Market structure and technical efficiency in the hospital services industry: A DEA approach

被引:49
作者
Bates, Laurie J. [1 ]
College, Bryant
Mukherjee, Kankana
Santerre, Rexford E.
机构
[1] Bryant Coll, Smithfield, RI 02917 USA
[2] Worcester Polytech Inst, Worcester, MA 01609 USA
[3] Univ Connecticut, Storrs, CT 06269 USA
关键词
technical efficiency; hospital services; data envelopment analysis;
D O I
10.1177/1077558706288842
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This article uses data envelopment analysis and multiple regression analysis to examine empirically the impact Of various market-structure elements on the technical efficiency of the hospital services industry in various metropolitan areas of the United States. Market-structure elements include the degree of rivalry among hospitals, extent of HMO activity, and health insurer concentration. The DEA results show the typical hospital services industry experienced 11 percent inefficiency in 1999. Moreover, multiple regression analysis indicates the level of technical efficiency varied directly across metropolitan hospital services industries in response to greater HMO activity and private health insurer concentration in the state. The analysis suggests the degree of rivalry among hospitals had no marginal effect on technical efficiency at the industry level. Evidence also implies that the presence of a state Certificate of Need law was not associated with a greater degree of inefficiency in the typical metropolitan hospital services industry.
引用
收藏
页码:499 / 524
页数:26
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