ArticleHealth care management science2012
Changes in hospital efficiency after privatization.
Article in Health care management science, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Integrated Analysis of Healthcare Efficiency: A Systematic Review.Journal of medical systems · 2017Pooled it
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- Impact of pilot public hospital reform on efficiencies: a DEA analysis of county hospitals in East China, 2009-2015.Health economics review · 2025Article
- Impact on healthcare and operational outcomes of outsourcing to a private value-based provider: analysis of tertiary hospitals in the Community of Madrid.Frontiers in public health · 2025Article
- Efficiency effects of public hospital closures in the context of public hospital reform: a multistep efficiency analysis.Health care management science · 2024Article
- New Public Management and hospital efficiency: the case of Norwegian public hospital trusts.BMC health services research · 2024Article
- Relationship between Racial Diversity in Medical Staff and Hospital Operational Efficiency: An Empirical Study of 3870 U.S. Hospitals.Behavioral sciences (Basel, Switzerland) · 2023Article
- An econometric approach to aggregating multiple cardiovascular outcomes in German hospitals.The European journal of health economics : HEPAC : health economics in prevention and care · 2023Article
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- A Cohort Study of the Relationship between Active Collaboration and Operational Efficiency in Japanese Public Health Institutions.JMA journal · 2022Article
- Selecting the most suitable organizational structure for hospitals: an integrated fuzzy FUCOM-MARCOS method.Cost effectiveness and resource allocation : C/E · 2022Article
- Hospital management by health services management graduates: the change paradigm in Iran.Heliyon · 2021Article
- Efficiency Comparison of Public Hospitals under Different Administrative Affiliations in China: A Pilot City Case.Healthcare (Basel, Switzerland) · 2021Article
- Autonomy, accountability, and competition: The privatisation of the Saudi health care system.Journal of Taibah University Medical Sciences · 2021Article
- Countries' experiences in reforming hospital administration structure based on the Parker and Harding model: A systematic review study.Journal of education and health promotion · 2021Review
- Efficiency in chronic illness care coordination: public-private collaboration models vs. traditional management.BMC health services research · 2020Article
- Multilevel Analysis of the Relationship between Ownership Structure and Technical Efficiency Frontier in the Spanish National Health System Hospitals.International journal of environmental research and public health · 2020Article
- Technical Efficiency of Public and Private Hospitals in Beijing, China: A Comparative Study.International journal of environmental research and public health · 2019Article
- Impact of Global Budget Revenue Policy on Emergency Department Efficiency in the State of Maryland.The western journal of emergency medicine · 2019Article
- Productivity growth and quality changes of hospitals in Taiwan: does ownership matter?Health care management science · 2019Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We investigated the effects of privatization on hospital efficiency in Germany. To do so, we obtained boot-strapped data envelopment analysis (DEA) efficiency scores in the first stage of our analysis and subsequently employed a difference-in-difference matching approach within a panel regression framework. Our findings show that conversions from public to private for-profit status were associated with an increase in efficiency of between 2.9 and 4.9%. We defined four alternative post-privatization periods and found that the increase in efficiency after a conversion to private for-profit status appeared to be permanent. We also observed an increase in efficiency for the first three years after hospitals were converted to private non-profit status, but our estimations suggest that this effect was rather transitory. Our findings also show that the efficiency gains after a conversion to private for-profit status were achieved through substantial decreases in staffing ratios in all analyzed staff categories with the exception of physicians and administrative staff. It was also striking that the efficiency gains of hospitals converted to for-profit status were significantly lower in the diagnosis-related groups (DRG) era than in the pre-DRG era. Altogether, our results suggest that converting hospitals to private for-profit status may be an effective way to ensure the scarce resources in the hospital sector are used more efficiently.
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