Yardstick Competition For Multi Product Hospitals
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Yardstick Competition For Multi Product Hospitals
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Author : Per J. Agrell
language : en
Publisher:
Release Date : 2007
Yardstick Competition For Multi Product Hospitals written by Per J. Agrell and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007 with categories.
Health care provision is undergoing major reforms in Europe as a reaction to rapidly increasing expenditure and lowered political acceptance to commit public finance to cover the deficits. The Dutch government will decide in 2007 if the current budget system will be replaced by a more competitive mechanism, based on the yardstick regulation principle by Shleifer (1985). One of the proposed systems for the reform can be compared to a revenue-cap implementation of a multi-product cost-yardstick mechanism. The redistribution of the sector's relevant cost is made in proportion to the individual hospitals share of total weighted output. No regulation is made of the multi-lateral contractual relations between users, insurers and hospitals. The scaling weights are updated periodically for new services and as a function of observed excess demand (waiting lists). The mechanism is shown to provide cost-reducing (effort-inducing) incentives for profit-maximizing rational agents in a single-period bargaining game. The game also shows that the regulation acts as a countervailing power for the insurers to reinforce bargaining power. The local distortion of the output profile induced by the regulation is a function of demand elasticity and cost function convexity. In case the revenue target is not binding, no welfare loss is incurred. The regime also provides incentives for cost-reducing investments in the short and the long run. These incentives manifest themselves in local reallocations of output to more efficient producers. The analysis shows that care should be taken in the updating of the weights as to provide incentives for service innovation, as well as to guarantee convergence of the price system. Although this requires econometric analyses, the alternative with a cost-based yardstick is considered superior to a revenue-based ditto for this application.
Regulation Of Cost And Quality Under Yardstick Competition
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Author : Thomas P. Tangerås
language : en
Publisher:
Release Date : 2002
Regulation Of Cost And Quality Under Yardstick Competition written by Thomas P. Tangerås and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002 with Hospitals categories.
Benchmarking With Dea Sfa And R
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Author : Peter Bogetoft
language : en
Publisher: Springer Science & Business Media
Release Date : 2010-11-19
Benchmarking With Dea Sfa And R written by Peter Bogetoft and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-11-19 with Business & Economics categories.
This book covers recent advances in efficiency evaluations, most notably Data Envelopment Analysis (DEA) and Stochastic Frontier Analysis (SFA) methods. It introduces the underlying theories, shows how to make the relevant calculations and discusses applications. The aim is to make the reader aware of the pros and cons of the different methods and to show how to use these methods in both standard and non-standard cases. Several software packages have been developed to solve some of the most common DEA and SFA models. This book relies on R, a free, open source software environment for statistical computing and graphics. This enables the reader to solve not only standard problems, but also many other problem variants. Using R, one can focus on understanding the context and developing a good model. One is not restricted to predefined model variants and to a one-size-fits-all approach. To facilitate the use of R, the authors have developed an R package called Benchmarking, which implements the main methods within both DEA and SFA. The book uses mathematical formulations of models and assumptions, but it de-emphasizes the formal proofs - in part by placing them in appendices -- or by referring to the original sources. Moreover, the book emphasizes the usage of the theories and the interpretations of the mathematical formulations. It includes a series of small examples, graphical illustrations, simple extensions and questions to think about. Also, it combines the formal models with less formal economic and organizational thinking. Last but not least it discusses some larger applications with significant practical impacts, including the design of benchmarking-based regulations of energy companies in different European countries, and the development of merger control programs for competition authorities.
Performance Benchmarking
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Author : Peter Bogetoft
language : en
Publisher: Springer Science & Business Media
Release Date : 2013-01-04
Performance Benchmarking written by Peter Bogetoft and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-01-04 with Business & Economics categories.
"In this book, Peter Bogetoft - THE expert on the theory and practice of benchmarking - provides an in–depth yet very accessible and readable explanation of the best way to do benchmarking, starting from the ground up." Rick Antle William S. Beinecke Professor of Accounting, Yale School of Management CFO, Compensation Valuation, Inc. "I highly recommend this well-written and comprehensive book on measuring and managing performance. Dr. Bogetoft summarizes the fundamental mathematical concepts in an elegant, intuitive, and understandable way." Jon A. Chilingerian Professor, Brandeis University and INSEAD "Bogetoft gives in his book Performance Benchmarking an excellent introduction to the methodological basis of benchmarking." Christian Parbøl Director, DONG Energy "This book is the primer on benchmarking for performance management." Albert Birck Business Performance Manager, Maersk Oil "This excellent book provides a non technical introduction for performance management." Misja Mikkers, Director, Dutch Health Care Authority "With this very well written and comprehensive introduction to the many facets of benchmarking in hand, organizations have no excuse for not applying the best and cost effective benchmarking methods in their performance assessments." Stig P. Christensen Senior R&D Director, COWI
The Oxford Handbook Of Health Economics
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Author : Sherry Glied
language : en
Publisher: Oxford University Press
Release Date : 2011-04-07
The Oxford Handbook Of Health Economics written by Sherry Glied and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-04-07 with Health & Fitness categories.
This book provides an engaging, comprehensive review of health economics, with a focus on policy implications in the developed and developing world. Authoritative, but non-technical, it stresses the wide reach of the discipline - across nations, health systems, and areas within health and medical care.
Health Policy And Economics Opportunities And Challenges
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Author : Smith, Peter
language : en
Publisher: McGraw-Hill Education (UK)
Release Date : 2004-11-01
Health Policy And Economics Opportunities And Challenges written by Smith, Peter and has been published by McGraw-Hill Education (UK) this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004-11-01 with Education categories.
Health economics has made major contributions to the development of health policy in many countries. This book describes those successes and looks forward to the major contributions that health economics can bring to bear on emerging policy issues in health and health care. With contributions from internationally recognized researchers, this book addresses generic policy issues confronting health systems across the developed world. The coverage progresses from micro, patient level issues to macro, whole system issues including: Determining cost-effective treatments Fair distribution of health care Regulatory issues such as performance measurement and incentives Revenue distribution Decentralization and internationalization of health systems Health Policy and Economics identifies the major contributions that health economics makes to important policy issues in health and health care. It is key reading for policy makers and health managers as well as students and academics with an interest in health policy and health services research. Contributors: Ron L. Akehurst, Karen E. Bloor, Martin Buxton, Karl P. Claxton, Richard Cookson, Diane A. Dawson, Paul Dolan, Mike Drummond, Brian Ferguson, Hugh Gravelle, Maria Goddard, Katharina Hauck, John Hutton, Andrew M. Jones, Rowena Jacobs, Paul Kind, Rosella Levaggi, Guillem Lpez Casanovas, Alan K. Maynard, Nigel Rice, Anthony Scott, Rebecca Shaw, Trevor Sheldon, Andrew D. Street, Mark Sculpher, Matthew Sutton, Peter C. Smith, Adrian Towse, Aki Tsuchiya, Alan H. Williams.
Investing In Hospitals Of The Future
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Author : Bernd Rechel
language : en
Publisher: WHO Regional Office Europe
Release Date : 2009
Investing In Hospitals Of The Future written by Bernd Rechel and has been published by WHO Regional Office Europe this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with Architecture categories.
Despite considerable investments in health facilities worldwide, little systematic evidence is available on how to plan, design and build new facilities that maximize health gain and ensure that services are responsive to the legitimate expectations of users. This book brings together current knowledge about key dimensions of capital investment in the health sector.
Eppur Si Muove
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Author : Alphonse Crespo
language : it
Publisher: IBL Libri
Release Date : 2010
Eppur Si Muove written by Alphonse Crespo and has been published by IBL Libri this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010 with Medical categories.
Il volume ripercorre la storia recente del servizio sanitario nazionale nei diversi Paesi europei, per chiedersi in che misura una migliore collaborazione pubblico-privato (solo sul versante dell'erogazione del servizio, come in Lombardia o in Germania, o anche su quello del finanziamento, come in Olanda) possa stimolare efficienza ed economicità. Ne risulta un quadro variegato e complesso, che inevitabilmente rimanda a domande fondamentali. Come garantire un equo accesso ai servizi sanitari? È davvero possibile parlare di "diritto alla salute"? È lo Stato il soggetto più adatto a farsene garante? Come scrive Milton Friedman nel saggio riportato in appendice, la sanità è caratterizzata da tre fattori: il progresso tecnologico, i forti incrementi di spesa, una crescente insoddisfazione per il servizio offerto. Questo libro propone scenari utili, per una sanità più soddisfacente, in grado di contenere gli aumenti di spesa gestendo appieno il potenziale del progresso medico.
Health Policy And Economics
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Author : Manouche Tavakoli
language : en
Publisher: Routledge
Release Date : 2017-10-19
Health Policy And Economics written by Manouche Tavakoli and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-10-19 with Social Science categories.
This title was first published in 2001: The papers in this volume, selected from nearly 100 submissions to the Fourth International Conference on Strategic Issues in Health Care Management, reflect the work taking place in health economics. The first five chapters in the collection examine the role of economics within clinical guidelines and suggest methods of improving the quality of economic evaluation which is now at the centre of decision-making in the NHS. The second section of the book is comprised of two papers on inequalities and access. The third part contains four papers, two of which cover reviews and tackle some theoretical issues regarding demand, and two are applied case studies. The fourth section assesses performance, and the final four papers review health reforms in a number of countries including the UK, Canada, France and Turkey.
Quantitative Techniques For Competition And Antitrust Analysis
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Author : Peter Davis
language : en
Publisher: Princeton University Press
Release Date : 2009-11-16
Quantitative Techniques For Competition And Antitrust Analysis written by Peter Davis and has been published by Princeton University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-11-16 with Business & Economics categories.
This book combines practical guidance and theoretical background for analysts using empirical techniques in competition and antitrust investigations. Peter Davis and Eliana Garcés show how to integrate empirical methods, economic theory, and broad evidence about industry in order to provide high-quality, robust empirical work that is tailored to the nature and quality of data available and that can withstand expert and judicial scrutiny. Davis and Garcés describe the toolbox of empirical techniques currently available, explain how to establish the weight of pieces of empirical work, and make some new theoretical contributions. The book consistently evaluates empirical techniques in light of the challenge faced by competition analysts and academics--to provide evidence that can stand up to the review of experts and judges. The book's integrated approach will help analysts clarify the assumptions underlying pieces of empirical work, evaluate those assumptions in light of industry knowledge, and guide future work aimed at understanding whether the assumptions are valid. Throughout, Davis and Garcés work to expand the common ground between practitioners and academics.