Productivity growth, case mix and optimal size of hospitals. A 16-year study of the Norwegian hospital sector
| Autor: | Kjartan Sarheim Anthun, Jon Magnussen, Sverre A.C. Kittelsen |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Norwegian
Efficiency Organizational State Medicine 03 medical and health sciences 0302 clinical medicine Case mix index Inventions Humans 030212 general & internal medicine Productivity Diagnosis-Related Groups Health Facility Size Public economics Norway Technological change 030503 health policy & services Health Policy Ownership Comparability Health services research Hospitals language.human_language Cross-Sectional Studies Hospital sector language Demographic economics Health Services Research Business Health care reform 0305 other medical science |
| Zdroj: | Health Policy |
| ISSN: | 0168-8510 |
| DOI: | 10.1016/j.healthpol.2017.01.006 |
| Popis: | Background and objectives This paper analyses productivity growth in the Norwegian hospital sector over a period of 16 years, 1999–2014. This period was characterized by a large ownership reform with subsequent hospital reorganizations and mergers. We describe how technological change, technical productivity, scale efficiency and the estimated optimal size of hospitals have evolved during this period. Material and methods Hospital admissions were grouped into diagnosis-related groups using a fixed-grouper logic. Four composite outputs were defined and inputs were measured as operating costs. Productivity and efficiency were estimated with bootstrapped data envelopment analyses. Results Mean productivity increased by 24.6% points from 1999 to 2014, an average annual change of 1.5%. There was a substantial growth in productivity and hospital size following the ownership reform. After the reform (2003–2014), average annual growth was |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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