Advanced search
Publication Cover
Applied Economics Volume 21, 1989 - Issue 5
Submit an article Journal homepage
81
Views
55
CrossRef citations to date
0
Altmetric
Original Articles

Estimating efficiency in the hospital sector: a comparison of three statistical cost frontier models

Adam Wagstaff School of Social Sciences, University of Sussex, Faimer, BN1 9QN, Brighton; Centre for Health Economics, University of York, Heslington, York, Y01 SDD, UK
Pages 659-672 | Published online: 02 Nov 2006

Citations (55)

Keep up to date with the latest research on this topic with citation updates for this article.

Subscribe to citation updates

Read on this site (8)

Alessandra Ferrari. (2006) The internal market and hospital efficiency: a stochastic distance function approach. Applied Economics 38:18, pages 2121-2130.
Read now
Mehdi Farsi, Massimo Filippini & Michael Kuenzle. (2005) Unobserved heterogeneity in stochastic cost frontier models: an application to Swiss nursing homes. Applied Economics 37:18, pages 2127-2141.
Read now
Andrew Street & Rowena Jacobs. (2002) Relative performance evaluation of the English acute hospital sector. Applied Economics 34:9, pages 1109-1119.
Read now
Massimo Filippini. (2001) Economies of scale in the Swiss nursing home industry. Applied Economics Letters 8:1, pages 43-46.
Read now
ATSUSHI FUJ$suffix/text()$suffix/text() & MAKOTO OHTA. (1999) Stochastic cost frontier and cost inefficiency of Japanese hospitals: a panel data analysis. Applied Economics Letters 6:8, pages 527-532.
Read now
Martin Richardson, Joe Wallis, Tim Hazledine, Fred Gruen, Paul Scuffham & Martin Lally. (1997) Book reviews. New Zealand Economic Papers 31:2, pages 229-248.
Read now
Adam Wagstaff & Guillem López. (1996) Hospital costs in Catalonia: a stochastic frontier analysis. Applied Economics Letters 3:7, pages 471-474.
Read now
Massimo Filippini & Paola Prioni. (1994) Is Scale and Cost Inefficiency in the Swiss Bus Industry a Regulatory Problem? Evidence from a Frontier Cost Approach. International Journal of the Economics of Business 1:2, pages 219-232.
Read now

Articles from other publishers (47)

Saima Bashir, Muhammad Nasir, Katja Grasic, Marc Moulin & Shehzad Ali. (2022) Association between efficiency and quality of care of public healthcare facilities: Evidence from Pakistan. The International Journal of Health Planning and Management 37:4, pages 2240-2255.
Crossref
M. Ensar Yeşilyurt, Emre Şahin, M. Doğan Elbi, Aydın Kızılkaya, M. Ulaş Koyuncuoğlu & Filiz Akbaş-Yeşilyurt. (2021) A novel method for computing single output for DEA with application in hospital efficiency. Socio-Economic Planning Sciences 76, pages 100995.
Crossref
Shrabanti Maity, Nandini Ghosh & Ummey Rummana Barlaskar. (2020) Interstate disparities in the performances in combatting COVID-19 in India: efficiency estimates across states. BMC Public Health 20:1.
Crossref
Michael Rosko, Mona Al-Amin & Manouchehr Tavakoli. (2020) Efficiency and profitability in US not-for-profit hospitals. International Journal of Health Economics and Management 20:4, pages 359-379.
Crossref
Heba Nassar, Hala Sakr, Asmaa Ezzat & Pakinam Fikry. (2020) Technical efficiency of health-care systems in selected middle-income countries: an empirical investigation. Review of Economics and Political Science 5:4, pages 267-287.
Crossref
Manuel Martínez-Blanes, Francisco Javier Rondán-Cataluña & José Manuel Velarde-Gestera. (2020) Indicators of Efficiency in the Pharmaceutical Management of a Public Health System. Administrative Sciences 10:2, pages 31.
Crossref
Nazan TORUN, Yildiz AYANOĞLU & Murat ATAN. (2020) HASTANELERİN TÜRÜ VE GRUBU AÇISINDAN FİNANSAL ETKİNLİKLERİNİN VZA YÖNTEMİYLE DEĞERLENDİRİLMESİ - EVALUATION OF THE FINANCIAL EFFICIENCIES OF HOSPITALS THROUGH DATA ENVELOPMENT ANALYSIS METHOD IN TERMS OF THEIR TYPE AND GROUPTHE EVALUATION OF THE FINANCIAL EFFICIENCIES OF HOSPITALS THROUGH DATA ENVELOPMENT ANALYSIS METHOD IN TERMS OF THEIR TYPE AND GROUP - HASTANELERİN TÜRÜ VE GRUBU AÇISINDAN FİNANSAL ETKİNLİKLERİNİN VZA YÖNTEMİYLE DEĞERLENDİRİLMESİ. Mehmet Akif Ersoy Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi 7:1, pages 20-41.
Crossref
Alejandro Arvelo-Martín, Juan José Díaz-Hernández & Ignacio Abásolo-Alessón. (2019) Hospital productivity bias when not adjusting for cost heterogeneity: The case of Spain. PLOS ONE 14:6, pages e0218367.
Crossref
Michael Chletsos & Anna SaitiMichael Chletsos & Anna Saiti. 2019. Strategic Management and Economics in Health Care. Strategic Management and Economics in Health Care 233 255 .
Robert Stefko, Beata Gavurova & Kristina Kocisova. (2018) Healthcare efficiency assessment using DEA analysis in the Slovak Republic. Health Economics Review 8:1.
Crossref
Anamaria Aldea, Alexandra Limbău, Maria Daniela Tănăsescu, Mircea Tampa & Simona Roxana Georgescu. 2018. Informatics in Economy. Informatics in Economy 149 159 .
Roberto Colombi, Gianmaria Martini & Giorgio Vittadini. (2017) Determinants of transient and persistent hospital efficiency: The case of Italy. Health Economics 26, pages 5-22.
Crossref
Carmen de-Pablos-Heredero, Carlos Fernández-Renedo & Jose-Amelio Medina-Merodio. (2015) Technical Efficiency and Organ Transplant Performance: A Mixed-Method Approach. International Journal of Environmental Research and Public Health 12:5, pages 4869-4888.
Crossref
Shiva Raj Adhikari, Vishnu Prasad Sapkota & Siripen Supakankunti. (2015) A New Approach of Measuring Hospital Performance for Low- and Middle-income Countries. Journal of Korean Medical Science 30:Suppl 2, pages S143.
Crossref
Helda Azevedo & Céu Mateus. (2014) Economias de escala e de diversificação: uma análise da bibliografia no contexto das fusões hospitalares. Revista Portuguesa de Saúde Pública 32:1, pages 106-117.
Crossref
Paul Brocklehurst, Stephen Birch, Ruth McDonald & Martin Tickle. (2013) Determining the optimal model for role-substitution in NHS dental services in the United Kingdom. BMC Oral Health 13:1.
Crossref
David Lopez, Ralph Badinelli & Carlos F. Renedo. (2013) A Model for Estimating Productivity in Service Systems. Service Science 5:2, pages 179-192.
Crossref
Anne Hvenegaard, Jacob Nielsen Arendt, Andrew Street & Dorte Gyrd-Hansen. (2010) Exploring the relationship between costs and quality: Does the joint evaluation of costs and quality alter the ranking of Danish hospital departments?. The European Journal of Health Economics 12:6, pages 541-551.
Crossref
Galina Besstremyannaya. (2011) Managerial performance and cost efficiency of Japanese local public hospitals: A latent class stochastic frontier model. Health Economics 20:S1, pages 19-34.
Crossref
Ryan L. Mutter, Michael D. Rosko, William H. Greene & Paul W. Wilson. (2010) Translating Frontiers Into Practice: Taking the Next Steps Toward Improving Hospital Efficiency. Medical Care Research and Review 68:1_suppl, pages 3S-19S.
Crossref
Michael D. Rosko & Ryan L. Mutter. (2010) What Have We Learned From the Application of Stochastic Frontier Analysis to U.S. Hospitals?. Medical Care Research and Review 68:1_suppl, pages 75S-100S.
Crossref
Mehdi Farsi, Massimo Filippini & Diego Lunati. (2008) Economies of Scale and Efficiency Measurement in Switzerland’s Nursing Homes. Swiss Journal of Economics and Statistics 144:3, pages 359-378.
Crossref
Niccie L. McKay & Mary E. Deily. (2007) Cost inefficiency and hospital health outcomes. Health Economics 17:7, pages 833-848.
Crossref
Michael D. Rosko & Ryan L. Mutter. (2007) Stochastic Frontier Analysis of Hospital Inefficiency. Medical Care Research and Review 65:2, pages 131-166.
Crossref
Mehdi Farsi & Massimo Filippini. (2007) Effects of ownership, subsidization and teaching activities on hospital costs in Switzerland. Health Economics 17:3, pages 335-350.
Crossref
V?ctor M. Gim?nez-Garc?a, Jos? Luis Mart?nez-Parra & Frank P. Buffa. (2007) Improving resource utilization in multi-unit networked organizations: The case of a Spanish restaurant chain. Tourism Management 28:1, pages 262-270.
Crossref
Luigi Siciliani. (2006) Estimating Technical Efficiency in the Hospital Sector with Panel Data. Applied Health Economics and Health Policy 5:2, pages 99-116.
Crossref
Brigitte Dormont & Carine Milcent. (2004) The sources of hospital cost variability. Health Economics 13:10, pages 927-939.
Crossref
Mehdi Farsi & Massimo Filippini. (2004) An Empirical Analysis of Cost Efficiency in Non‐profit and Public Nursing Homes. Annals of Public and Cooperative Economics 75:3, pages 339-365.
Crossref
Andrew C. Worthington. (2016) Frontier Efficiency Measurement in Health Care: A Review of Empirical Techniques and Selected Applications. Medical Care Research and Review 61:2, pages 135-170.
Crossref
Andrew Street. (2002) How much confidence should we place in efficiency estimates?. Health Economics 12:11, pages 895-907.
Crossref
Michael D. Rosko. (2016) Impact of HMO Penetration and Other Environmental Factors on Hospital X-Inefficiency. Medical Care Research and Review 58:4, pages 430-454.
Crossref
Sherman T. Folland & Richard A. Hofler. (2001) How reliable are hospital efficiency estimates? Exploiting the dual to homothetic production. Health Economics 10:8, pages 683-698.
Crossref
Michael D. Rosko. (2001) Cost efficiency of US hospitals: a stochastic frontier approach. Health Economics 10:6, pages 539-551.
Crossref
W. David Bradford, Andrew N. Kleit, Marie A. Krousel-Wood & Richard N. Re. (2001) Stochastic Frontier Estimation of Cost Models Within the Hospital. Review of Economics and Statistics 83:2, pages 302-309.
Crossref
Antreas Athanassopoulos & Chrysostomos Gounaris. (2001) Assessing the technical and allocative efficiency of hospital operations in Greece and its resource allocation implications. European Journal of Operational Research 133:2, pages 416-431.
Crossref
Andrew M. Jones. 2000. 265 344 .
Guillem López-Casasnovas & Marc Saez. (1999) The impact of teaching status on average costs in Spanish hospitals. Health Economics 8:7, pages 641-651.
Crossref
SHEKHAR MEHTA & J. FRED GIERTZ. (1996) MEASURING THE PERFORMANCE OF THE PROPERTY TAX ASSESSMENT PROCESS. National Tax Journal 49:1, pages 73-85.
Crossref
Donald F. Vitaliano & Mark Toren. (1994) Frontier analysis: A reply to Skinner, Dor and Newhouse. Journal of Health Economics 13:3, pages 341-343.
Crossref
Melissa Ahern. (1993) The softness of medical production and implications for specifying hospital outputs. Journal of Economic Behavior & Organization 20:3, pages 281-294.
Crossref
Brijesh C. Purohit & Vandana Rai. (2006) Operating efficiency in inpatient care: An exploratory analysis of teaching hospitals in Rajasthan, India. The International Journal of Health Planning and Management 7:2, pages 149-162.
Crossref
Michael M. Barrow. (1991) Measuring local education authority performance: A frontier approach. Economics of Education Review 10:1, pages 19-27.
Crossref
Alfons Weersink, Calum G. Turvey & Abdulahi Godah. (2008) Decomposition Measures of Technical Efficiency for Ontario Dairy Farms. Canadian Journal of Agricultural Economics/Revue canadienne d'agroeconomie 38:3, pages 439-456.
Crossref
Guillem López Casasnovas & Marc Saez. (1998) Finance Versus Costs for Teaching Hospitals in Spain. SSRN Electronic Journal.
Crossref
Guillem Lopez, Ivan Planas & Joan Costa i Font. (2004) Diversity and Regional Inequalities: Assessing the Outcomes of the Spanish 'System of Health Care Services'. SSRN Electronic Journal.
Crossref
Hiroyuki Kawaguchi, Shinya Matsuda & Hideki Hashimoto. (2011) Efficiency Measurement Using Diagnosis Procedure Combination (DPC) Data and the Evaluation of Hospital Functions. SSRN Electronic Journal.
Crossref

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Order Reprints Request Corporate Permissions

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

Request Academic Permissions

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.

Related research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.