Does neighbours' grass matter? Testing spatial dependent heterogeneity in technical efficiency of Italian hospitals.
Hospital technical efficiency
Regional effects
Spatial stochastic frontier
Journal
Social science & medicine (1982)
ISSN: 1873-5347
Titre abrégé: Soc Sci Med
Pays: England
ID NLM: 8303205
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
revised:
26
10
2020
accepted:
05
11
2020
pubmed:
22
11
2020
medline:
28
4
2021
entrez:
21
11
2020
Statut:
ppublish
Résumé
Testing for spatial dependent heterogeneity in hospital technical efficiency is crucial for separating spatial issues from the effects of regional institutional factors. We apply the Spatial Stochastic Frontier Analysis for studying the presence of spatial dependence by using novel data on Italian hospitals. This approach provides both a robust estimation of hospital technical efficiency and a careful assessment of spatial and regional issues. We find empirical support for the idea that regional and institutional factors are more important than neighbouring effects when looking at heterogeneity in hospital technical efficiency across Italy. The relevance of the regional organization of the Italian hospital system can justify our results. We also discuss the limitations of our analysis and provide sensitivity checks.
Identifiants
pubmed: 33218889
pii: S0277-9536(20)30725-5
doi: 10.1016/j.socscimed.2020.113506
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
113506Informations de copyright
Copyright © 2020 Elsevier Ltd. All rights reserved.