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Federal state differentials in the efficiency of health production in Germany: an artifact of spatial dependence?

Felder, Stefan and Tauchmann, Harald. (2011) Federal state differentials in the efficiency of health production in Germany: an artifact of spatial dependence? European Journal of Health Economics, Vol. 14, no. 1. p. 19.

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Official URL: http://edoc.unibas.ch/dok/A6001751

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Abstract

Due to regional competition and patientmigration, the efficiency of healthcare provision at theregional level is subject to spatial dependence. We addressthis issue by applying a spatial autoregressive model tolongitudinal data from Germany at the district (‘Kreis’)level. The empirical model is specified to explain efficiencyscores, which we derive through non-parametricorder-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 resultsreveal significant spatial spillover effects. Notably,accounting for spatial dependence does not decrease butincreases the estimated effect of federal states on districtefficiency. It appears that genuinely more efficient statesare less affected by positive efficiency spillovers, so thattaking into account spatial dependence clarifies theimportance of health policy at the state level.
Faculties and Departments:06 Faculty of Business and Economics > Departement Wirtschaftswissenschaften > Professuren Wirtschaftswissenschaften > Health Economics (Felder)
UniBasel Contributors:Felder, Stefan
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Springer
ISSN:1618-7598
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:14 Sep 2012 07:21
Deposited On:14 Sep 2012 07:10

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