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Public vs. Private in Hospital Efficiency: Exploring Determinants in a Competitive Environment

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  • Andrea Guerrini
  • Giulia Romano
  • Bettina Campedelli
  • Sara Moggi
  • Chiara Leardini

Abstract

This study investigates the determinants of efficiency in an Italian regional health system and estimates the effect exerted by ownership on hospitals’ performance. To achieve this aim, the Veneto region was considered as a case study and a full dataset (2011–2012) containing nonpublicly available technical data and cost and income items was analyzed. Efficiencies are measured applying a three-stage data envelopment analysis (DEA). Our results suggest that private hospitals perform better than public hospitals in productivity and cost saving, not considering the effect of other environmental and operational variables such as length of stay and beds per capita.

Suggested Citation

  • Andrea Guerrini & Giulia Romano & Bettina Campedelli & Sara Moggi & Chiara Leardini, 2018. "Public vs. Private in Hospital Efficiency: Exploring Determinants in a Competitive Environment," International Journal of Public Administration, Taylor & Francis Journals, vol. 41(3), pages 181-189, February.
    • Handle: RePEc:taf:lpadxx:v:41:y:2018:i:3:p:181-189
    DOI: 10.1080/01900692.2016.1256892
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    Cited by:

    1. Zhang, Cai Wen & Yang, Yuanhui, 2023. "Appraisal of regional hospital efficiency and healthcare quality in China: Impacts of subsidies and marketization," Socio-Economic Planning Sciences, Elsevier, vol. 89(C).
    2. Paulo Caldas & Miguel Varela, 2023. "The Portuguese Public Hospitals Performance Evolution before and during the SARS-CoV-2 Pandemic (2017–2022)," Sustainability, MDPI, vol. 15(15), pages 1-31, July.
    3. Dinesh R. Pai & Fatma Pakdil & Nasibeh Azadeh-Fard, 2024. "Applications of data envelopment analysis in acute care hospitals: a systematic literature review, 1984–2022," Health Care Management Science, Springer, vol. 27(2), pages 284-312, June.
    4. Kosycarz, Ewa & Dędys, Monika & Ekes, Maria & Wranik, Wiesława Dominika, 2023. "The effects of provider contract types and fiscal decentralization on the efficiency of the Polish hospital sector: A data envelopment analysis across 16 health regions," Health Policy, Elsevier, vol. 129(C).

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