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

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

Research output: Contribution to journalArticle

55 Citations (Scopus)


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 languageEnglish
Pages (from-to)483-510
Number of pages28
JournalJournal of Accounting and Public Policy
Issue number6
Publication statusPublished - 2004 Nov 1


All Science Journal Classification (ASJC) codes

  • Accounting
  • Sociology and Political Science

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