Marta Arbelo-Pérez, Violeta De Vera, Antonio Arbelo
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引用次数: 0
Abstract
Understanding efficiency in the hospital setting is now recognized as a fundamental pillar for making informed decisions and is crucial to ensuring the sustainability of health care systems. However, a significant portion of the literature assessing efficiency in the hospital sector tends to overlook heterogeneity across hospitals, leading to a notable bias in inefficiency estimation. In this paper, a stochastic frontier Bayesian model with random coefficients was used to estimate cost efficiency in the hospital sector, assuming heterogeneity across hospitals. The sample included 278 public hospitals in Spain during the period 2016-2019. The results revealed that public hospitals in Spain operate at a medium level of cost inefficiency of 12.86%, with this inefficiency being overestimated by 9.2% points if heterogeneity across hospitals is not adequately considered. This result underscores the importance of incorporating heterogeneity across hospitals in the evaluation of hospital efficiency to obtain accurate and reliable estimates.
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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