Valdmanis V G
Department of Health Systems Management, Tulane University, New Orleans, LA 70112.
Med Care. 1990 Jun;28(6):552-61. doi: 10.1097/00005650-199006000-00007.
The findings in this paper revealed the sample public hospitals to be more efficient relative to the sample NFP hospitals. Tight governmental control over the resources allocated to public hospitals may be one reason why these hospitals appear more efficient. Conversely, NFP hospitals appear less efficient but, in general, offer more diversified and sophisticated medical services. Therefore, even in the absence of the profit motive, the nonprofit and public sector are different enough to result in different productivity levels. This paper illustrates the applicability of the nonparametric technique in the measurement of relative technical (overall and pure) productive performance between NFP and public hospitals. The measures of inputs and outputs were relatively rough, and measures of scope of services were also crude. However, as data collection techniques improve and more precise information becomes available, this methodological approach can prove useful in the analysis of hospital efficiency and, in turn, the shaping of hospital policy.
本文的研究结果显示，相对于样本非营利性医院，样本公立医院效率更高。政府对公立医院资源分配的严格控制可能是这些医院显得更有效率的原因之一。相反，非营利性医院似乎效率较低，但总体上提供更多样化、更复杂的医疗服务。因此，即使没有盈利动机，非营利部门和公共部门也存在足够大的差异，导致不同的生产率水平。本文阐述了非参数技术在衡量非营利性医院和公立医院之间相对技术（总体和纯）生产绩效方面的适用性。投入和产出的衡量相对粗略，服务范围的衡量也很粗糙。然而，随着数据收集技术的改进和更精确信息的获取，这种方法在医院效率分析以及医院政策制定方面可能会被证明是有用的。
