caa a22 4500 445332212 CHVBK 20180317142741.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10198-010-0263-1 doi (NATIONALLICENCE)springer-10.1007/s10198-010-0263-1 Cost efficiency of university hospitals in the Nordic countries: a cross-country analysis [Elektronische Daten] [Emma Medin, Kjartan Anthun, Unto Häkkinen, Sverre Kittelsen, Miika Linna, Jon Magnussen, Kim Olsen, Clas Rehnberg] This paper estimates cost efficiency scores using the bootstrap bias-corrected procedure, including variables for teaching and research, for the performance of university hospitals in the Nordic countries. Previous research has shown that hospital provision of research and education interferes with patient care routines and inflates the costs of health care services, turning university hospitals into outliers in comparative productivity and efficiency analyses. The organisation of patient care, medical education and clinical research as well as available data at the university hospital level are highly similar in the Nordic countries, creating a data set of comparable decision-making units suitable for a cross-country cost efficiency analysis. The results demonstrate significant differences in university hospital cost efficiency when variables for teaching and research are entered into the analysis, both between and within the Nordic countries. The results of a second-stage analysis show that the most important explanatory variables are geographical location of the hospital and the share of discharges with a high case weight. However, a substantial amount of the variation in cost efficiency at the university hospital level remains unexplained. Springer-Verlag, 2010 International cost efficiency comparison nationallicence University hospital nationallicence Data envelopment analysis (DEA) nationallicence Diagnose related groups (DRGs) nationallicence Medin Emma Medical Management Centre, Karolinska Institutet, 171 77, Stockholm, Sweden aut Anthun Kjartan SINTEF Health Research, 7465, Trondheim, Norway aut Häkkinen Unto Centre for Health and Social Economics, National Institute for Health and Welfare, P.O. Box 30, 00271, Helsinki, Finland aut Kittelsen Sverre Ragnar Frisch Centre for Economic Research, Gaustadalléen 21, 0349, Oslo, Norway aut Linna Miika Centre for Health and Social Economics, National Institute for Health and Welfare, P.O. Box 30, 00271, Helsinki, Finland aut Magnussen Jon Department of Public Health and Community Medicine, Norwegian University of Science and Technology, 7489, Trondheim, Norway aut Olsen Kim Danish Institute for Health Services Research, 2100, Copenhagen, Denmark aut Rehnberg Clas Medical Management Centre, Karolinska Institutet, 171 77, Stockholm, Sweden aut The European Journal of Health Economics Springer-Verlag 12/6(2011-12-01), 509-519 1618-7598 12:6<509 2011 12 10198 https://doi.org/10.1007/s10198-010-0263-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10198-010-0263-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Medin Emma Medical Management Centre, Karolinska Institutet, 171 77, Stockholm, Sweden aut NATIONALLICENCE 700 1- Anthun Kjartan SINTEF Health Research, 7465, Trondheim, Norway aut NATIONALLICENCE 700 1- Häkkinen Unto Centre for Health and Social Economics, National Institute for Health and Welfare, P.O. Box 30, 00271, Helsinki, Finland aut NATIONALLICENCE 700 1- Kittelsen Sverre Ragnar Frisch Centre for Economic Research, Gaustadalléen 21, 0349, Oslo, Norway aut NATIONALLICENCE 700 1- Linna Miika Centre for Health and Social Economics, National Institute for Health and Welfare, P.O. Box 30, 00271, Helsinki, Finland aut NATIONALLICENCE 700 1- Magnussen Jon Department of Public Health and Community Medicine, Norwegian University of Science and Technology, 7489, Trondheim, Norway aut NATIONALLICENCE 700 1- Olsen Kim Danish Institute for Health Services Research, 2100, Copenhagen, Denmark aut NATIONALLICENCE 700 1- Rehnberg Clas Medical Management Centre, Karolinska Institutet, 171 77, Stockholm, Sweden aut NATIONALLICENCE 773 0- The European Journal of Health Economics Springer-Verlag 12/6(2011-12-01), 509-519 1618-7598 12:6<509 2011 12 10198 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer