Efficiency Measurement in Health and Health Care

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  • Edition: 1st
  • Format: Hardcover
  • Copyright: 2008-03-07
  • Publisher: Routledge

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In recent decades, healthcare has become an ever more important subject as the ageing population in the developed world takes centre stage, and the perceived lack of efficiency and money-wasting present in many healthcare systems comes under the microscope. This key text skilfully leads the reader through the logical links between the economic theory underpinning efficiency measurement and the methods used in its analysis. In examining the current state of efficiency measurement and pointing a well thought out way forward, this book will appeal to a wide audience of academics, practitioners and students involved in health economics and public health studies.

Table of Contents

List of figuresp. vii
List of tablesp. ix
Forewordp. x
Acknowledgementsp. xiii
Introductionp. 1
Why measure efficiency in the health sector?p. 3
Outline of the bookp. 4
Health and efficiency conceptsp. 8
Introductionp. 8
The economic theory of productionp. 8
Production and efficiency in the single-output modelp. 9
Production and efficiency in the multi-output modelp. 14
The production of health and health carep. 21
Health outcomes and health-care outputsp. 23
Efficiency, health and health carep. 25
Efficiency measurement techniquesp. 28
Introductionp. 28
Efficiency measurement and Farrellp. 29
Ordinary least squares (OLS) regressionp. 31
Data envelopment analysisp. 31
Stochastic frontier analysisp. 39
Comparing frontier techniquesp. 41
Measuring efficiency in health servicesp. 43
Introductionp. 43
Feedback to individual unitsp. 60
Feedback of resultsp. 65
Software reviewp. 70
Summary and conclusionsp. 75
Appendixp. 76
Application of efficiency measurement in health servicesp. 82
Introductionp. 82
Backgroundp. 83
Applicationsp. 83
Summary and conclusionsp. 101
Appendixp. 103
Advanced applications and recent developmentsp. 118
Introductionp. 118
Comparison of the different methods of analysis and their policy implicationsp. 119
Economies of scale and scopep. 125
Weight restriction in DEAp. 128
The efficient production of healthp. 130
Analysis of different health-care measuresp. 133
Summaryp. 133
Future directionsp. 135
Notesp. 139
Bibliographyp. 140
Indexp. 155
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