Efficiency, ownership, and financing of hospitals: the case of Austria

Health Care Management Science
Thomas CzypionkaGerald Röhrling

Abstract

While standard economic theory posits that privately owned hospitals are more efficient than their public counterparts, no clear conclusion can yet be drawn for Austria in this regard. As previous Austrian efficiency studies rely on data from the 1990s only and are based on small hospital samples, the generalizability of these results is questionable. To examine the impact of ownership type on efficiency, we apply a Data Envelopment Analysis which extends the existing literature in two respects: first, it evaluates the efficiency of the Austrian acute care sector, using data on 128 public and private non-profit hospitals from the year 2010; second, it additionally focusses on the inpatient sector alone, thus increasing the comparability between hospitals. Overall, the results show that in Austria, private non-profit hospitals outperform public hospitals in terms of technical efficiency. A multiple regression analysis confirms the significant association between efficiency and ownership type. This conclusive result contrasts some international evidence and can most likely be attributed to differences in financial incentives for public and private non-profit hospitals in Austria. Therefore, by drawing on the example of the Austri...Continue Reading

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Citations

Feb 27, 2018·Health Care Management Science·Sebastian KohlJens O Brunner
Mar 3, 2018·The International Journal of Health Planning and Management·Florien M KrusePatrick P T Jeurissen
Feb 28, 2018·BMC Health Services Research·Liina-Kaisa Tynkkynen, Karsten Vrangbæk
Mar 11, 2018·Health Economics Review·Robert StefkoKristina Kocisova
May 7, 2020·Health Care Management Science·Laura de Almeida BotegaGilvan Ramalho Guedes
Sep 17, 2020·Health Care Management Science·Annika Maren SchneiderJonas Schreyögg
Oct 20, 2018·International Journal of Environmental Research and Public Health·Qian LiuMuhammad Mohiuddin
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Nov 16, 2018·Wiener klinische Wochenschrift·Susanne Mayer
May 20, 2020·Health Services Research and Managerial Epidemiology·Tesleem K Babalola, Indres Moodley
Dec 12, 2020·PloS One·Zhensheng ChenVivian Valdmanis
Dec 19, 2020·International Journal of Environmental Research and Public Health·Zhensheng ChenLixin Cui
Aug 28, 2021·International Journal of Environmental Research and Public Health·José M CorderoCristina Polo

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