Cost efficiency in primary care contracting: a stochastic frontier cost function approach

Health Economics
Jaume Puig-Junoy, Vicente Ortún

Abstract

The principal aim of this paper is to estimate a stochastic frontier cost function and an inefficiency effects model in the analysis of the primary health-care services purchased by the public authority and supplied by 180 providers in 1996 in Catalonia. The evidence from our sample does not support the premise that contracting out has helped improve purchasing cost efficiency in primary care. Inefficient purchasing cost was observed in the component of this purchasing cost explicitly included in the contract between purchaser and provider. There were no observable incentives for the contracted-out primary health-care teams to minimise prescription costs, which were not explicitly included in the contracting system.

References

Aug 1, 2000·Health Care Management Science·A Giuffrida

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Citations

Mar 23, 2010·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Luis R Murillo-Zamorano, Carmelo Petraglia
Sep 9, 2011·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Stefan Felder, Harald Tauchmann
Oct 5, 2006·Health Care Management Science·Fernando Sánchez-MartínezJaume Puig-Junoy
Aug 13, 2010·Journal of Medical Systems·José Manuel Cordero-FerreraLuis R Murillo-Zamorano
Aug 16, 2014·Journal of Medical Systems·Manuela DeiddaIoannis Maghiros
Jul 6, 2011·Burns : Journal of the International Society for Burn Injuries·O LotterA Rahmanian-Schwarz
Aug 15, 2008·Health Economics·Bruce Hollingsworth
Dec 21, 2006·Health Economics·Pablo Arocena, Ariadna García-Prado
Mar 21, 2017·The International Journal of Health Planning and Management·María Del Rocío Moreno-EnguixMaría Gómez Gallego

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