Efficiency Analysis of Rural Hospitals: Parametric and Semi-parametric Approaches
| Autor: | Nedelea, I. Cristian, Fannin, James Matthew |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Productivity Analysis
congenital hereditary and neonatal diseases and abnormalities SFA endocrine system diseases Production Economics rural hospitals nutritional and metabolic diseases two-stage approach Public Economics urologic and male genital diseases Health Economics and Policy efficiency Community/Rural/Urban Development health care economics and organizations Research Methods/ Statistical Methods |
| DOI: | 10.22004/ag.econ.119725 |
| Popis: | This paper examined cost efficiency differences between rural hospitals participating in the Critical Access Hospital (CAH) Program and a group of non-converting, prospectively paid rural hospitals using both a two-stage semi-parametric approach as well as stochastic frontier analysis (SFA). CAHs receive Medicare cost-based reimbursement, in contrast with the rest of the hospitals reimbursed under Medicare prospective payment system (PPS). However, cost-based reimbursement has been associated with inefficiency in hospital operations and, consequently, concerns have been raised about the efficiency of CAHs. Results showed a positive and significant effect of CAH status on cost inefficiency under both model specifications suggesting that CAHs were less cost efficient than non-converting rural hospitals. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|