Spatial heterogeneity in non-parametric efficiency: An application to Italian hospitals.
Conditional non-parametric efficiency
Health sector
Productive efficiency
Spatial heterogeneity
Journal
Social science & medicine (1982)
ISSN: 1873-5347
Titre abrégé: Soc Sci Med
Pays: England
ID NLM: 8303205
Informations de publication
Date de publication:
10 2019
10 2019
Historique:
received:
09
04
2019
revised:
30
07
2019
accepted:
07
09
2019
pubmed:
23
9
2019
medline:
29
8
2020
entrez:
23
9
2019
Statut:
ppublish
Résumé
This paper introduces a new empirical procedure for the estimation of hospitals' technical efficiency in presence of spatial heterogeneity. We propose a methodology that allows treating spatial heterogeneity independently of a predetermined reference to administrative borders. We define geographical spatial regimes, characterised by spatial proximity and homogeneity of relevant demand characteristics, within which to assess the efficiency of hospitals. The methodology has then been tested on a large sample of Italian hospitals, for which their production efficiency has been assessed within homogeneous demand areas.
Identifiants
pubmed: 31542651
pii: S0277-9536(19)30538-6
doi: 10.1016/j.socscimed.2019.112544
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
112544Informations de copyright
Copyright © 2019 Elsevier Ltd. All rights reserved.