><addtitle>Health Care Manag Sci</addtitle><description>The health care industry, in particular the hospital industry, is under an increasing degree of pressure, by an ageing population, advancing expensive medical technology a shrinking labor. The pressure on hospitals is further increased by the planned budget cuts in public spending by many current administrations as a result of the economic and financial crises. However, productivity increases may alleviate these problems. Therefore we study whether productivity in the hospital sector is growing, and whether this productivity growth can be influenced by government policy. Using an econometric time series analysis of the hospital sector in the Netherlands, productivity is estimated for the period 1972–2010. Then, productivity is linked to the different regulation regimes during that period, ranging from output funding in the 1970s to the current liberalized hospital market. The results indicate that the average productivity of the hospital sector in different periods differs and that these differences are related to the structure of regulation in those periods.</description><subject>Administrative expenses</subject><subject>Aging</subject><subject>Budgeting</subject><subject>Budgets</subject><subject>Business and Management</subject><subject>Cost benefit analysis</subject><subject>Econometrics</subject><subject>Economic Competition</subject><subject>Economic development</subject><subject>Efficiency, Organizational - trends</subject><subject>Funding</subject><subject>Government Regulation</subject><subject>Health Administration</subject><subject>Health care access</subject><subject>Health care industry</subject><subject>Health care policy</subject><subject>Health Informatics</subject><subject>Health Policy</subject><subject>Hospital Administration</subject><subject>Hospital Bed Capacity</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Insurance companies</subject><subject>Literature reviews</subject><subject>Management</subject><subject>Medical technology</subject><subject>Netherlands</subject><subject>Operations Research/Decision Theory</subject><subject>Ownership</subject><subject>Patients</subject><subject>Population</subject><subject>Productivity</subject><subject>Profits</subject><subject>Regulation</subject><subject>Studies</subject><subject>Time series</subject><issn>1386-9620</issn><issn>1572-9389</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kM1LwzAchoMoTqd_gBcJePFSzUeTJt5kfsLAgzt4C2mSuox2rU0r9L83s3OI4OkXyPO--eUB4AyjK4xQdh0wyohMEKaJJCxLxB44wiwjiaRC7sczFTyRnKAJOA5hhRBiiONDMCEpYQILegTeFksHfdVo08G6gE1dejPAeg2XdWh8p0vYtLXtTec_fTfcQA07XzkYXOtdgHqtyyH4sIne9Z1Z7mLhBBwUcbjT7ZyC14f7xewpmb88Ps9u54lJuewSmeo8zV1BrOXW5dpQKrS0AkmOC-sKRlJJGWOGO51ZIi1NZa61sJoTZ-gUXI6tccuP3oVOVT4YV5Z67eo-KMywJBxLRCJ68Qdd1X0bP_BNCSYlS7NI4ZEybR1C6wrVtL7S7aAwUhvpapSuonS1ka5EzJxvm_u8cnaX-LEcATICIV6t31376-l_W78AN26NjQ</recordid><startdate>20140601</startdate><enddate>20140601</enddate><creator>Blank, Jos L. T.</creator><creator>Eggink, Evelien</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>L.-</scope><scope>L.0</scope><scope>M0C</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20140601</creationdate><title>The impact of policy on hospital productivity: a time series analysis of Dutch hospitals</title><author>Blank, Jos L. T. ; Eggink, Evelien</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c469t-94ab4bef2dd6debac338a9d80961fdef52493555c6ea7d29d349baa8da62ec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Administrative expenses</topic><topic>Aging</topic><topic>Budgeting</topic><topic>Budgets</topic><topic>Business and Management</topic><topic>Cost benefit analysis</topic><topic>Econometrics</topic><topic>Economic Competition</topic><topic>Economic development</topic><topic>Efficiency, Organizational - trends</topic><topic>Funding</topic><topic>Government Regulation</topic><topic>Health Administration</topic><topic>Health care access</topic><topic>Health care industry</topic><topic>Health care policy</topic><topic>Health Informatics</topic><topic>Health Policy</topic><topic>Hospital Administration</topic><topic>Hospital Bed Capacity</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Insurance companies</topic><topic>Literature reviews</topic><topic>Management</topic><topic>Medical technology</topic><topic>Netherlands</topic><topic>Operations Research/Decision Theory</topic><topic>Ownership</topic><topic>Patients</topic><topic>Population</topic><topic>Productivity</topic><topic>Profits</topic><topic>Regulation</topic><topic>Studies</topic><topic>Time series</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Blank, Jos L. T.</creatorcontrib><creatorcontrib>Eggink, Evelien</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Global News & ABI/Inform Professional</collection><collection>Trade PRO</collection><collection>ProQuest Central (Corporate)</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Professional Standard</collection><collection>ABI/INFORM Global</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Health care management science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Blank, Jos L. T.</au><au>Eggink, Evelien</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of policy on hospital productivity: a time series analysis of Dutch hospitals</atitle><jtitle>Health care management science</jtitle><stitle>Health Care Manag Sci</stitle><addtitle>Health Care Manag Sci</addtitle><date>2014-06-01</date><risdate>2014</risdate><volume>17</volume><issue>2</issue><spage>139</spage><epage>149</epage><pages>139-149</pages><issn>1386-9620</issn><eissn>1572-9389</eissn><abstract>The health care industry, in particular the hospital industry, is under an increasing degree of pressure, by an ageing population, advancing expensive medical technology a shrinking labor. The pressure on hospitals is further increased by the planned budget cuts in public spending by many current administrations as a result of the economic and financial crises. However, productivity increases may alleviate these problems. Therefore we study whether productivity in the hospital sector is growing, and whether this productivity growth can be influenced by government policy. Using an econometric time series analysis of the hospital sector in the Netherlands, productivity is estimated for the period 1972–2010. Then, productivity is linked to the different regulation regimes during that period, ranging from output funding in the 1970s to the current liberalized hospital market. The results indicate that the average productivity of the hospital sector in different periods differs and that these differences are related to the structure of regulation in those periods.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>24258183</pmid><doi>10.1007/s10729-013-9257-8</doi><tpages>11</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1386-9620 |
ispartof | Health care management science, 2014-06, Vol.17 (2), p.139-149 |
issn | 1386-9620 1572-9389 |
language | eng |
recordid | cdi_proquest_miscellaneous_1519261902 |
source | MEDLINE; SpringerNature Complete Journals; EBSCOhost Business Source Complete |
subjects | Administrative expenses Aging Budgeting Budgets Business and Management Cost benefit analysis Econometrics Economic Competition Economic development Efficiency, Organizational - trends Funding Government Regulation Health Administration Health care access Health care industry Health care policy Health Informatics Health Policy Hospital Administration Hospital Bed Capacity Hospitalization Hospitals Humans Insurance companies Literature reviews Management Medical technology Netherlands Operations Research/Decision Theory Ownership Patients Population Productivity Profits Regulation Studies Time series |
title | The impact of policy on hospital productivity: a time series analysis of Dutch hospitals |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T09%3A08%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20impact%20of%20policy%20on%20hospital%20productivity:%20a%20time%20series%20analysis%20of%20Dutch%20hospitals&rft.jtitle=Health%20care%20management%20science&rft.au=Blank,%20Jos%20L.%20T.&rft.date=2014-06-01&rft.volume=17&rft.issue=2&rft.spage=139&rft.epage=149&rft.pages=139-149&rft.issn=1386-9620&rft.eissn=1572-9389&rft_id=info:doi/10.1007/s10729-013-9257-8&rft_dat=%3Cproquest_cross%3E3283437631%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1518599547&rft_id=info:pmid/24258183&rfr_iscdi=true |