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Technical and allocative efficiency in production of outpatient mental health clinic services

Author

Listed:
  • Frank, Richard G.
  • Taube, Carl A.

Abstract

This paper presents an analysis of production of ambulatory mental health services in free standing outpatient clinics. The study empirically addresses several issues including: the nature of returns to scale, the impact of differing organizational forms on the volume of service produced and the efficiency of staffing patterns used by psychiatric clinics. An appraisal of two popular production functions is offered based on predictive performance. The results suggest the existence of decreasing retirns to scale; input hiring decisions that depart from cost minimization; and the potential important of a decentralized clinic organization for expansion of access to mental health services.

Suggested Citation

  • Frank, Richard G. & Taube, Carl A., 1987. "Technical and allocative efficiency in production of outpatient mental health clinic services," Social Science & Medicine, Elsevier, vol. 24(10), pages 843-850, January.
    • Handle: RePEc:eee:socmed:v:24:y:1987:i:10:p:843-850
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    Citations

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    Cited by:

    1. Halsteinli, Vidar & Kittelsen, Sverre A. & Magnussen, Jon, 2010. "Productivity growth in outpatient child and adolescent mental health services: The impact of case-mix adjustment," Social Science & Medicine, Elsevier, vol. 70(3), pages 439-446, February.
    2. Liu, Xingzhu & Hotchkiss, David R. & Bose, Sujata, 2007. "The impact of contracting-out on health system performance: A conceptual framework," Health Policy, Elsevier, vol. 82(2), pages 200-211, July.
    3. Annemarie Wouters, 1993. "The cost and efficiency of public and private health care facilities in Ogun state, Nigeria," Health Economics, John Wiley & Sons, Ltd., vol. 2(1), pages 31-42, April.
    4. Tomas Philipson & Darius Lakdawalla, 2001. "Medical Care Output and Productivity in the Nonprofit Sector," NBER Chapters, in: Medical Care Output and Productivity, pages 119-140, National Bureau of Economic Research, Inc.

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