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The Impact of Corporatisation in the Performance of Public Hospitals

The Impact of Corporatisation in the Performance of Public Hospitals. G. Rego (a); R. Nunes (a); J. Costa (b) (a) Faculty of Medicine of the University of Porto (b) Faculty of Economics of the University of Porto. Table I - Type of Hospital. Table II - Legal Status vs Type of Hospital.

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The Impact of Corporatisation in the Performance of Public Hospitals

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  1. The Impact of Corporatisation in the Performance of Public Hospitals G. Rego (a); R. Nunes (a); J. Costa (b) (a) Faculty of Medicine of the University of Porto (b) Faculty of Economics of the University of Porto

  2. Table I - Type of Hospital Table II - Legal Status vs Type of Hospital

  3. Table III - Global Sample (Absolute Values)

  4. Table IV – Description of Inputs and Outputs • – To determine the efficiency (1) • – To determine the efficiency (2) • – These variables are only contemplated when the productive line “Hospital Day Care Service” is considered.

  5. Table V – Description of environmental variables

  6. Table VI – Descriptive Statistics

  7. I) Estimation Models for Level of Efficiency (1): • Considering Hospital Day Care Services and All the Cases: • EF(1) - CCO • Considering Hospital Day Care Services and Without the Omission Cases: • EF(1) - SCO • Not Considering the Hospital Day Care Services: • EF(1) - SHD • II) Estimation Models for Level of Efficiency (2): • Considering Hospital Day Care Services and All the Cases: • EF(2) - CCO • Considering Hospital Day Care Services and Without the Omission Cases: • EF(2) - SCO • Not Considering the Hospital Day Care Services: • EF(2) - SHD

  8. Complete Model • 2 Factors: • Judicial Statute • Quality • 3 variables: • JS • C • A

  9. Table VII – General Estimation Model for EF (1) – CCO Chi-square (3)=10,26278 p-level = 0,01647 Table VIII– General Estimation Model for EF (1) – SHD Chi-Square (3)=3,026805 p-level = 0,38753

  10. Table IX – General Estimation Model for EF (2) – CCO Chi-Square (4-1)=6,4248 p-level = 0,09270 Table X – General Estimation Model for Level of EF (2) – SCO Chi-Square (3)=7,229798 p-level = 0,06494 Table XI – General Estimation Model for level of EF (2) – SHD Chi-Square (3)=4,918569 p-level = 0,17788

  11. Table XII –Estimated Probabilities of Efficiency – EF(1) CCO Table XIII – Estimated Probabilities of Efficiency – EF(1) SHD

  12. Table XI – Estimated Probabilities of Efficiency – EF(2) CCO Table XII – Estimated Probabilities of Efficiency – EF(2) SCO Table XIII – Estimated Probabilities of Efficiency – EF(2) SHD

  13. Conclusions • SA hospitals present a higher probability of being efficient. • The fact of the hospitals units being accredited or in accreditation phase increases the probability of a hospital unit being efficient. • Certification does not have the same impact on the efficiency measures observed. • On the whole, SA hospitals (stated-owned hospitals enterprises) showed better results than hospitals with the traditional public management (SPA hospitals) in evaluated period.

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