PubMed · 16366452
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Alain F Junod. 2005-11-23. [Is quality control efficacious?].. https://pubmed.ncbi.nlm.nih.gov/16366452/
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In this paper we attempt to identify behavioral differences between public and private not-for-profit hospitals, by exploiting the introduction of the DRG-based payment system in the Italian NHS during the second half of the 1990s. We estimate the technical efficiency of a sample of hospitals for the period 1995-2000 considering an output distance function, and adopting both parametric (COLS and SF) and nonparametric (DEA) approaches. Our results show a convergence of mean efficiency scores between not-for-profit and public hospitals, and seem to suggest that differences in economic performances between competing ownership forms are more the result of the institutional settings in which they operate than the effect of the incentive structures embedded in the different proprietary forms. We also observe a decline in technical efficiency, probably due to policies aimed at reducing hospitalization rates.
Economic evaluation has become an integral component of health service research in recent years and will no doubt become more influential. As resources are reduced in health services, more questions are likely to be asked on the costs and benefits of new treatments. Questions are also likely to be aimed at treatments that are currently provided. Economics related to health care is complex and numerous methods of economic evaluation exist. Full economic evaluation involves the assessment of both costs and outcomes and is ideal for comparing the efficiency of treatments. Partial evaluations can also provide useful information on the contribution of component costs to treatment costs as a whole. The aim of this review is to assess the various methods available to evaluate the economics of health care and to place in context how these methods may be used within dentistry.
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