EconStor >
Rheinisch-Westfälisches Institut für Wirtschaftsforschung (RWI), Essen >
Ruhr Economic Papers, RWI >

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10419/29903
  
Title:Regional differences in the efficiency of health production: an artefact of spatial dependence? PDF Logo
Authors:Felder, Stefan
Tauchmann, Harald
Issue Date:2009
Series/Report no.:Ruhr economic papers 112
Abstract:The inefficiency of health care provision presents a major health policy concern in Germany. In order to address the issue of efficiency comprehensively - i.e. at the level of the entire system of health care provision rather than individual service providers - empirical analyses are often based on data at the regional level. However, regional efficiencies might be subject to spatial dependence, rendering any analysis biased that aims at identifying the determinants of efficiency differentials. We address this issue by specifying a spatial auto- regressive model to explain efficiency scores for German districts which we derive through data envelopment analysis. Regression results suggest that spatial dependence is not a dominant feature in the data. Hence, ignoring spatial interdependence is unlikely to severely bias results of efficiency analyses based on regional data. This holds, in particular, for the role of the states in the efficiency of health production. Significant heterogeneity among states is found in the data regardless of whether or not spatial dependence is accounted for.
Subjects:Health production
data envelopment analysis
spatial auto- regressive model
JEL:I12
R10
ISBN:978-3-86788-125-8
Document Type:Working Paper
Appears in Collections:Publikationen von Forscherinnen und Forschern des RWI
Ruhr Economic Papers, RWI

Files in This Item:
File Description SizeFormat
603423337.PDF1.22 MBAdobe PDF
No. of Downloads: Counter Stats
Download bibliographical data as: BibTeX
Share on:http://hdl.handle.net/10419/29903

Items in EconStor are protected by copyright, with all rights reserved, unless otherwise indicated.