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

Department of Accounting

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

57 Citations (Scopus)

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
Publication status	Published - 2004 Nov 1

All Science Journal Classification (ASJC) codes

Accounting
Sociology and Political Science

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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.",

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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.

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