Delft University of Technology/Erasmus University Rotterdam, PO Box 5015, 2600 GA, Delft, The Netherlands,
Health Care Manag Sci. 2014 Jun;17(2):139-49. doi: 10.1007/s10729-013-9257-8. Epub 2013 Nov 21.
The health care industry, in particular the hospital industry, is under an increasing degree of pressure, by an ageing population, advancing expensive medical technology a shrinking labor. The pressure on hospitals is further increased by the planned budget cuts in public spending by many current administrations as a result of the economic and financial crises. However, productivity increases may alleviate these problems. Therefore we study whether productivity in the hospital sector is growing, and whether this productivity growth can be influenced by government policy. Using an econometric time series analysis of the hospital sector in the Netherlands, productivity is estimated for the period 1972-2010. Then, productivity is linked to the different regulation regimes during that period, ranging from output funding in the 1970s to the current liberalized hospital market. The results indicate that the average productivity of the hospital sector in different periods differs and that these differences are related to the structure of regulation in those periods.
医疗保健行业，尤其是医院行业，正面临着越来越大的压力，包括人口老龄化、昂贵的医疗技术进步以及劳动力减少。许多现任政府为应对经济和金融危机而计划削减公共支出，这进一步增加了医院的压力。然而，提高生产力可能会缓解这些问题。因此，我们研究医院部门的生产力是否在增长，以及这种生产力增长是否可以受到政府政策的影响。我们使用荷兰医院部门的计量经济学时间序列分析来估计 1972 年至 2010 年期间的生产力。然后，我们将生产力与该期间的不同监管制度联系起来，这些制度的范围从 20 世纪 70 年代的产出资金到当前的医院市场自由化。结果表明，不同时期医院部门的平均生产力不同，这些差异与这些时期的监管结构有关。
