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List of figures | |
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List of tables | |
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Preface | |
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Acknowledgements | |
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List of abbreviations | |
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Efficiency in health care | |
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Introduction | |
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The demand for efficiency analysis in health care | |
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Organisational efficiency | |
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Analytic efficiency measurement techniques | |
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Experience with efficiency analysis in health care | |
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This book | |
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The components of an efficiency model | |
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Introduction | |
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Unit of analysis | |
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What are outputs in health care? | |
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Health outcomes | |
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Health care activities | |
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Valuing health care outputs | |
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Specifying inputs | |
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Labour inputs | |
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Capital inputs | |
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Summary | |
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Environmental constraints | |
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Practical challenges | |
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Conclusions | |
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Stochastic frontier analysis of cross-sectional data | |
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Introduction | |
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Considerations in stochastic frontier analysis | |
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Whether to estimate a production or a cost function | |
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Whether to transform variables | |
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Whether to estimate a total or an average function | |
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Which explanatory variables to include | |
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How to model the residual | |
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How to extract the efficiency estimates | |
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Application to acute hospitals in England | |
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Conclusions | |
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Stochastic frontier analysis of panel data | |
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Introduction | |
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Time-invariant efficiency | |
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Empirical application | |
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Time-varying efficiency | |
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Empirical application | |
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Unobserved heterogeneity | |
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Empirical application | |
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Summary and sensitivity analysis | |
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Conclusions | |
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Data envelopment analysis | |
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Introduction | |
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The DEA methodology | |
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Input-oriented efficiency | |
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Output-oriented efficiency | |
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DEA formulation | |
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Considerations in data envelopment analysis | |
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Whether to assume constant or variable returns to scale | |
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Whether to assume an input or an output orientation | |
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Whether to apply weight restrictions | |
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Dealing with 'slacks' | |
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Model specification and judging the quality of a DEA model | |
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How to adjust for environmental factors | |
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Application to acute hospitals in England | |
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The methods and data | |
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Model specifications | |
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Results | |
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Conclusions | |
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The Malmquist index | |
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Introduction | |
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The Malmquist methodology | |
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A graphical illustration | |
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The general form of the Malmquist index | |
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Considerations in using the Malmquist index | |
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Previous literature on the Malmquist index in health care | |
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Application to acute hospitals in England | |
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The methods and data | |
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Model specifications | |
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Results | |
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Conclusions | |
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A comparison of SFA and DEA | |
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Introduction | |
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Why SFA and DEA produce different efficiency estimates | |
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Other differences between SFA and DEA | |
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Comparison of different methodologies | |
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The methods and data | |
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Model specifications | |
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Results | |
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Conclusions | |
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Unresolved issues and challenges in efficiency measurement | |
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Introduction | |
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Output weights | |
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Modelling the production process | |
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Environmental constraints | |
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Dynamic effects | |
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Conclusions | |
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Some alternative approaches to measuring performance | |
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Introduction | |
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Multilevel modelling | |
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Generalised statistical modelling | |
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Illustrative example | |
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Seemingly unrelated regression (SUR) in a multilevel context | |
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Illustrative example | |
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Conclusions | |
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Conclusions | |
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Introduction | |
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Output weights | |
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Partitioning unexplained variation | |
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Unresolved technical issues | |
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For policy makers and regulators | |
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Data description | |
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References | |
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Author index | |
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Subject index | |