How to detect hospitals where quality would not be jeopardized by health cost savings? A methodological approach using DEA with SBM analysis

M. Isabel Ortega-Díaz and Juan Carlos Martín

Health Policy, 2022, vol. 126, issue 10, 1069-1074

Abstract: In Spain the health care cuts have been the norm after the international economic crisis. The aim of this study is fourfold: (1) to measure hospital performance analysing two different perspectives: technical efficiency and quality; (2) to determine how technically efficient hospitals operate when faced with undesirable production; (3) to determine whether a potential trade-off between efficiency and quality exists or not; and (4) to propose a methodology to detect which hospitals could reduce their running costs without jeopardizing the quality of the services provided. Budget cutbacks imposed in Spain should focus solely on these hospitals, unless an increase in undesirable production is considered acceptable.

Keywords: Hospitals; Technical efficiency; Undesirable output; Slacks-based measure of efficiency model (search for similar items in EconPapers)
Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:126:y:2022:i:10:p:1069-1074

DOI: 10.1016/j.healthpol.2022.07.010

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