Federal State Differentials in the Efficiency of Health Production։ An Artifact of Spatial Dependence?

Felder S, Tauchmann H (2013)


Publication Language: English

Publication Type: Journal article

Publication year: 2013

Journal

Publisher: Springer Verlag (Germany)

Book Volume: 14

Pages Range: 21-39

Journal Issue: 1

DOI: 10.1007/s10198-011-0345-8

Abstract

Due to regional competition and patient
migration, the efficiency of healthcare provision at the
regional level is subject to spatial dependence. We address
this issue by applying a spatial autoregressive model to
longitudinal data from Germany at the district (‘Kreis’)
level. The empirical model is specified to explain efficiency
scores, which we derive through non-parametric
order-m efficiency analysis of regional health production.
The focus is on the role of health policy of federal states
(‘Bundesla¨nder’) for district efficiency. Regression results
reveal significant spatial spillover effects. Notably,
accounting for spatial dependence does not decrease but
increases the estimated effect of federal states on district
efficiency. It appears that genuinely more efficient states
are less affected by positive efficiency spillovers, so that
taking into account spatial dependence clarifies the
importance of health policy at the state level.

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How to cite

APA:

Felder, S., & Tauchmann, H. (2013). Federal State Differentials in the Efficiency of Health Production։ An Artifact of Spatial Dependence? European Journal of Health Economics, 14(1), 21-39. https://doi.org/10.1007/s10198-011-0345-8

MLA:

Felder, Stefan, and Harald Tauchmann. "Federal State Differentials in the Efficiency of Health Production։ An Artifact of Spatial Dependence?" European Journal of Health Economics 14.1 (2013): 21-39.

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