This paper measures the metafrontier total-factor energy efficiency (TFEE) of 47 regions in Japan for the period 1996-2008, using the stochastic frontier analysis (SFA). The two-step output-oriented SFA approach by Huang et al. (J Prod Anal 42:241-254, 2014) is followed but converted into a...

In the last decades, demographic change coupled with new and expensive medical innovations have put most health care systems in developed countries under financial pressure. Therefore, ensuring efficient service provision is essential for a sustainable health care system. This paper investigates...

This paper measures the metafrontier total-factor energy efficiency (TFEE) of 47 regions in Japan for the period 1996–2008, using the stochastic frontier analysis (SFA). The two-step output-oriented SFA approach by Huang et al. (J Prod Anal 42:241–254, 2014) is followed but converted into a...

In the last decades, demographic change coupled with new and expensive medical innovations have put most health care systems in developed countries under financial pressure. Therefore, ensuring efficient service provision is essential for a sustainable health care system. This paper investigates...