PDF(Pubmed)
Abstract：
New Public Management-inspired reforms in the Norwegian hospital sector have introduced several features from the private sector into a predominantly public healthcare system. Since the late 1990s, several reforms have been carried out with the intention of improving the utilization of resources. There is, however, limited knowledge about the long-term, and sector-wide effects of these reforms. In this study, using a panel data set of all public hospital trusts spanning nine years, we provide an analysis of the efficiency of hospital trusts using data envelopment analysis (DEA), as well as a Malmquist productivity index. Thereafter we use the efficiency scores as the dependent variable in a second-stage panel data regression analysis. We show that during the period between 2011 and 2019, on average, efficiency has increased over time. Further, in the second-stage analysis, we show that New Public Management features related to incentivization are associated with the level of hospital efficiency. We find no association between degree of competition and efficiency.
摘要：
挪威医院部门受公共管理启发的新改革已将私营部门的几个功能引入了主要的公共医疗保健系统。自1990年代末以来，为了提高资源利用率，已经进行了几项改革。有,然而,关于长期的知识有限，以及这些改革的全部门影响。在这项研究中,使用涵盖了9年的所有公立医院信托的面板数据集，我们使用数据包络分析(DEA)对医院信托的效率进行了分析，以及Malmquist生产率指数。此后，我们在第二阶段面板数据回归分析中使用效率得分作为因变量。我们表明，在2011年至2019年期间，平均而言，效率随着时间的推移而提高。Further,在第二阶段分析中，我们表明，与激励相关的新公共管理特征与医院效率水平相关。我们发现竞争程度和效率之间没有关联。
