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Market oriented reforms of health services: A non-parametric analysis

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  • Alessandra Ferrari

Abstract

During the 1990s the UK carried out one of the first experiments at introducing competition for hospital services, on the assumption that this would enhance their efficiency. This paper analyses this assumption by estimating DEA frontiers and calculating Malmquist indexes of TFP in order to measure the changes in productivity and technical efficiency of a sample of hospitals during that reform. The results show an average mild improvement in the frontier accompanied by a worsening of technical efficiency, no positive link between the reform and higher efficiency and a change in techniques not necessarily beneficial to patients.

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  • Alessandra Ferrari, 2006. "Market oriented reforms of health services: A non-parametric analysis," The Service Industries Journal, Taylor & Francis Journals, vol. 26(1), pages 1-13, January.
    • Handle: RePEc:taf:servic:v:26:y:2006:i:1:p:1-13
    DOI: 10.1080/02642060500358720
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    1. repec:rdg:wpaper:em-dp2004-19 is not listed on IDEAS
    2. Alessandra Ferrari, 2004. "NHS reforms and efficiency of hospital services: a stochastic distance function approach," Economic Analysis Research Group Working Papers earg-wp2004-04, Henley Business School, University of Reading.
    3. Alessandra Ferrari, 2004. "NHS reforms and efficiency of hospital services: a stochastic distance function approach," Economics Discussion Papers em-dp2004-19, Department of Economics, University of Reading.
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    Cited by:

    1. Lu, Shenghua & Wang, Hui, 2022. "Market-oriented reform and land use efficiency: Evidence from a regression discontinuity design," Land Use Policy, Elsevier, vol. 115(C).
    2. Robert A.W. Kok & Paul H. Driessen, 2011. "Antecedents of market orientation in semi-public service organizations: a study of Dutch housing associations," The Service Industries Journal, Taylor & Francis Journals, vol. 32(12), pages 1901-1921, February.
    3. Pinar Guven Uslu & Thuy Pham Linh, 2008. "Effects of Changes in Public Policy on Efficiency and Productivity of General Hospitals in Vietnam," Working Paper series, University of East Anglia, Centre for Competition Policy (CCP) 2008-30, Centre for Competition Policy, University of East Anglia, Norwich, UK..

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