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Dimensione ottima degli ospedali in uno Stato federale

Author

Listed:
  • Massimo Filippini
  • Diego Lunati
  • Luca Crivelli

Abstract

Dimensione ottima degli ospedali in uno Stato federale (di Luca Crivelli, Massimo Filippini e Diego Lunati) - ABSTRACT: Switzerland is a federal State where policy decisions and implementation regarding regional hospital plans are by rights incumbent to the regional and local governments (Canton and Town Council). This situation is in part responsible for the large number of small hospitals that have been built in recent years. In Switzerland, in fact, approximately 70% of hospitals have a capacity of less than 135 beds. The purpose of this study is to analyse the cost structure of the Swiss hospitals in order to assess economies of scale and to estimate a typical hospital?s optimum size. A translog cost function was estimated using panel data for a sample of 145 hospitals over the period 1989-1991. The results indicate the existence of economies of scale for most output levels. Empirical evidence suggests that a hospital?s optimum size is reached with 300 beds, even though a capacity of 135 beds is sufficient to absorb most of the economies of scale. JEL C23 D24 I11 I18

Suggested Citation

  • Massimo Filippini & Diego Lunati & Luca Crivelli, 2001. "Dimensione ottima degli ospedali in uno Stato federale," ECONOMIA PUBBLICA, FrancoAngeli Editore, vol. 2001(5).
    • Handle: RePEc:fan:epepep:v:html10.3280/ep2001-005004
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    Citations

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    Cited by:

    1. Giovanni Iuzzolino, 2008. "Demand and supply of hospital services. International trends," Questioni di Economia e Finanza (Occasional Papers) 27, Bank of Italy, Economic Research and International Relations Area.
    2. Antonello Maruotti, 2009. "Fairness of the national health service in Italy: a bivariate correlated random effects model," Journal of Applied Statistics, Taylor & Francis Journals, vol. 36(7), pages 709-722.
    3. Mehdi Farsi & Massimo Filippini, 2008. "Effects of ownership, subsidization and teaching activities on hospital costs in Switzerland," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 335-350, March.

    More about this item

    JEL classification:

    • C23 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Models with Panel Data; Spatio-temporal Models
    • D24 - Microeconomics - - Production and Organizations - - - Production; Cost; Capital; Capital, Total Factor, and Multifactor Productivity; Capacity
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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