比利时医院绩效:前沿方法

Performance of Belgian hospitals: A frontier approach

Health Economics · 1995
被引 19
人大 A-

中文导读

测量了1991年比利时医院的效率,通过构建资源前沿并采用随机前沿方法,发现公立医院比私立医院更高效,大学医院资源消耗更多,并分析了效率与位置、规模等因素的关系。

Abstract

The purpose of the paper is to measure and to compare performance of Belgian hospitals during the year 1991. In order to measure hospitals' efficiency, we estimate a resource function which is defined as the relationship between medical fees incurred in the treatment of a patient and the patient's pathology. From this relation, we construct a best practice reference frontier which defines the minimal hospital medical fees needed to treat the pathology. Efficiency is assessed relative to this resource frontier using a parametric stochastic method proposed by Schmidt and Sickles. It appears that some specializations (circulatory system) involve more overproduction than others. Among the other results, we note that public hospitals are more efficient than the private ones and that university hospitals tend to use more resources than regular hospitals. The relationships between efficiency and different variables (location, size, costs and management) are finally analysed.

比利时医院效率前沿分析法资源函数随机参数法