Multilevel analysis of the technical efficiency of hospitals in the Spanish National Health System by property and type of management

Gaceta sanitaria
Carmen Pérez-RomeroJosé Jesús Martín-Martín

Abstract

To analyze technical efficiency by type of property and management of general hospitals in the Spanish National Health System (2010-2012) and identify hospital and regional explanatory variables. 230 hospitals were analyzed combining data envelopment analysis and fixed effects multilevel linear models. Data envelopment analysis measured overall, technical and scale efficiency, and the analysis of explanatory factors was performed using multilevel models. The average rate of overall technical efficiency of hospitals without legal personality is lower than hospitals with legal personality (0.691 and 0.876 in 2012). There is a significant variability in efficiency under variable returns (TE) by direct, indirect and mixed forms of management. The 29% of the variability in TE es attributable to the Region. Legal personality increased the TE of the hospitals by 11.14 points. On the other hand, most of the forms of management (different to those of the traditional hospitals) increased TE in varying percentages. At regional level, according to the model considered, insularity and average annual income per household are explanatory variables of TE. Having legal personality favours technical efficiency. The regulatory and management fram...Continue Reading

References

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Oct 27, 2009·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Guilhermina RegoJosé Costa
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Dec 8, 2015·Health Care Management Science·Jeong Hoon ChoiAsoke Dey
Jan 4, 2017·Gaceta sanitaria·Carmen Pérez-RomeroJosé Jesús Martín-Martín

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Citations

Aug 23, 2020·International Journal of Environmental Research and Public Health·Mª Isabel Ortega-DíazJosé Jesús Martín-Martín
Nov 18, 2020·BMC Health Services Research·José Luis Franco MiguelRoberto Nuño-Solinís

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