ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2014
Hospital efficiency under prospective reimbursement schemes: an empirical assessment for the case of Germany.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed.
- "More work means less pay": a qualitative understanding of physicians' patient selection decision-making under DRG reform in Nanjing, China.International journal for equity in health · 2026Article
- Analyzing the effect of health reforms on the efficiency of Ecuadorian public hospitals.International journal of health economics and management · 2023Article
- Does competition improve hospital performance: a DEA based evaluation from the Netherlands.The European journal of health economics : HEPAC : health economics in prevention and care · 2023Article
- Development of a novel hospital payment system - Big data diagnosis & intervention Packet.Health policy OPEN · 2022Article
- Configuration Analysis of Influencing Factors of Technical Efficiency Based on DEA and fsQCA: Evidence from China's Medical and Health Institutions.Risk management and healthcare policy · 2021Article
- Nonparametric estimation of a primary care production function in urban Brazil.Health economics review · 2020Article
- Provision of health care services and regional diversity in Germany: insights from a Bayesian health frontier analysis with spatial dependencies.The European journal of health economics : HEPAC : health economics in prevention and care · 2020Article
- Road map for progress and attractiveness of Iranian hospitals by integrating self-organizing map and context-dependent DEA.Health care management science · 2019Article
- The use of Data Envelopment Analysis (DEA) in healthcare with a focus on hospitals.Health care management science · 2019Review
- A trend analysis of surgical operations under a global payment system in Tehran, Iran (2005-2015).Electronic physician · 2018Article
- Article
- A New Strategy to Evaluate Technical Efficiency in Hospitals Using Homogeneous Groups of Casemix : How to Evaluate When There is Not DRGs?Journal of medical systems · 2016Article
- 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
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2 authors.
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Abstract
The introduction of prospective hospital reimbursement based on diagnosis-related groups (DRG) has been a conspicuous attempt to decelerate the steady increase of hospital expenditures in the German health sector. In this work, the effect of the financial reform on hospital efficiency is subjected to empirical testing by means of two complementary testing approaches. On the one hand, we apply a two-stage procedure based on non-parametric efficiency measurement. On the other hand, a stochastic frontier model is employed that allows a one-step estimation of both production frontier parameters and inefficiency effects. To identify efficiency gains as a consequence of changes in the hospital incentive structure, we account for technological progress, spatial dependence and hospital heterogeneity. The results of both approaches do not reveal any increase in overall efficiency after the DRG reform. In contrast, a significant decline in overall hospital efficiency over time is observed.
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