Activity-based funding reform and the performance of public hospitals: The case of Queensland, Australia

被引：1
|
作者：
Nguyen, Bao Hoang [1 ]
Grosskopf, Shawna [2 ]
Yong, Jongsay [3 ]
Zelenyuk, Valentin [4 ,5 ]
机构：
[1] Univ Queensland, Ctr Business & Econ Hlth, Brisbane, Qld, Australia
[2] Oregon State Univ, Sch Publ Policy, Econ, Corvallis, OR USA
[3] Univ Melbourne, Melbourne Inst Appl Econ & Social Res, Parkville, Vic, Australia
[4] Univ Queensland, Sch Econ, Brisbane, Qld 4072, Australia
[5] Univ Queensland, Ctr Efficiency & Prod Anal, Brisbane, Qld 4072, Australia
来源：
ECONOMIC INQUIRY | 2024年 / 62卷 / 04期
基金：
英国医学研究理事会; 澳大利亚研究理事会;
关键词：
activity-based funding; data envelopment analysis; difference-in-differences; hospital efficiency; truncated regression; HEALTH-CARE EFFICIENCY; TECHNICAL EFFICIENCY; DATA ENVELOPMENT; INTERNAL MARKETS; PAYMENT SYSTEM; IMPACT; DEA; SERVICES; QUALITY; REIMBURSEMENT;
D O I：
10.1111/ecin.13246
中图分类号：
F [经济];
学科分类号：
02 ;
摘要：
This study investigates the impact of activity-based funding (ABF) on the performance of hospitals by exploiting a natural experiment that happened in the state of Queensland, Australia. To examine the outcome of the reform, the performance of hospitals is measured by the technical efficiency estimated from data envelopment analysis (DEA) models. We try to identify the causal effect of ABF on the technical efficiency of hospitals by incorporating difference-in-differences approach in the popular two-stage DEA framework. We find empirical evidence that ABF improves the technical efficiency of hospitals.
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页码：1679 / 1701
页数：23
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