More documents from Ferrari, Alessandra
More documents from Applied Economics

Export to your Reference Manger

Please Copy & Paste



Bookmark and Share

The internal market and hospitals efficiency: a stochastic distance function approach.

[journal article]

Ferrari, Alessandra

fulltextDownloadDownload full text

(536 KByte)

Citation Suggestion

Please use the following Persistent Identifier (PID) to cite this document:

Further Details
Abstract The UK internal market was one of the first European attempts to introduce a competitive mechanism in the provision of hospital services. The assumption was that competition would have led hospitals to increase efficiency in the use their resources. The aim of this paper is to analyse the effectiveness of this kind of reforms by measuring the changes in technical efficiency of a panel of 52 acute Scottish hospitals observed from 1991/92 to 1996/97. The time period covers the whole duration of the internal market and the sample contains a different mix of both trusts and non-trusts, where the former embed the proper working of the reform. The selected model is a stochastic output distance function that includes an interaction dummy variable to allow for parameters to change over time. The results show a structural break after which hospitals change not only the way in which they provide their services, but also the kind of services they provide, favouring the quicker treatment of patients on a day basis. No significant improvement in technical efficiency is detected instead over time, nor any significant difference in efficiency between trusts and non trusts.
Document language English
Publication Year 2006
Page/Pages p. 2121-2130
Journal Applied Economics, 38 (2006) 18
Status Postprint; peer reviewed
Licence PEER Licence Agreement (applicable only to documents from PEER project)