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Financing reform and productivity change in Brazilian teaching hospitals: Malmquist approach

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Abstract

This study evaluates the performance and productivity changes for the Brazilian Federal University Hospitals, considering the years of 2003 and 2006, that is, before and after a 2004 financing reform. The analysis is based on the Malmquist index approach. Results indicate that the financing reform provided improvement in the technical efficiency, although the technological frontier has not presented a positive shift. This suggests that increased budgets were a good stimulus for efficiency but the intended enhancement of the technology through the financing reform has not yet taken place.

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References

  • Biørn E, Hagen TP, Iversen T, Magnussen J (2003) The effect of activity-based financing on hospital efficiency: a panel data analysis of DEA efficiency scores 1992–2000. Health Care Manag Sci 6(4): 271–283

    Article  Google Scholar 

  • Campbell CK, Gillespie K, Romeis J (1991) The effects of residency training programs on the financial performance of veterans affairs medical centers. Inquiry 28(3): 288–299

    Google Scholar 

  • Caves DW, Christensen LR, Diewert WE (1982) The econometric theory of index numbers and the measurement of input, output, and productivity. Econometrica 50(6): 1393–1414

    Article  Google Scholar 

  • Chilingerian JA, Sherman HD (2004) Health care applications from hospitals to physicians; from productive efficiency to quality frontiers. In: Cooper W, Seiford LM, Zhu J (eds) Handbook on data envelopment analysis. Kluwer, Dordrecht

    Google Scholar 

  • Färe R, Grosskopf S, Lindgren B, Roos P (1992) Productivity changes in Swedish pharmacies 1980–1989: a non-parametric Malmquist approach. J Product Anal 3: 85–101

    Article  Google Scholar 

  • Färe R, Grosskopf S, Norris M, Zhang Z (1994) Productivity growth, technical progress, and efficiency change in industrialized countries. Am Econ Rev 84: 66–83

    Google Scholar 

  • Ferrier GD, Rosko MD, Valdmanis VG (2006) Analysis of uncompensated hospital care using a DEA model of output congestion. Health Care Manag Sci 9: 181–188

    Article  Google Scholar 

  • Grosskopf S, Margaritis D, Valdmanis V (2004) Competitive effects on teaching hospitals. Eur J Oper Res 154: 515–525

    Article  Google Scholar 

  • Langabeer JR, Ozcan YA (2008) The economics of cancer care: longitudinal changes in provider efficiency. Health Care Manag Sci. doi:10.1007/s10729-008-9079-2

  • Linna M (2000). Health care financing reform and the productivity change in Finnish hospitals. J Health Care Fin 26, 3; ABI/INFORM Global: 83–100

    Google Scholar 

  • Linna M, Häkkinen U, Linnakko E (1998) An econometric study of costs of teaching and research in Finnish hospitals. Health Econ 7(4): 291–305

    Article  Google Scholar 

  • Lins MPE, Lobo MSC, Fiszman R, Silva ACM, Ribeiro VJP (2007) O Uso da Análise Envoltória de Dados – DEA - para Avaliaç ão de Hospitais Universitários Brasileiros. Revista Ciência e Saúde Coletiva 12(4): 985–998

    Google Scholar 

  • Maniadakis N, Hollingworth B, Thanassoulis E (1999) The impact of the internal market on hospital efficiency and service quality. Health Care Manag Sci 2: 75–85

    Article  Google Scholar 

  • O’Neill L, Rauner M, Heidenberger K, Kraus M (2008) A cross-national comparison and taxonomy of DEA-based hospital efficiency studies. Socio Econ Plan Sci 42(3): 158–189

    Article  Google Scholar 

  • Ozcan YA (1993) Sensitivity analysis of hospital efficiency under alternative output/input and peer group: a review. Knowl Policy Int J Knowl Transf Utilization 5(4): 1–29

    Google Scholar 

  • Ozcan YA (2008) Health care benchmarking and performance evaluation: an assessment using data envelopment analysis (DEA). Springer, Stanford

    Book  Google Scholar 

  • Ozgen H, Ozcan YA (2004) Longitudinal analysis of efficiency in multiple output dialysis markets. Health Care Manag Sci 7(4): 253–262

    Article  Google Scholar 

  • Schreyögg J, Von Reitzenstein C (2008) Strategic groups and performance differences among academic medical centers. Health Care Manag Rev 33(3): 225–233

    Google Scholar 

  • Sommersguter-Reichmann M (2000) The impact of the Austrian hospital financing reform on hospital productivity: empirical evidence on efficiency and technology changes using a nonparametric input-based Malmquist approach. Health Care Manag Sci 3: 309–321

    Article  Google Scholar 

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Correspondence to Yasar A. Ozcan.

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de Castro Lobo, M.S., Ozcan, Y.A., da Silva, A.C.M. et al. Financing reform and productivity change in Brazilian teaching hospitals: Malmquist approach. Cent Eur J Oper Res 18, 141–152 (2010). https://doi.org/10.1007/s10100-009-0097-z

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