Efficiency determinants and capacity issues in Brazilian for-profit hospitals

This paper reports on the use of different approaches for assessing efficiency of a sample of major Brazilian for-profit hospitals. Starting out with the bootstrapping technique, several DEA estimates were generated, allowing the use of confidence intervals and bias correction in central estimates t...

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Bibliographic Details
Published inHealth care management science Vol. 17; no. 2; pp. 126 - 138
Main Authors Araújo, Cláudia, Barros, Carlos P., Wanke, Peter
Format Journal Article
LanguageEnglish
Published Boston Springer US 01.06.2014
Springer Nature B.V
Subjects
Accreditation
Bootstrap method
Brazil
Business and Management
Data envelopment analysis
Econometrics
Efficiency
Efficiency, Organizational
Health Administration
Health care industry
Health care management
Health Informatics
Hospital Administration
Hospital Bed Capacity
Hospitals
Hospitals, Private - organization & administration
Humans
Management
Operations Research/Decision Theory
Profit maximization
Specialization
Studies
Brazil
Brazil
DEA
Bootstrap
For-profit hospitals
Efficiency
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Summary:This paper reports on the use of different approaches for assessing efficiency of a sample of major Brazilian for-profit hospitals. Starting out with the bootstrapping technique, several DEA estimates were generated, allowing the use of confidence intervals and bias correction in central estimates to test for significant differences in efficiency levels and input-decreasing/output-increasing potentials. The findings indicate that efficiency is mixed in Brazilian for-profit hospitals. Opportunities for accommodating future demand appear to be scarce and strongly dependent on particular conditions related to the accreditation and specialization of a given hospital.
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ISSN:1386-9620
1572-9389
DOI:10.1007/s10729-013-9249-8