Bitte verwenden Sie diesen Link, um diese Publikation zu zitieren, oder auf sie als Internetquelle zu verweisen: https://hdl.handle.net/10419/45011 
Erscheinungsjahr: 
2011
Schriftenreihe/Nr.: 
Economics Working Paper No. 2011-03
Verlag: 
Kiel University, Department of Economics, Kiel
Zusammenfassung: 
The introduction of hospital reimbursement based on diagnosis related groups (DRG) in 2004 has been a conspicuous attempt to increase hospital efficiency in the German health sector. In this paper changes of hospital efficiency, quantified as a Malmquist index decomposition in pure technical efficiency change, are analyzed for periods before and after the reform. We implement a two-stage semi-parametric efficiency model that allows for spatial interdependence among hospitals. The results reveal an enhancement in overall efficiency after the DRG introduction. Moreover, an increase in the magnitude of negative spatial spillovers among German hospital performance can be diagnosed. This result is in line with a rise of competition for (low cost) patients.
Schlagwörter: 
hospital effciency
data envelopment analysis
spatial analysis
diagnosis related groups
JEL: 
C21
D61
I11
I18
Dokumentart: 
Working Paper

Datei(en):
Datei
Größe
406.02 kB





Publikationen in EconStor sind urheberrechtlich geschützt.