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Titolo:
Assessing productivity changes in UK hospitals reflecting technology and input prices
Autore:
Maniadakis, N; Thanassoulis, E;
Indirizzi:
Univ Oxford, Hlth Econ Res Ctr, Oxford OX3 7LF, England Univ Oxford Oxford England OX3 7LF Econ Res Ctr, Oxford OX3 7LF, England Aston Univ, Sch Business, Birmingham B4 7ET, W Midlands, England Aston Univ Birmingham W Midlands England B4 7ET 7ET, W Midlands, England
Titolo Testata:
APPLIED ECONOMICS
fascicolo: 12, volume: 32, anno: 2000,
pagine: 1575 - 1589
SICI:
0003-6846(200010)32:12<1575:APCIUH>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
DATA ENVELOPMENT ANALYSIS; INDUSTRIALIZED COUNTRIES; TECHNICAL PROGRESS; EFFICIENCY CHANGE; COST; QUALITY; GROWTH; CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Maniadakis, N Univ Oxford, Hlth Econ Res Ctr, Oxford OX3 7LF, England UnivOxford Oxford England OX3 7LF Oxford OX3 7LF, England
Citazione:
N. Maniadakis e E. Thanassoulis, "Assessing productivity changes in UK hospitals reflecting technology and input prices", APPL ECON, 32(12), 2000, pp. 1575-1589

Abstract

In this study Malmquist productivity indexes are used to evaluate the performance of acute hospitals in the UK over the period after the introductionof the internal market in the National Health Service in 1991. The indexesare computed using nonparametric programming, known as Data Envelopment Analysis, and they are decomposed into multiple component measures to give insights into the trends in hospital performance. Overall it is found that productivity regressed in the year after the reforms but progressed thereafter so that overall there was a net progress both as far as the inputs and costs are concerned. Productivity progress is mainly due to overall efficiency progress, which in turn is mostly attributed to allocative efficiency improvements. Technical change resulted in a small reduction in the amount of inputs used but also at higher production costs, because of a worsening in the match between input mixes and relative input prices. However, it is suggested that the gains in productivity are not high enough to argue that theinternal market has had a significant impact on productivity. Finally, it is argued that the methodologies employed here can be a valuable evaluativeand managerial tool in the context of the new NHS reforms about to be introduced.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 03:51:18