Alonso José M, Clifton Judith, Díaz-Fuentes Daniel
Department of Economics, University of Cantabria, Santander, Spain.
Department of Economics, University of Cantabria, Santander, Spain; Department of City and Regional Planning, Sibley Hall, West, Cornell University, Ithaca, United States.
Health Policy. 2015 Mar;119(3):333-40. doi: 10.1016/j.healthpol.2014.12.001. Epub 2014 Dec 9.
Madrid has recently become the site of one of the most controversial cases of public healthcare reform in the European Union. Despite the fact that the introduction of New Public Management (NPM) into Madrid hospitals has been vigorous, little scholarship has been done to test whether NPM actually led to technical efficiency. This paper is one of the first attempts to do so. We deploy a bootstrapped data envelopment analysis to compare efficiency scores in traditionally managed hospitals and those operating with new management formulas. We do not find evidence that NPM hospitals are more efficient than traditionally managed ones. Moreover, our results suggest that what actually matters may be the management itself, rather than the management model.
马德里最近成为了欧盟最具争议的公共医疗改革案例之一的发生地。尽管马德里各医院大力引入了新公共管理（NPM），但几乎没有学术研究来检验NPM是否真的带来了技术效率。本文是首批这样做的尝试之一。我们采用自举数据包络分析来比较传统管理医院和采用新管理模式运营医院的效率得分。我们没有发现证据表明采用NPM的医院比传统管理的医院更高效。此外，我们的结果表明，真正重要的可能是管理本身，而非管理模式。
