| 引用本文：Oliver Tiemann,Jonas Schreyogg,Reinhard Busse.医院所有制与效率：以德国为关注重点的研究回顾[J].中国卫生政策研究,2012,5(4):21-29 |
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| 医院所有制与效率：以德国为关注重点的研究回顾 |
| 投稿时间：2011-01-13 修订日期：2012-03-13 PDF全文浏览 HTML全文浏览 |
| Oliver Tiemann1, Jonas Schreyogg1, Reinhard Busse2 |
| 1.汉堡大学汉堡卫生经济学中心;2.柏林理工大学医疗管理系 |
| 摘要:德国医院市场在过去20年里进行了一揽子医疗改革，特别是在2004年引进了疾病诊断相关分组——以期提高医院效率。本文旨在回顾近期就比较德国公立医院、私立非营利医院和私立营利医院效率所开展的研究。尽管研究结果错综复杂，但结合其他国家，特别是美国的研究证据，德国方面的研究结果表明：与公立医院相比，私立医院（私立非营利和私立营利医院）的运营效率并不一定就高。由于私立营利医院通常都会被认为是最有效率的所有制形式，因此本研究结果对很多决策者来说也许有些意外。 |
| 关键词:绩效度量 数据包络分析 医院 随机前沿分析 德国 |
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| Hospital ownership and efficiency: A review of studies with particular focus on Germany |
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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. |
| Key words:Performance measurement Data envelopment analysis Hospitals Stochastic frontier analysis Germany |
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