Contributions From Hospital Policy and Productivity Research To order this title, and for more information, click here
Edited By Jos Blank, Delft University of Technology Vivian Valdmanis, University of the Sciences in Philadelphia, USA
Description Hospitals worldwide command the majority of any countries? health care budget. Reasons for these higher costs include the aging of the
population requiring more intensive health care treatments provided in hospitals, the relatively high costs of labor in this labor intensive
industry and payment systems that may encourage inefficient behavior on the part of hospital managers and physicians. Governments are
seeking to instruments to mitigate this cost rise. Liberalizing hospital markets, deregulation, changing budget systems and changing
ownership are only a few examples of attempts to make hospitals more efficient.
Hospital industry responds in various ways to changing
market conditions and legislation. In most western hospital markets we observe hospital consolidation, acquisitions, mergers and the
founding of several types of network and hospital associations. The question is whether this trend also contributes to more efficiency.
In this volume a number of outstanding internationally known scholars in the field of productivity measurement and health economics
provide the reader with an excellent insight in the complexity of the issue. They explain that there is no straightforward panacea or
recipe for the issues addressed. It is shown that the composition of the demand for care, the economic context, environmental and geographical
conditions affect the outcomes. Policymakers should therefore take these nuances into account. A policy of increasing productivity starts
with knowledge and insights in the complexity of the issue. The book therefore advocates the development of a strategy of collecting
relevant data and conducting academic research that meet the standard of the state of the art. The book provides two illustrative examples
of such a strategy in Finland and Australia.
The authors have avoided as much as possible the technical jargon and complex mathematics
and statistics involved in this research area. Therefore the book is par excellence suitable for policymakers and hospital managers,
as well as for graduate students of health economics and health administration.
Audience
Policymakers and hospital managers, as well as for graduate students of health economics and health administration
Contents
Part One: Introductory and Methodological Issues
Ch 1: Jos L.T. Blank and Vivian G. Valdmanis: Productivity in Hospital Industry
Ch 2: Bert M. Balk: Measuring and Decomposing Productivity Change: The Basics
Ch 3: James F. Burgess Jr.: Measuring Hospital Services
Part Two: Developments in Hospital Industry
Ch 4: Gloria J. Bazzoli: Hospital Consolidation and Integration Activity
Ch.5:
Ila Semenick Alam and Gerald Granderson: Organizational Structure and Productive Efficiency of Non-profit Hospitals
Ch 6: Jos L.T. Blank:
Innovations and Productivity: An Empirical Investigation in Dutch Hospital Industry
Part Three: Government Policy
Ch 7: Ryan
L. Mutter and Michael D. Rosko: The Impact of Ownership on the Cost-Efficiency of U.S. Hospitals
Ch 8: Nazmi Sari: Competition and Market
Concentration
Ch 9: Gary D. Ferrier and Vivian G. Valdmanis: Efficiency and Productivity Changes in Large Urban Hospitals 1994-2002:
Ownership, Markets and the uninsured
Part Four: Management Policy and MTA
Ch 10: Miika Linna and Unto Hakkinen: Benchmarking
Finnish Hospitals
Ch 11: Abby Bloom: Efficiency in Government-funded Health Care Services: The Use of non-Health Sector Mechanisms
to Encourage Efficiency
Ch 12: Rolf Fare, Shawna Grosskopf, Mats Lundstrom and Pontus Roos:
Evaluating Health Care Efficiency
Part
Five: Concluding Remarks
Ch 13: Jos L.T. Blank and Vivian G. Valdmanis: Productivity Research in Hospital Industry
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