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Pricing public health care services using DEA: Methodology versus politics

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  • Paul Rouse
  • Robert Swales

Abstract

The New Zealand public health sector has used DEA since 1997 to identify efficient expenditure levels to set prices for hospital services at the DRG level. Given the size of the expenditure (NZ$ 2.6 billion), considerable robustness was required for the results and sophistication of the models/process. While the model development and application appeared to be successful, politics overturned the results in the short run. In the longer term, the results have been shown to be reasonably robust and have become a base-line reference for future developments. As such, this paper reports a relatively successful transfer of theory into practice. Copyright Springer Science + Business Media, Inc. 2006

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  • Paul Rouse & Robert Swales, 2006. "Pricing public health care services using DEA: Methodology versus politics," Annals of Operations Research, Springer, vol. 145(1), pages 265-280, July.
    • Handle: RePEc:spr:annopr:v:145:y:2006:i:1:p:265-280:10.1007/s10479-006-0041-8
    DOI: 10.1007/s10479-006-0041-8
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    1. Tim Coelli & Antonio Estache & Sergio Perelman & Lourdes Trujillo, 2003. "A Primer on Efficiency Measurement for Utilities and Transport Regulators," World Bank Publications - Books, The World Bank Group, number 15149.
    2. Ole Olesen & Niels Petersen, 2002. "The Use of Data Envelopment Analysis with Probabilistic Assurance Regions for Measuring Hospital Efficiency," Journal of Productivity Analysis, Springer, vol. 17(1), pages 83-109, January.
    3. Bruce Hollingsworth & John Wildman, 2003. "The efficiency of health production: re‐estimating the WHO panel data using parametric and non‐parametric approaches to provide additional information," Health Economics, John Wiley & Sons, Ltd., vol. 12(6), pages 493-504, June.
    4. Berger, Allen N. & Humphrey, David B., 1997. "Efficiency of financial institutions: International survey and directions for future research," European Journal of Operational Research, Elsevier, vol. 98(2), pages 175-212, April.
    5. Cooper, W. W. & Seiford, Lawrence M. & Thanassoulis, Emmanuel & Zanakis, Stelios H., 2004. "DEA and its uses in different countries," European Journal of Operational Research, Elsevier, vol. 154(2), pages 337-344, April.
    6. Jackson, Terri, 2001. "Using computerised patient-level costing data for setting DRG weights: the Victorian (Australia) cost weight studies," Health Policy, Elsevier, vol. 56(2), pages 149-163, May.
    7. Richard S. Barr & Kory A. Killgo & Thomas F. Siems & Sheri Zimmel, 1999. "Evaluating the productive efficiency and performance of U.S. commercial banks," Financial Industry Studies Working Paper 99-3, Federal Reserve Bank of Dallas.
    8. Hill, Nancy Thorley, 2000. "Adoption of costing systems in US hospitals: An event history analysis 1980-1990," Journal of Accounting and Public Policy, Elsevier, vol. 19(1), pages 41-71.
    9. H. Fried & C. Lovell & S. Schmidt & S. Yaisawarng, 2002. "Accounting for Environmental Effects and Statistical Noise in Data Envelopment Analysis," Journal of Productivity Analysis, Springer, vol. 17(1), pages 157-174, January.
    10. Mette Asmild & Joseph Paradi & Vanita Aggarwall & Claire Schaffnit, 2004. "Combining DEA Window Analysis with the Malmquist Index Approach in a Study of the Canadian Banking Industry," Journal of Productivity Analysis, Springer, vol. 21(1), pages 67-89, January.
    11. H. David Sherman & George Ladino, 1995. "Managing Bank Productivity Using Data Envelopment Analysis (DEA)," Interfaces, INFORMS, vol. 25(2), pages 60-73, April.
    12. Takamura, Yoshiharu & Tone, Kaoru, 2003. "A comparative site evaluation study for relocating Japanese government agencies out of Tokyo," Socio-Economic Planning Sciences, Elsevier, vol. 37(2), pages 85-102, June.
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    Cited by:

    1. Sebastian Kohl & Jan Schoenfelder & Andreas Fügener & Jens O. Brunner, 2019. "The use of Data Envelopment Analysis (DEA) in healthcare with a focus on hospitals," Health Care Management Science, Springer, vol. 22(2), pages 245-286, June.
    2. Paul Rouse & Julie Harrison & Li Chen, 2010. "Data Envelopment Analysis: A Practical Tool to Measure Performance," Australian Accounting Review, CPA Australia, vol. 20(2), pages 165-177, June.
    3. Yiting Xing & Ling Li & Zhuming Bi & Marzena Wilamowska‐Korsak & Li Zhang, 2013. "Operations Research (OR) in Service Industries: A Comprehensive Review," Systems Research and Behavioral Science, Wiley Blackwell, vol. 30(3), pages 300-353, May.
    4. Adil Baykasoğlu & İlker Gölcük & Derya Eren Akyol, 2017. "A fuzzy multiple-attribute decision making model to evaluate new product pricing strategies," Annals of Operations Research, Springer, vol. 251(1), pages 205-242, April.
    5. Kankana Mukherjee & Rexford Santerre & Ning Jackie Zhang, 2010. "Explaining the efficiency of local health departments in the U.S.: an exploratory analysis," Health Care Management Science, Springer, vol. 13(4), pages 378-387, December.
    6. Fainman, Emily Zhu & Kucukyazici, Beste, 2020. "Design of financial incentives and payment schemes in healthcare systems: A review," Socio-Economic Planning Sciences, Elsevier, vol. 72(C).
    7. Jamasb, Tooraj & Pollitt, Michael & Triebs, Thomas, 2008. "Productivity and efficiency of US gas transmission companies: A European regulatory perspective," Energy Policy, Elsevier, vol. 36(9), pages 3398-3412, September.
    8. Adriana Castelli & Andrew Street & Rossella Verzulli & Padraic Ward, 2015. "Examining variations in hospital productivity in the English NHS," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(3), pages 243-254, April.
    9. Andrew Johnson & John Ruggiero, 2014. "Nonparametric measurement of productivity and efficiency in education," Annals of Operations Research, Springer, vol. 221(1), pages 197-210, October.
    10. Apostolos Christopoulos & Ioannis Dokas & Sofia Katsimardou & Eleftherios Spyromitros, 2022. "The Malmquist Productivity measure for UK-listed firms in the aftermath of the global financial crisis," Operational Research, Springer, vol. 22(2), pages 1617-1634, April.
    11. Ernst, Chris & Rouse, Paul, 2016. "Complexity, Tertiariness and Healthcare: Unresolved Issues of Reimbursement and Incentives," Die Unternehmung - Swiss Journal of Business Research and Practice, Nomos Verlagsgesellschaft mbH & Co. KG, vol. 70(3), pages 227-247.

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