Scope and scale inefficiencies in physician practices

Health Economics
Robert Rosenman, Daniel Friesner

Abstract

Using a national data set, this paper looks at the efficiency of physician practices, focusing on scopes of service by comparing single specialty groups and multispecialty groups. An analysis of efficiency using DEA indicates that there are scope inefficiencies from combining different types of providers into a single practice. Most of the inefficiency is due to technical rather than allocative reasons. In addition, we find that larger practices are able to capture efficiencies of scope, but incur inefficiencies of scale.

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Citations

Jan 30, 2010·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Eila KankaanpääHannu Valtonen
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