ArticleHealth care management science2010
How different are hospitals' responses to a financial reform? The impact on efficiency of activity-based financing.
Article in Health care management science, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Effects of Hospital Payment Reform of Government Budget Allocation and Social Health Insurance in a Pilot in China.International journal of health policy and management · 2025Article
- Identifying individuals with complex and long-term health-care needs using the Johns Hopkins Adjusted Clinical Groups System: A comparison of data from primary and specialist health care.Scandinavian journal of public health · 2024Article
- Article
- It probably worked: a Bayesian approach to evaluating the introduction of activity-based hospital payment in Israel.Israel journal of health policy research · 2022Article
- Analytical methods to assess the impacts of activity-based funding (ABF): a scoping review.Health economics review · 2021Article
- Technical Efficiency of Regional Public Hospitals in China Based on the Three-Stage DEA.International journal of environmental research and public health · 2020Article
- Article
- The use of Data Envelopment Analysis (DEA) in healthcare with a focus on hospitals.Health care management science · 2019Review
- Does prospective payment increase hospital (in)efficiency? Evidence from the Swiss hospital sector.The European journal of health economics : HEPAC : health economics in prevention and care · 2015Article
- Hospital efficiency under prospective reimbursement schemes: an empirical assessment for the case of Germany.The European journal of health economics : HEPAC : health economics in prevention and care · 2014Article
- The effect of activity-based financing on hospital length of stay for elderly patients suffering from heart diseases in Norway.BMC health services research · 2013Article
- Prelude to a systematic review of activity-based funding of hospitals: potential effects on cost, quality, access, efficiency, and equity.Open medicine : a peer-reviewed, independent, open-access journal · 2013Article
- Review of Diagnosis-Related Group-Based Financing of Hospital Care.Health services research and managerial epidemiologyArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
For policy-makers the heterogeneity of hospital response to reforms is of crucial concern. Even though a reform may entail a positive effect on average efficiency, policy-makers will consider the reform as less attractive if the variation in hospital efficiency increases. The reason is that increased variance of efficiency across hospitals is likely to increase the impact of geography on access to hospital services. This paper examines the heterogeneity with respect to the impact of a financial reform-Activity Based Financing (ABF)-on hospital efficiency in Norway. From a theoretical model we find an ambiguous effect of hospital heterogeneity on the effect of ABF on efficiency. The data set is from a contiguous 10-year panel of 47 hospitals covering both pre-ABF years and years after its imposition. Substantial heterogeneity in the responses, as measured by both estimated and predicted coefficients, is found. We did not find any significant correlation between pre-ABF measures of efficiency and the effect of ABF on efficiency. We did however find a strongly significant correlation between the effect of ABF and post-ABF efficiency. Thus, the analysis confirms the impression that, whereas pre-ABF efficiency did not play any role in how hospitals responded to ABF, those responding generally ended up as better-performing hospitals. Hence, for the type of reform studied in this article we find that policy-makers do not need to worry about the impact of location on patients' access to hospital services.
Indexed as
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.