Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/148359
Authors: 
Felder, Stefan
Tauchmann, Harald
Year of Publication: 
2013
Citation: 
[Journal:] The European Journal of Health Economics [ISSN:] 1618-7601 [Volume:] 14 [Issue:] 1 [Pages:] 21-39
Abstract: 
Due to regional competition and patient migration, the efficiency of healthcare provision at the regional level is subject to spatial dependence. We address this issue by applying a spatial autoregressive model to longitudinal data from Germany at the district (`Kreis') level. The empirical model is specified to explain efficiency scores, which we derive through non-parametric order-m efficiency analysis of regional health production. The focus is on the role of health policy of federal states (`Bundesl{\"a}nder') for district efficiency. Regression results reveal significant spatial spillover effects. Notably, accounting for spatial dependence does not decrease but increases the estimated effect of federal states on district efficiency. It appears that genuinely more efficient states are less affected by positive efficiency spillovers, so that taking into account spatial dependence clarifies the importance of health policy at the state level.
Subjects: 
Health production
Order-m efficiency
Spatial autoregressive model
JEL: 
I12
R10
Persistent Identifier of the first edition: 
Document Type: 
Article

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