Testing for spatial dependent heterogeneity in hospital technical efficiency is crucial for separating spatial issues from the effects of regional institutional factors. We apply the Spatial Stochastic Frontier Analysis for studying the presence of spatial dependence by using novel data on Italian hospitals. This approach provides both a robust estimation of hospital technical efficiency and a careful assessment of spatial and regional issues. We find empirical support for the idea that regional and institutional factors are more important than neighbouring ef-fects when looking at heterogeneity in hospital technical efficiency across Italy. The relevance of the regional organization of the Italian hospital system can justify our results. We also discuss the limitations of our analysis and provide sensitivity checks.

Does neighbours’ grass matter? Testing spatial dependent heterogeneity in technical efficiency of Italian hospitals / Cavalieri, Marina; Di Caro, Paolo; Guccio, Calogero; Lisi, Domenico. - In: SOCIAL SCIENCE & MEDICINE. - ISSN 0277-9536. - (2020), p. 113506. [10.1016/j.socscimed.2020.113506]

Does neighbours’ grass matter? Testing spatial dependent heterogeneity in technical efficiency of Italian hospitals

Di Caro, Paolo;
2020

Abstract

Testing for spatial dependent heterogeneity in hospital technical efficiency is crucial for separating spatial issues from the effects of regional institutional factors. We apply the Spatial Stochastic Frontier Analysis for studying the presence of spatial dependence by using novel data on Italian hospitals. This approach provides both a robust estimation of hospital technical efficiency and a careful assessment of spatial and regional issues. We find empirical support for the idea that regional and institutional factors are more important than neighbouring ef-fects when looking at heterogeneity in hospital technical efficiency across Italy. The relevance of the regional organization of the Italian hospital system can justify our results. We also discuss the limitations of our analysis and provide sensitivity checks.
2020
hospital technical efficiency; regional effects; spatial stochastic frontier
01 Pubblicazione su rivista::01a Articolo in rivista
Does neighbours’ grass matter? Testing spatial dependent heterogeneity in technical efficiency of Italian hospitals / Cavalieri, Marina; Di Caro, Paolo; Guccio, Calogero; Lisi, Domenico. - In: SOCIAL SCIENCE & MEDICINE. - ISSN 0277-9536. - (2020), p. 113506. [10.1016/j.socscimed.2020.113506]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1658315
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