Hospital mergers : just what the doctor ordered?
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Tipo de documento: | Dissertação |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.14/16651 |
Resumo: | Facing a fragile financial situation, the Portuguese governments have been implementing reforms to offset the increasing healthcare costs, which are creating an unsustainable situation for the National Health Service. Attempting to cut expenses in the health sector, a number of fusions between public hospitals were employed. Using data between 2004 and 2011, for thirty National Health Service hospitals, twelve of which are merged, this thesis investigates the existence of fusion effects on the financial performance and on the efficiency of these institutions. The data is analysed using a Differences-in-Differences estimator with Fixed Effects. The treatment effect on the financial performance and on the efficiency is first analysed through two separate equations, based on a translog function, and then through a quantile regression of the same equations. While the literature does not have a strong standing on hospital mergers, it seems to offer more evidence against than in favour of it. The results found by this study go in that direction, as no significant merger effects on either the financial performance or the efficiency of the hospitals were observed. |
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Hospital mergers : just what the doctor ordered?Portuguese hospitalsHospital mergersHealthExpenditureEfficiencyDomínio/Área Científica::Ciências Sociais::Economia e GestãoFacing a fragile financial situation, the Portuguese governments have been implementing reforms to offset the increasing healthcare costs, which are creating an unsustainable situation for the National Health Service. Attempting to cut expenses in the health sector, a number of fusions between public hospitals were employed. Using data between 2004 and 2011, for thirty National Health Service hospitals, twelve of which are merged, this thesis investigates the existence of fusion effects on the financial performance and on the efficiency of these institutions. The data is analysed using a Differences-in-Differences estimator with Fixed Effects. The treatment effect on the financial performance and on the efficiency is first analysed through two separate equations, based on a translog function, and then through a quantile regression of the same equations. While the literature does not have a strong standing on hospital mergers, it seems to offer more evidence against than in favour of it. The results found by this study go in that direction, as no significant merger effects on either the financial performance or the efficiency of the hospitals were observed.Reis, RicardoSarmento, JoaquimRaposo, PedroVeritati - Repositório Institucional da Universidade Católica PortuguesaVeigas, João Manuel Batista2015-02-16T09:04:16Z2014-10-2720142014-10-27T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://hdl.handle.net/10400.14/16651TID:201181185enginfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-12-19T01:36:15Zoai:repositorio.ucp.pt:10400.14/16651Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:13:49.691236Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Hospital mergers : just what the doctor ordered? |
title |
Hospital mergers : just what the doctor ordered? |
spellingShingle |
Hospital mergers : just what the doctor ordered? Veigas, João Manuel Batista Portuguese hospitals Hospital mergers Health Expenditure Efficiency Domínio/Área Científica::Ciências Sociais::Economia e Gestão |
title_short |
Hospital mergers : just what the doctor ordered? |
title_full |
Hospital mergers : just what the doctor ordered? |
title_fullStr |
Hospital mergers : just what the doctor ordered? |
title_full_unstemmed |
Hospital mergers : just what the doctor ordered? |
title_sort |
Hospital mergers : just what the doctor ordered? |
author |
Veigas, João Manuel Batista |
author_facet |
Veigas, João Manuel Batista |
author_role |
author |
dc.contributor.none.fl_str_mv |
Reis, Ricardo Sarmento, Joaquim Raposo, Pedro Veritati - Repositório Institucional da Universidade Católica Portuguesa |
dc.contributor.author.fl_str_mv |
Veigas, João Manuel Batista |
dc.subject.por.fl_str_mv |
Portuguese hospitals Hospital mergers Health Expenditure Efficiency Domínio/Área Científica::Ciências Sociais::Economia e Gestão |
topic |
Portuguese hospitals Hospital mergers Health Expenditure Efficiency Domínio/Área Científica::Ciências Sociais::Economia e Gestão |
description |
Facing a fragile financial situation, the Portuguese governments have been implementing reforms to offset the increasing healthcare costs, which are creating an unsustainable situation for the National Health Service. Attempting to cut expenses in the health sector, a number of fusions between public hospitals were employed. Using data between 2004 and 2011, for thirty National Health Service hospitals, twelve of which are merged, this thesis investigates the existence of fusion effects on the financial performance and on the efficiency of these institutions. The data is analysed using a Differences-in-Differences estimator with Fixed Effects. The treatment effect on the financial performance and on the efficiency is first analysed through two separate equations, based on a translog function, and then through a quantile regression of the same equations. While the literature does not have a strong standing on hospital mergers, it seems to offer more evidence against than in favour of it. The results found by this study go in that direction, as no significant merger effects on either the financial performance or the efficiency of the hospitals were observed. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-10-27 2014 2014-10-27T00:00:00Z 2015-02-16T09:04:16Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.14/16651 TID:201181185 |
url |
http://hdl.handle.net/10400.14/16651 |
identifier_str_mv |
TID:201181185 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131816935817216 |