Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/60826
Title: Quality-efficiency trade-off when the state is the sole provider of hospital services: Evidence from New Zealand
Contributor(s): Andrews, Antony (author); Sahoo, Biresh K (author); Temoso, Omphile  (author); Kimpton, Sean (author)
Publication Date: 2023-06
Early Online Version: 2022-12-01
DOI: 10.1111/1467-8454.12288
Handle Link: https://hdl.handle.net/1959.11/60826
Abstract: 

The purpose of this study is to explore the trade-off between technical efficiency and the quality of hospital services when the state is the sole provider. Data from 20 New Zealand District Health Boards from 2011 to 2017 is used to estimate technical efficiency using the data envelopment analysis technique, which employs an additive inverse formulation for undesirable outcomes. The estimated average quality-adjusted technical efficiency score is 0.69. In comparison, when the quality variable was removed, the efficiency declined to 0.66. More importantly, the ranking of district health boards stays consistent across both models, indicating that there is very little trade-off between quality and efficiency. A sensitivity analysis also confirms the lack of a trade-off between quality and efficiency.

Publication Type: Journal Article
Source of Publication: Australian Economic Papers, 62(2), p. 335-348
Publisher: John Wiley & Sons, Inc
Place of Publication: Australia
ISSN: 1467-8454
0004-900X
Fields of Research (FoR) 2020: 380114 Public economics - publicly provided goods
380204 Panel data analysis
380108 Health economics
Socio-Economic Objective (SEO) 2020: 150510 Production
200206 Health system performance (incl. effectiveness of programs)
150305 Public sector productivity
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article
UNE Business School

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