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dc.contributor.author
Farsi, Mehdi
dc.contributor.author
Filippini, Massimo
dc.date.accessioned
2017-07-20T09:21:06Z
dc.date.available
2017-06-08T15:47:22Z
dc.date.available
2017-07-20T07:39:13Z
dc.date.available
2017-07-20T09:21:06Z
dc.date.issued
2006-06
dc.identifier.uri
http://hdl.handle.net/20.500.11850/2261
dc.description.abstract
This paper explores the cost structure of Swiss hospitals, focusing on differences due to teaching activities and those across different ownership and subsidization types. A stochastic total cost frontier with a Cobb-Douglas functional form has been estimated for a panel of 150 general hospitals over the six-year period from 1998 and 2003. Inpatient cases adjusted by DRG cost weights and ambulatory revenues are considered as two separate outputs. The adopted econometric specification allows for unobserved heterogeneity across hospitals. The results indicate that the time-invariant unobserved factors could account for considerable cost differences that could be only partly due to inefficiency. The results suggest that teaching activities are an important cost driving factor and hospitals that have a broader range of specialization are relatively more costly. The excess costs of university hospitals can be explained by more extensive teaching activities as well as the relatively high quality of medical units. However, even after controlling for such differences university hospitals have shown a relatively low cost-efficiency especially in the first two or three years of the sample period. The analysis does not provide any evidence of significant efficiency differences across ownership and subsidization categories.
en_US
dc.language.iso
en
en_US
dc.publisher
Facoltà di scienze economiche, Università della Svizzera italiana
en_US
dc.subject
General hospitals
en_US
dc.subject
Teaching hospitals
en_US
dc.subject
Stochastic frontier
en_US
dc.subject
Cost efficiency
en_US
dc.title
Effects of ownership, subsidization and teaching activities on hospitals costs in Switzerland
en_US
dc.type
Working Paper
ethz.journal.title
Quaderno
ethz.journal.volume
06
en_US
ethz.journal.issue
06
en_US
ethz.size
34 p.
en_US
ethz.notes
.
en_US
ethz.publication.place
Lugano
en_US
ethz.publication.status
published
en_US
ethz.leitzahl
ETH Zürich::00002 - ETH Zürich, direkt::00012 - Lehre und Forschung, direkt::00007 - Departemente, direkt::02120 - Departement Management, Technologie und Ökonomie / Department of Management, Technology, and Economics::03539 - Filippini, Massimo
en_US
ethz.leitzahl.certified
ETH Zürich::00002 - ETH Zürich, direkt::00012 - Lehre und Forschung, direkt::00007 - Departemente, direkt::02120 - Departement Management, Technologie und Ökonomie / Department of Management, Technology, and Economics::03539 - Filippini, Massimo
ethz.identifier.url
http://doc.rero.ch/lm.php?url=1000,42,6,20060829093601-TS/wp0606.pdf
ethz.date.deposited
2017-06-08T15:47:50Z
ethz.source
ECIT
ethz.identifier.importid
imp59364b4f21c7810045
ethz.ecitpid
pub:12165
ethz.eth
yes
en_US
ethz.availability
Metadata only
en_US
ethz.rosetta.installDate
2017-07-20T07:39:15Z
ethz.rosetta.lastUpdated
2017-07-20T09:21:09Z
ethz.rosetta.exportRequired
false
ethz.rosetta.versionExported
true
ethz.COinS
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