Hospital ownership and efficiency: A review of studies with particular focus on Germany
The German hospital market has been subject over the past two decades to a variety of healthcare reforms. Particularly the introduction of diagnosis-related groups (DRGs) in 2004 aimed to increase efficiency of hospitals. The objective of the paper is to review recent studies comparing the efficienc...
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| Vydané v: | Health policy (Amsterdam) Ročník 104; číslo 2; s. 163 - 171 |
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| Hlavní autori: | , , |
| Médium: | Journal Article |
| Jazyk: | English |
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Elsevier Ireland Ltd
01.02.2012
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| ISSN: | 0168-8510, 1872-6054, 1872-6054 |
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| Abstract | The German hospital market has been subject over the past two decades to a variety of healthcare reforms. Particularly the introduction of diagnosis-related groups (DRGs) in 2004 aimed to increase efficiency of hospitals. The objective of the paper is to review recent studies comparing the efficiency of German public, private non-profit and private for-profit hospitals. The results of the studies are quite mixed. However, in line with the evidence found in studies from other countries, especially the US, the evidence from Germany suggests that private ownership (i.e., private non-profit and private for-profit) is not necessarily associated with higher efficiency compared to public ownership. This may be a surprising result to many policy makers as private for-profit hospitals are often perceived the most efficient ownership type by the public. |
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| AbstractList | The German hospital market has been subject over the past two decades to a variety of healthcare reforms. Particularly the introduction of diagnosis-related groups (DRGs) in 2004 aimed to increase efficiency of hospitals. The objective of the paper is to review recent studies comparing the efficiency of German public, private non-profit and private for-profit hospitals. The results of the studies are quite mixed. However, in line with the evidence found in studies from other countries, especially the US, the evidence from Germany suggests that private ownership (i.e., private non-profit and private for-profit) is not necessarily associated with higher efficiency compared to public ownership. This may be a surprising result to many policy makers as private for-profit hospitals are often perceived the most efficient ownership type by the public. AbstractThe German hospital market has been subject over the past two decades to a variety of healthcare reforms. Particularly the introduction of diagnosis-related groups (DRGs) in 2004 aimed to increase efficiency of hospitals. The objective of the paper is to review recent studies comparing the efficiency of German public, private non-profit and private for-profit hospitals. The results of the studies are quite mixed. However, in line with the evidence found in studies from other countries, especially the US, the evidence from Germany suggests that private ownership (i.e., private non-profit and private for-profit) is not necessarily associated with higher efficiency compared to public ownership. This may be a surprising result to many policy makers as private for-profit hospitals are often perceived the most efficient ownership type by the public. The German hospital market has been subject over the past two decades to a variety of healthcare reforms. Particularly the introduction of diagnosis-related groups (DRGs) in 2004 aimed to increase efficiency of hospitals. The objective of the paper is to review recent studies comparing the efficiency of German public, private non-profit and private for-profit hospitals. The results of the studies are quite mixed. However, in line with the evidence found in studies from other countries, especially the US, the evidence from Germany suggests that private ownership (i.e., private non-profit and private for-profit) is not necessarily associated with higher efficiency compared to public ownership. This may be a surprising result to many policy makers as private for-profit hospitals are often perceived the most efficient ownership type by the public. [Copyright Elsevier Ltd.] The German hospital market has been subject over the past two decades to a variety of healthcare reforms. Particularly the introduction of diagnosis-related groups (DRGs) in 2004 aimed to increase efficiency of hospitals. The objective of the paper is to review recent studies comparing the efficiency of German public, private non-profit and private for-profit hospitals. The results of the studies are quite mixed. However, in line with the evidence found in studies from other countries, especially the US, the evidence from Germany suggests that private ownership (i.e., private non-profit and private for-profit) is not necessarily associated with higher efficiency compared to public ownership. This may be a surprising result to many policy makers as private for-profit hospitals are often perceived the most efficient ownership type by the public. All rights reserved, Elsevier The German hospital market has been subject over the past two decades to a variety of healthcare reforms. Particularly the introduction of diagnosis-related groups (DRGs) in 2004 aimed to increase efficiency of hospitals. The objective of the paper is to review recent studies comparing the efficiency of German public, private non-profit and private for-profit hospitals. The results of the studies are quite mixed. However, in line with the evidence found in studies from other countries, especially the US, the evidence from Germany suggests that private ownership (i.e., private non-profit and private for-profit) is not necessarily associated with higher efficiency compared to public ownership. This may be a surprising result to many policy makers as private for-profit hospitals are often perceived the most efficient ownership type by the public.The German hospital market has been subject over the past two decades to a variety of healthcare reforms. Particularly the introduction of diagnosis-related groups (DRGs) in 2004 aimed to increase efficiency of hospitals. The objective of the paper is to review recent studies comparing the efficiency of German public, private non-profit and private for-profit hospitals. The results of the studies are quite mixed. However, in line with the evidence found in studies from other countries, especially the US, the evidence from Germany suggests that private ownership (i.e., private non-profit and private for-profit) is not necessarily associated with higher efficiency compared to public ownership. This may be a surprising result to many policy makers as private for-profit hospitals are often perceived the most efficient ownership type by the public. |
| Author | Schreyögg, Jonas Busse, Reinhard Tiemann, Oliver |
| Author_xml | – sequence: 1 givenname: Oliver surname: Tiemann fullname: Tiemann, Oliver email: Oliver.Tiemann@wiso.uni-hamburg.de organization: Hamburg Center for Health Economics, University of Hamburg, Hamburg, Germany – sequence: 2 givenname: Jonas surname: Schreyögg fullname: Schreyögg, Jonas organization: Hamburg Center for Health Economics, University of Hamburg, Hamburg, Germany – sequence: 3 givenname: Reinhard surname: Busse fullname: Busse, Reinhard organization: Dept. of Health Care Management, Berlin University of Technology, Berlin, Germany |
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| SubjectTerms | Comparative analysis Corporations, Nonprofit Data envelopment analysis Efficiency, Administrative Efficiency, Organizational Evidence Germany Health care Health policy Health services Hospital Administration - standards Hospitals Hospitals - standards Hospitals, Private - standards Hospitals, Proprietary - standards Hospitals, Public - standards Hospitals, Voluntary - standards Humans Internal Medicine Management Non-profit organizations Nonprofit making organizations Ownership Ownership - standards Performance measurement Policy making Private hospitals Private sector Profit Reform Stochastic Frontier Analysis Stochastic Processes U.S.A United States |
| Title | Hospital ownership and efficiency: A review of studies with particular focus on Germany |
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