ArticleHealth care management science2014
Efficiency, ownership, and financing of hospitals: the case of Austria.
Article in Health care management science, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Approach in inputs & outputs selection of Data Envelopment Analysis (DEA) efficiency measurement in hospitals: A systematic review.PloS one · 2024Pooled it
- Good intentions and the costs of inaction: Financial protection in Austria.Health policy OPEN · 2026Article
- The Impact of Autonomy Reform on the Efficiency of Public Hospitals in China: A DEA-ITSA Combination Analysis.Risk management and healthcare policy · 2025Article
- The effect of COVID-19 on public hospital revenues in Iran: An interrupted time-series analysis.PloS one · 2022Article
- Working Conditions and Satisfaction with Working Conditions among Slovenian Family Medicine Trainees: A Cross-sectional Study.Zdravstveno varstvo · 2021Article
- Efficiency and Productivity of Public Hospitals in Serbia Using DEA-Malmquist Model and Tobit Regression Model, 2015-2019.International journal of environmental research and public health · 2021Article
- Multilevel Zero-One Inflated Beta Regression Model for the Analysis of the Relationship between Exogenous Health Variables and Technical Efficiency in the Spanish National Health System Hospitals.International journal of environmental research and public health · 2021Article
- Efficiency and Productivity Change of Public Hospitals in Panama: Do Management Schemes Matter?International journal of environmental research and public health · 2021Article
- The Impact of Public Reporting Schemes and Market Competition on Hospital Efficiency.Healthcare (Basel, Switzerland) · 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
- Technical Efficiency of Regional Public Hospitals in China Based on the Three-Stage DEA.International journal of environmental research and public health · 2020Article
- Investigating the link between medical urgency and hospital efficiency - Insights from the German hospital market.Health care management science · 2020Article
- Brazilian hospitals' performance: an assessment of the unified health system (SUS).Health care management science · 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
- Article
- Technical Efficiency of Public and Private Hospitals in Beijing, China: A Comparative Study.International journal of environmental research and public health · 2019Article
- Technical efficiency of neonatal health services in primary health care facilities of Southwest Ethiopia: a two-stage data envelopment analysis.Health economics review · 2019Article
- The use of Data Envelopment Analysis (DEA) in healthcare with a focus on hospitals.Health care management science · 2019Review
- Article
- MUW researcher of the month.Wiener klinische Wochenschrift · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
While standard economic theory posits that privately owned hospitals are more efficient than their public counterparts, no clear conclusion can yet be drawn for Austria in this regard. As previous Austrian efficiency studies rely on data from the 1990s only and are based on small hospital samples, the generalizability of these results is questionable. To examine the impact of ownership type on efficiency, we apply a Data Envelopment Analysis which extends the existing literature in two respects: first, it evaluates the efficiency of the Austrian acute care sector, using data on 128 public and private non-profit hospitals from the year 2010; second, it additionally focusses on the inpatient sector alone, thus increasing the comparability between hospitals. Overall, the results show that in Austria, private non-profit hospitals outperform public hospitals in terms of technical efficiency. A multiple regression analysis confirms the significant association between efficiency and ownership type. This conclusive result contrasts some international evidence and can most likely be attributed to differences in financial incentives for public and private non-profit hospitals in Austria. Therefore, by drawing on the example of the Austrian acute care hospital sector and existing literature on the German acute care hospital sector, we also discuss the impact of hospital financing systems and their incentives on efficiency. This paper thus also aims at providing a proof of principle, pointing out the importance of the respective market conditions when internationally comparing hospital efficiency by ownership type.
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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.