Heterogeneity in Hospitals' Responses to a Financial Reform: A Random Coefficient Analysis of The Impact of Activity-Based Financing on Efficiency

The paper examines the heterogeneity with respect to the impact of a financial reform - Activity Based Financing (ABF) - on hospital efficiency in Norway. Measures of technical efficiency and of cost-efficiency are considered. The data set is from a contiguous ten-year panel of 47 hospitals covering both pre-ABF years and years after its imposition. Substantial heterogeneity in the responses, as measured by both estimated and predicted coefficients, is found. Rank correlations between the estimated/predicted coefficients of the ABF dummy and the pre-ABF/post-ABF efficiencies are examined. Overall, improvement seems to be more pronounced in technical efficiency than in cost-efficiency.

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Year of publication:	2006
Authors:	Biorn, Erik ; Hagen, Terje P. ; Iversen, Tor ; Magnussen, Jon

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Type of publication:	Book / Working Paper
Language:	English
Notes:	Biorn, Erik and Hagen, Terje P. and Iversen, Tor and Magnussen, Jon (2006): Heterogeneity in Hospitals' Responses to a Financial Reform: A Random Coefficient Analysis of The Impact of Activity-Based Financing on Efficiency. Published in: HERO Working Paper No. 2006:9 (2006): pp. 1-34.
Classification:	H51 - Government Expenditures and Health ; I12 - Health Production: Nutrition, Mortality, Morbidity, Substance Abuse and Addiction, Disability, and Economic Behavior ; I18 - Government Policy; Regulation; Public Health ; C23 - Models with Panel Data ; C33 - Models with Panel Data
Source:	BASE

Persistent link: https://www.econbiz.de/10015257635