Economies of scope in the Norwegian public hospital sector.

IF 3.1 3区 医学 Q1 ECONOMICS
Nils Arne Lindaas, Kjartan Sarheim Anthun, Sverre A C Kittelsen, Jon Magnussen
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引用次数: 0

Abstract

This study investigates the potential economies of scope in the Norwegian public hospital sector after a major structural and organizational reform. Economies of scope refers to potential cost savings occurring from the scope of production rather than the scale. We use a data driven approach to distinguish between relatively specialized and differentiated hospitals. Using registry data spanning the period 2013-2019, we use non-parametric data envelopment analysis with bootstrapping procedures to investigate the potential presence of economies of scope. This is done separately for three different dimensions of which hospital production can be either specialized or differentiated. The findings suggest that economies of scope are present in the Norwegian hospital sector, meaning that there are cost savings related to the optimal differentiation of the activity. It is difficult to conclude on how these findings relate to the reform.

Abstract Image

挪威公立医院的范围经济。
本研究调查了挪威公立医院部门在进行重大结构和组织改革后的潜在范围经济。范围经济是指生产范围而非规模可能带来的成本节约。我们采用数据驱动法来区分相对专业化的医院和差异化的医院。利用 2013-2019 年期间的登记数据,我们使用非参数数据包络分析和引导程序来研究范围经济的潜在存在。我们分别对医院生产的三个不同维度进行了研究,这三个维度既可以是专业化的,也可以是差异化的。研究结果表明,挪威医院行业存在着范围经济,这意味着医院活动的最佳差异化可以节约成本。目前还很难就这些研究结果与改革的关系得出结论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.10
自引率
2.30%
发文量
131
期刊介绍: The European Journal of Health Economics is a journal of Health Economics and associated disciplines. The growing demand for health economics and the introduction of new guidelines in various European countries were the motivation to generate a highly scientific and at the same time practice oriented journal considering the requirements of various health care systems in Europe. The international scientific board of opinion leaders guarantees high-quality, peer-reviewed publications as well as articles for pragmatic approaches in the field of health economics. We intend to cover all aspects of health economics: • Basics of health economic approaches and methods • Pharmacoeconomics • Health Care Systems • Pricing and Reimbursement Systems • Quality-of-Life-Studies The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfill the above-mentioned requirements. Officially cited as: Eur J Health Econ
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