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- Title
The technical efficiency of hospitals under a single payer system: the case of Ontario community hospitals.
- Authors
Gruca, Thomas S.; Nath, Deepika; Gruca, T S; Nath, D
- Abstract
Using DEA, we investigated the impact of ownership, size, and location on the relative technical efficiency of community hospitals in Ontario, which has a single payer system. Consistent with Hansmann's theory of non-profit organizations and contrary to US-based research, we find no significant differences in efficiency across ownership types (government, religious or secular non-profit). Nor do we find significant differences in efficiency by size or location. Our findings suggest that model formulation and differences in payer mix across types of hospitals in the US have a strong influence on the measurement of the hospital ownership-efficiency relationship.
- Subjects
ONTARIO; HOSPITAL &; community; PROPERTY; NONPROFIT organizations; COMMUNITY health services; MEDICAL care; PUBLIC health; HOSPITALS &; economics; ACQUISITION of property; COMPARATIVE studies; DECISION making; EXPERIMENTAL design; HEALTH facilities; HEALTH service areas; HOSPITALS; RESEARCH methodology; MEDICAL care research; MEDICAL cooperation; NATIONAL health services; ORGANIZATIONAL effectiveness; RESEARCH; SYSTEM analysis; EVALUATION research; SINGLE-payer health care; ACQUISITION of data; STATISTICAL models
- Publication
Health Care Management Science, 2001, Vol 4, Issue 2, p91
- ISSN
1386-9620
- Publication type
journal article
- DOI
10.1023/A:1011401510010