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  • 标题:Sources of Productivity Growth in Health Services: A Case Study of Queensland Public Hospitals
  • 作者:Son Nghiem ; Tim Coelli ; Scott Barber
  • 期刊名称:Economic Analysis and Policy
  • 印刷版ISSN:0313-5926
  • 出版年度:2011
  • 卷号:41
  • 期号:1
  • 页码:37-48
  • DOI:10.1016/S0313-5926(11)50003-7
  • 出版社:Elsevier B.V.
  • 摘要:Abstract Improving the performance of health sector is one of the most popular issues in Australia. This paper contributes to this important policy debate by examining the efficiency of health facilities in Queensland using the Malmquist Productivity Index (MPI). This method is selected because it is suitable for the multi-input, multi-output, and not-for-profit natures of public health services. In addition, with the availability of panel data we can decompose productivity growth into useful components, including technical efficiency changes, technological changes and scale changes. The results revealed an average of 1.6 per cent of growth in total factor productivity (TFP) among Queensland public hospitals in the study period. The main component contributing to the modest improvement of {TFP} during the period was catching-up at an average of 1.0 per cent. {SFA} estimates suggest that the number of nurses is the most influential determinant of output.
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