Health care regulation and the operating efficiency of hospitals: Evidence from Taiwan

Hsihui Chang; Wen Jing Chang; Somnath Das; Shu Hsing Li

doi:10.1016/j.jaccpubpol.2004.10.004

Health care regulation and the operating efficiency of hospitals: Evidence from Taiwan

Hsihui Chang^*
, Wen Jing Chang
, Somnath Das
, Shu Hsing Li

^*Corresponding author for this work

University of California at Riverside
National Changhua University of Education
University of Illinois at Chicago
National Taiwan University

Research output: Contribution to journal › Journal Article › peer-review

67 Scopus citations

Abstract

Using data from the Annual Survey of Hospitals compiled by the Department of Health in Taiwan for years 1994 through 1997, we employed Data Envelopment Analysis (DEA) to evaluate the impact of a National Health Insurance (NHI) Program on the operating efficiency of district hospitals in Taiwan. We find that, on average, efficiency of district hospitals in Taiwan decreased following the implementation of the NHI Program. Our results are robust to the inclusion of control variables that have been shown to affect hospital operating performance in prior research, and alternative efficiency measurements.

Original language	English
Pages (from-to)	483-510
Number of pages	28
Journal	Journal of Accounting and Public Policy
Volume	23
Issue number	6
DOIs	https://doi.org/10.1016/j.jaccpubpol.2004.10.004
State	Published - 11 2004
Externally published	Yes

Keywords

DEA
Efficiency
Hospital
NHI

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10.1016/j.jaccpubpol.2004.10.004

Cite this

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title = "Health care regulation and the operating efficiency of hospitals: Evidence from Taiwan",

abstract = "Using data from the Annual Survey of Hospitals compiled by the Department of Health in Taiwan for years 1994 through 1997, we employed Data Envelopment Analysis (DEA) to evaluate the impact of a National Health Insurance (NHI) Program on the operating efficiency of district hospitals in Taiwan. We find that, on average, efficiency of district hospitals in Taiwan decreased following the implementation of the NHI Program. Our results are robust to the inclusion of control variables that have been shown to affect hospital operating performance in prior research, and alternative efficiency measurements.",

keywords = "DEA, Efficiency, Hospital, NHI",

author = "Hsihui Chang and Chang, \{Wen Jing\} and Somnath Das and Li, \{Shu Hsing\}",

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T2 - Evidence from Taiwan

AU - Chang, Hsihui

AU - Chang, Wen Jing

AU - Das, Somnath

AU - Li, Shu Hsing

PY - 2004/11

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N2 - Using data from the Annual Survey of Hospitals compiled by the Department of Health in Taiwan for years 1994 through 1997, we employed Data Envelopment Analysis (DEA) to evaluate the impact of a National Health Insurance (NHI) Program on the operating efficiency of district hospitals in Taiwan. We find that, on average, efficiency of district hospitals in Taiwan decreased following the implementation of the NHI Program. Our results are robust to the inclusion of control variables that have been shown to affect hospital operating performance in prior research, and alternative efficiency measurements.

AB - Using data from the Annual Survey of Hospitals compiled by the Department of Health in Taiwan for years 1994 through 1997, we employed Data Envelopment Analysis (DEA) to evaluate the impact of a National Health Insurance (NHI) Program on the operating efficiency of district hospitals in Taiwan. We find that, on average, efficiency of district hospitals in Taiwan decreased following the implementation of the NHI Program. Our results are robust to the inclusion of control variables that have been shown to affect hospital operating performance in prior research, and alternative efficiency measurements.

KW - DEA

KW - Efficiency

KW - Hospital

KW - NHI

UR - https://www.scopus.com/pages/publications/10244222423

U2 - 10.1016/j.jaccpubpol.2004.10.004

DO - 10.1016/j.jaccpubpol.2004.10.004

M3 - 文章

AN - SCOPUS:10244222423

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VL - 23

SP - 483

EP - 510

JO - Journal of Accounting and Public Policy

JF - Journal of Accounting and Public Policy

IS - 6

ER -

Health care regulation and the operating efficiency of hospitals: Evidence from Taiwan

Abstract

Keywords

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