ArticleBMC health services research2024
New Public Management and hospital efficiency: the case of Norwegian public hospital trusts.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Hospital efficiency assessment: a systematic review of DEA and hybrid DEA-machine learning approaches.Frontiers in medical technology · 2026Review
- Reshaping Smart Pharmacy in TCM Hospitals via High-Reliability Organization Theory.Journal of multidisciplinary healthcare · 2026Article
- Lost in turbulence? Healthcare workers' conceptualisations and experiences with navigating time in personalised care.Journal of health organization and management · 2025Article
- Measurement of the operational efficiency of tertiary public hospitals in Western China: evidence from Guangxi from 2019 to 2022.Frontiers in public health · 2025Article
- Integrating Quality Improvement: A Qualitative Study of Leadership Approaches in Healthcare Services in Norwegian Municipalities.Health services insights · 2025Article
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Authors and funding
3 authors.
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Abstract
New Public Management-inspired reforms in the Norwegian hospital sector have introduced several features from the private sector into a predominantly public healthcare system. Since the late 1990s, several reforms have been carried out with the intention of improving the utilization of resources. There is, however, limited knowledge about the long-term, and sector-wide effects of these reforms. In this study, using a panel data set of all public hospital trusts spanning nine years, we provide an analysis of the efficiency of hospital trusts using data envelopment analysis (DEA), as well as a Malmquist productivity index. Thereafter we use the efficiency scores as the dependent variable in a second-stage panel data regression analysis. We show that during the period between 2011 and 2019, on average, efficiency has increased over time. Further, in the second-stage analysis, we show that New Public Management features related to incentivization are associated with the level of hospital efficiency. We find no association between degree of competition and efficiency.
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