RT Journal Article
T1 [Multilevel analysis of the technical efficiency of hospitals in the Spanish National Health System by property and type of management].
T2 Análisis multinivel de la eficiencia técnica de los hospitales del Sistema Nacional de Salud español por tipo de propiedad y gestión.
A1 Pérez-Romero, Carmen
A1 Ortega-Díaz, M Isabel
A1 Ocaña-Riola, Ricardo
A1 Martín-Martín, José Jesús
K1 Análisis envolvente de datos
K1 Análisis multinivel
K1 Colaboración público-privada
K1 Data envelopment analysis
K1 Efficiency
K1 Eficiencia
K1 Empresas públicas hospitalarias
K1 Hospitales
K1 Hospitals
K1 Multilevel analysis
K1 National health service
K1 Public hospital enterprises
K1 Public-private partnership
K1 Sistema Nacional de Salud
AB To analyze technical efficiency by type of property and management of general hospitals in the Spanish National Health System (2010-2012) and identify hospital and regional explanatory variables. 230 hospitals were analyzed combining data envelopment analysis and fixed effects multilevel linear models. Data envelopment analysis measured overall, technical and scale efficiency, and the analysis of explanatory factors was performed using multilevel models. The average rate of overall technical efficiency of hospitals without legal personality is lower than hospitals with legal personality (0.691 and 0.876 in 2012). There is a significant variability in efficiency under variable returns (TE) by direct, indirect and mixed forms of management. The 29% of the variability in TE es attributable to the Region. Legal personality increased the TE of the hospitals by 11.14 points. On the other hand, most of the forms of management (different to those of the traditional hospitals) increased TE in varying percentages. At regional level, according to the model considered, insularity and average annual income per household are explanatory variables of TE. Having legal personality favours technical efficiency. The regulatory and management framework of hospitals, more than public or private ownership, seem to explain technical efficiency. Regional characteristics explain the variability in TE.
YR 2019
FD 2019
LK http://hdl.handle.net/10668/12463
UL http://hdl.handle.net/10668/12463
LA es
DS RISalud
RD Apr 18, 2025