Bosmans N, Fecher F
CREPP--Department of Economics, University of Liège, Belgium.
Health Econ. 1995 Sep-Oct;4(5):389-97. doi: 10.1002/hec.4730040505.
The purpose of the paper is to measure and to compare performance of Belgian hospitals during the year 1991. In order to measure hospitals' efficiency, we estimate a resource function which is defined as the relationship between medical fees incurred in the treatment of a patient and the patient's pathology. From this relation, we construct a best practice reference frontier which defines the minimal hospital medical fees needed to treat the pathology. Efficiency is assessed relative to this resource frontier using a parametric stochastic method proposed by Schmidt and Sickles. It appears that some specializations (circulatory system) involve more overproduction than others. Among the other results, we note that public hospitals are more efficient than the private ones and that university hospitals tend to use more resources than regular hospitals. The relationships between efficiency and different variables (location, size, costs and management) are finally analysed.
本文的目的是衡量和比较1991年比利时医院的绩效。为了衡量医院的效率，我们估计了一个资源函数，该函数被定义为治疗一名患者所产生的医疗费用与患者病情之间的关系。基于这种关系，我们构建了一个最佳实践参考前沿，它定义了治疗该病情所需的最低医院医疗费用。使用施密特和西克尔斯提出的参数随机方法，相对于这个资源前沿来评估效率。结果显示，某些专科（循环系统）比其他专科存在更多的生产过剩情况。在其他结果中，我们注意到公立医院比私立医院更有效率，并且大学医院往往比普通医院使用更多资源。最后分析了效率与不同变量（位置、规模、成本和管理）之间的关系。
