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Environmental factors and productivity on Dutch hospitals: a semi-parametric approach
This paper describes the efficiency of Dutch hospitals using the method of Data Envelopment Analysis (DEA). In particular the analysis focuses on explaining cost inefficiency measures due to each hospital’s operating environment. In previous works, the resulting DEA score is regressed on environment...
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Formato: | Texto |
Lenguaje: | English |
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Springer US
2009
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2819656/ https://www.ncbi.nlm.nih.gov/pubmed/20402280 http://dx.doi.org/10.1007/s10729-009-9104-0 |
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author | Blank, Jos L. T. Valdmanis, Vivian G. |
author_facet | Blank, Jos L. T. Valdmanis, Vivian G. |
author_sort | Blank, Jos L. T. |
collection | PubMed |
description | This paper describes the efficiency of Dutch hospitals using the method of Data Envelopment Analysis (DEA). In particular the analysis focuses on explaining cost inefficiency measures due to each hospital’s operating environment. In previous works, the resulting DEA score is regressed on environmental factors via a Tobit approach. Previously, these approaches have been used (Simar and Wilson, J Prod Anal 7(1):63–80, 2000) but later these authors (Simar and Wilson 2007) demonstrated that bias is incurred since the efficiency score is a point estimate without a probability distribution around it that is required by the Tobit methodology. In this paper we use the Simar and Wilson bootstrapping techniques in order to obtain more efficient estimates of the environmental effects. It is shown that differences in estimated effects exist between the non-bootstrapped and bootstrapped models. |
format | Text |
id | pubmed-2819656 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-28196562010-02-18 Environmental factors and productivity on Dutch hospitals: a semi-parametric approach Blank, Jos L. T. Valdmanis, Vivian G. Health Care Manag Sci Article This paper describes the efficiency of Dutch hospitals using the method of Data Envelopment Analysis (DEA). In particular the analysis focuses on explaining cost inefficiency measures due to each hospital’s operating environment. In previous works, the resulting DEA score is regressed on environmental factors via a Tobit approach. Previously, these approaches have been used (Simar and Wilson, J Prod Anal 7(1):63–80, 2000) but later these authors (Simar and Wilson 2007) demonstrated that bias is incurred since the efficiency score is a point estimate without a probability distribution around it that is required by the Tobit methodology. In this paper we use the Simar and Wilson bootstrapping techniques in order to obtain more efficient estimates of the environmental effects. It is shown that differences in estimated effects exist between the non-bootstrapped and bootstrapped models. Springer US 2009-04-24 2010 /pmc/articles/PMC2819656/ /pubmed/20402280 http://dx.doi.org/10.1007/s10729-009-9104-0 Text en © The Author(s) 2009 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. |
spellingShingle | Article Blank, Jos L. T. Valdmanis, Vivian G. Environmental factors and productivity on Dutch hospitals: a semi-parametric approach |
title | Environmental factors and productivity on Dutch hospitals: a semi-parametric approach |
title_full | Environmental factors and productivity on Dutch hospitals: a semi-parametric approach |
title_fullStr | Environmental factors and productivity on Dutch hospitals: a semi-parametric approach |
title_full_unstemmed | Environmental factors and productivity on Dutch hospitals: a semi-parametric approach |
title_short | Environmental factors and productivity on Dutch hospitals: a semi-parametric approach |
title_sort | environmental factors and productivity on dutch hospitals: a semi-parametric approach |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2819656/ https://www.ncbi.nlm.nih.gov/pubmed/20402280 http://dx.doi.org/10.1007/s10729-009-9104-0 |
work_keys_str_mv | AT blankjoslt environmentalfactorsandproductivityondutchhospitalsasemiparametricapproach AT valdmanisviviang environmentalfactorsandproductivityondutchhospitalsasemiparametricapproach |