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Investment and dynamic DEA: With an ...

Yan, Li.

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Investment and dynamic DEA: With an application to Chinese hospitals.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Investment and dynamic DEA: With an application to Chinese hospitals./
Author:	Yan, Li.
Description:	129 p.
Notes:	Source: Dissertation Abstracts International, Volume: 66-11, Section: A, page: 4132.
Contained By:	Dissertation Abstracts International66-11A.
Subject:	Economics, Theory. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR09508
ISBN:	0494095083

Investment and dynamic DEA: With an application to Chinese hospitals.
Yan, Li.

Investment and dynamic DEA: With an application to Chinese hospitals. - 129 p.

Source: Dissertation Abstracts International, Volume: 66-11, Section: A, page: 4132.

Thesis (Ph.D.)--Universite du Quebec a Montreal (Canada), 2005.

Since the last decades, many governments in the world were concerned about the problem of their rapidly increasing health care expenditures since these expenditures are mainly assumed by governments in most countries. Rapid economic growth in China has greatly increased the per capita income and significantly increased the demand for health care services. Having succeeded in the development of market economy, China believes that market competition can improve the rationalization of health resource allocation. A health system reform is then lanced. The old Chinese public health utility system is reconstructed into a mixed system of public utility and health industry. How to reorganize the health system to enhance its operation efficiency? What should they do? How can it be done? The central problem is to calculate the efficient production frontier.

ISBN: 0494095083Subjects--Topical Terms:

1017575
Economics, Theory.

Investment and dynamic DEA: With an application to Chinese hospitals.
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245 1 0 $a Investment and dynamic DEA: With an application to Chinese hospitals.
300 $a 129 p.
500 $a Source: Dissertation Abstracts International, Volume: 66-11, Section: A, page: 4132.
502 $a Thesis (Ph.D.)--Universite du Quebec a Montreal (Canada), 2005.
520 $a Since the last decades, many governments in the world were concerned about the problem of their rapidly increasing health care expenditures since these expenditures are mainly assumed by governments in most countries. Rapid economic growth in China has greatly increased the per capita income and significantly increased the demand for health care services. Having succeeded in the development of market economy, China believes that market competition can improve the rationalization of health resource allocation. A health system reform is then lanced. The old Chinese public health utility system is reconstructed into a mixed system of public utility and health industry. How to reorganize the health system to enhance its operation efficiency? What should they do? How can it be done? The central problem is to calculate the efficient production frontier.
520 $a The health care market is known as non-competitive since the information is strongly asymmetric and there is usually a lack of price information. The traditional parametric method seems insufficient to answer the questions mentioned above. Data Envelopment Analysis (DEA) became one of the most widely used methods in the measurement of efficiency for both public and private firms. Unfortunately, this method ignores a fundamental aspect of firm's behavior. The investment decisions are neglected. For that reason, we say that previous DEA models are essentially static. Firms do not have to forecast future results of their decisions. This setting is at odds with the empirical studies on efficiency. One of the main features of these studies is the great importance of investment. Ignoring with investment will bias the result. If an investing firm is to be compared to a non-investing one, the investing firm will be disadvantaged since some resources will be devoted to the investment process. This is the well-known adjustment cost. The cost of these resources will be considered as inefficiency.
520 $a A dynamic version of DEA is developed in the present paper. This model introduces investment in traditional DEA and imposes intertemporal cost minimization. While adding intertemporal adjustment constraints into the cost minimization problem in a natural way, we find the relationship between the DEA variables of the cost function and those of the primary production frontiers' coefficients. The standard linear program is enough to solve our augmented DEA models. Under this dynamic framework, one can calculate the production frontiers, measure the productive efficiencies and evaluate the potential economies all in the presence of adjustment barriers. Our studies show that the static DEA model could quantitatively and qualitatively bias the analysis results.
520 $a An empirical application to hospitals in the Shaanxi province of China from the year of 1997 to 2000 is carried out in the last part of our thesis. Our results show that during the four years of the study, an amount of 1 269 967 300 yuans (about 15.6% of the total budget) can be saved for Shaanxi hospitals by moving to the efficient production frontier. We also found that only a few Shaanxi hospitals (4.39% of the total number of hospitals) run at optimal returns to scale. About 66.15% of the hospitals are too large; 29.46% of them are too small.
590 $a School code: 0863.
650 4 $a Economics, Theory. $3 1017575
650 4 $a Health Sciences, Health Care Management. $3 1017922
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690 $a 0769
710 2 0 $a Universite du Quebec a Montreal (Canada). $3 1024448
773 0 $t Dissertation Abstracts International $g 66-11A.
790 $a 0863
791 $a Ph.D.
792 $a 2005
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR09508