title: The technical efficiency of hospitals under a single payer system: the case of Ontario community hospitals.
abstract: Using DEA, we investigated the impact of ownership, size, and location on the relative technical efficiency of community hospitals in Ontario, which has a single payer system. Consistent with Hansmann's theory of non-profit organizations and contrary to US-based research, we find no significant differences in efficiency across ownership types (government, religious or secular non-profit). Nor do we find significant differences in efficiency by size or location. Our findings suggest that model formulation and differences in payer mix across types of hospitals in the US have a strong influence on the measurement of the hospital ownership-efficiency relationship.
authors.affiliation: Tippie College of Business, University of Iowa, Iowa City 52242-1000, USA. thomas-gruca@uiowa.edu
authors.forename: T S
authors.initials: TS
authors.lastname: Gruca
authors.forename: D
authors.initials: D
authors.lastname: Nath
mesh_terms: D002391:Catchment Area, Health; D003625:Data Collection; D003661:Decision Support Techniques; D017598:Efficiency, Organizational / Q000706:statistics & numerical data*; D006276:Health Facility Size; D006302:Health Services Research / Q000379:methods; D006764:Hospitals, Community / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D015233:Models, Statistical; D009313:National Health Programs / Q000458:organization & administration*; D009864:Ontario; D010067:Ownership; D012107:Research Design; D018855:Single-Payer System / Q000458:organization & administration*; D013597:Systems Analysis