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Comparing the Efficiency of Hospitals in Italy and Spain: A Non-parametric Approach

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  • Marco F. Martorana

Abstract

This paper studies the efficiency of hospitals in the period 2005-2009 in Italy and Spain. The aim is to assess the dynamics of efficiency at regional level in the two countries in a comparative perspective, to investigate whether geographical differences in terms of performance diminished in the observed period. It uses a non-parametric partial frontier estimator (order-m), which overcomes some drawbacks of traditional non-parametric techniques and allows for measuring efficiency robustly with respect to outliers. We find that Italian hospitals are slightly more efficient than Spanish ones. In addition, public ownership is associated to better performance in both countries. From a dynamic perspective, results show that a process of convergence occurred in Italy that, however, did not lessen the longstanding gap between northern and southern Regions. In contrast, Spanish Comunidades Autonomas diverged in the period.

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  • Marco F. Martorana, 2017. "Comparing the Efficiency of Hospitals in Italy and Spain: A Non-parametric Approach," Politica economica, Società editrice il Mulino, issue 3, pages 375-398.
    • Handle: RePEc:mul:je8794:doi:10.1429/88462:y:2017:i:3:p:375-398
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    Cited by:

    1. Guccio, C. & Lisi, D. & Martorana, M.F. & Pignataro, G., 2020. "Incorporating quality in the efficiency assessment of hospitals using a generalized directional distance function approach," Health, Econometrics and Data Group (HEDG) Working Papers 20/17, HEDG, c/o Department of Economics, University of York.

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