ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2015
Did the corporatization of Portuguese hospitals significantly change their productivity?
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Integrated Analysis of Healthcare Efficiency: A Systematic Review.Journal of medical systems · 2017Pooled it
- Assessing the performance of Portuguese public hospitals before and during COVID-19 outbreak, with optimistic and pessimistic benchmarking approaches.Health care management science · 2025Article
- Assessing the impact of COVID-19 on the efficiency of Portuguese state-owned enterprise hospitals.Socio-economic planning sciences · 2022Article
- Efficiency and Productivity Change of Public Hospitals in Panama: Do Management Schemes Matter?International journal of environmental research and public health · 2021Article
- An Incentive-Based Framework for Analyzing the Alignment of Institutional Interventions in the Public Primary Healthcare Sector: The Portuguese Case.Healthcare (Basel, Switzerland) · 2021Article
- A critical look at the Portuguese public-private partnerships in healthcare.The International journal of health planning and management · 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
- The Determinants of the Technical Efficiency of Acute Inpatient Care in Canada.Health services research · 2018Article
- Identifying congestion levels, sources and determinants on intensive care units: the Portuguese case.Health care management science · 2018Article
- Competition in the Dutch hospital sector: an analysis of health care volume and cost.The European journal of health economics : HEPAC : health economics in prevention and care · 2017Article
- Should inpatients be adjusted by their complexity and severity for efficiency assessment? Evidence from Portugal.Health care management science · 2016Article
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Authors and funding
2 authors.
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Abstract
This paper aims to investigate if the market structure reforms in the Portuguese health system have improved hospital performance and productivity. A robust non-parametric Malmquist index is applied to measure group performance. The significance of the results achieved is examined using a conditional and non-conditional subsampling bootstrapped-based methodology, enhanced by the likelihood cross validation criterion based on the k-nearest neighbors method. The sample contains information about 216 non-corporatized and 176 corporatized Portuguese hospitals for the period 2002–2009. Five models were applied, based on three study dimensions (internment, emergencies and doctor visits). The results show that although corporatized hospitals presented the highest efficiency consistency, they had also the lowest levels of productivity, while the hospitals under the traditional administrative public management system were the ones with the best average performance. However, several best practices were also found in all groups, being the limited companies were often dominated by both noncorporatized and public enterprise entities. Consistent output ranges where all groups present dominance over the others were also identified. It was possible to conclude that the more autonomy the hospital had from the Ministry of Health, the lower was its productivity.
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