 The focus efficiency of U.S. HospitalsGary Ferrier, Hervé Leleu, J. Moises and Vivian Valdmanis Post-Print from HAL Abstract: Hospital productivity has been a research topic for over two decades. Whereas much has been learned regarding cost, technical, scale, and allocative efficiency as well as the impact that weakly disposable inputs/outputs have on hospital behavior, we expand on this research by examining size and service offering, or focus, efficiency at the metropolitan area level for US hospitals. By using an extension of the Free Coordination Hull (FCH), we are able to determine whether hospitals in our sample could become more efficient if they provided more services (reduce inefficiency due to too narrow a focus) or fewer services (reduce inefficiency due to too broad a focus). Our results suggest that findings vary among the hospital markets. This approach could be used by policy makers and managers in order to reduce costs by sharing services, reducing services in hospitals, or expanding services in hospitals. Findings from a study such as this should aid reform programs by providing more information on the sources of hospital inefficiency. Keywords: Hospital efficiency; Economies of scope; Focus efficiency; Free coordination hull (FCH) (search for similar items in EconPapers) Published in Atlantic Economic Journal, 2013, 41 (3), pp.241-263. ⟨10.1007/s11293-013-9385-z⟩ There are no downloads for this item, see the EconPapers FAQ for hints about obtaining it. Related works: Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01052726 DOI: 10.1007/s11293-013-9385-z Access Statistics for this paper More papers in Post-Print from HAL |
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