The measurement of efficiency and productivity of health care delivery

Hollingsworth, Bruce (2008) The measurement of efficiency and productivity of health care delivery. Health Economics, 17 (10). pp. 1107-1128. ISSN 1057-9230

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The measurement of efficiency and productivity of health service delivery has become a small industry. This is a review of 317 published papers on frontier efficiency measurement. The techniques used are mainly based on non-parametric data envelopment analysis, but there is increasing use of parametric techniques, such as stochastic frontier analysis. Applications to hospitals and other health care organizations and areas are reviewed and summarised, and some meta-type analysis undertaken. Cautious conclusions are that public provision may be potentially more efficient than private, in certain settings. The paper also considers conceptualizations of efficiency, and points to dangers and opportunities in generating such information. Finally, some criteria for assessing the use and usefulness of efficiency studies are established, with a view to helping both researchers and those assessing whether or not to act upon published results.

Item Type:
Journal Article
Journal or Publication Title:
Health Economics
Uncontrolled Keywords:
?? efficiency measurementproductivity health care parametric non-parametric stochastic frontiers data envelopment analysishealth information, computation and statisticshealth policyr medicine (general) ??
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Deposited On:
19 Jun 2012 08:22
Last Modified:
15 Jul 2024 12:54