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Measuring cost efficiency in the Nordic hospitals--a cross-sectional comparison of public hospitals in 2002.

Linna M, Häkkinen U, Peltola M, Magnussen J, Anthun KS, Kittelsen S, Roed A, Olsen K, Medin E, Rehnberg C - Health Care Manag Sci (2010)

Bottom Line: In 2002, average efficiency was markedly higher in Finland compared to Norway and Sweden.This study found differences in cost efficiency that cannot be explained by input prices or differences in coding practices.More analysis is needed to reveal the causes of large efficiency disparities between Nordic hospitals.

View Article: PubMed Central - PubMed

Affiliation: THL, Center for Health and Social Economics, Helsinki, Finland. mika.linna@thl.fi

ABSTRACT
The aim of this study was to compare the performance of hospital care in four Nordic countries: Norway, Finland, Sweden and Denmark. Using national discharge registries and cost data from hospitals, cost efficiency in the production of somatic hospital care was calculated for public hospitals. Data were collected using harmonized definitions of inputs and outputs for 184 hospitals and data envelopment analysis was used to calculate Farrell efficiency estimates for the year 2002. Results suggest that there were marked differences in the average hospital efficiency between Nordic countries. In 2002, average efficiency was markedly higher in Finland compared to Norway and Sweden. This study found differences in cost efficiency that cannot be explained by input prices or differences in coding practices. More analysis is needed to reveal the causes of large efficiency disparities between Nordic hospitals.

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The difference between the observed and expected case-mix adjusted output in each of the MDCs (MDC 1–26). Results are presented as the percentage of total output
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Fig2: The difference between the observed and expected case-mix adjusted output in each of the MDCs (MDC 1–26). Results are presented as the percentage of total output

Mentions: In this study we observed that there were some differences in the average case-mix between the Nordic countries (Table 1). This may be due to coding differences. Using patient-level data, it was possible to provide insight into the differences of patient care by looking more closely at the produced DRGs in each country. For each of the DRG groups the relative share of cases within each DRG group was compared. In addition, we compared the average case-mix, LOS and case-mix weighted cases/population in every DRG group and wider aggregates of DRGs, the major diagnostic categories (MDC) (Fig. 2).Fig. 2


Measuring cost efficiency in the Nordic hospitals--a cross-sectional comparison of public hospitals in 2002.

Linna M, Häkkinen U, Peltola M, Magnussen J, Anthun KS, Kittelsen S, Roed A, Olsen K, Medin E, Rehnberg C - Health Care Manag Sci (2010)

The difference between the observed and expected case-mix adjusted output in each of the MDCs (MDC 1–26). Results are presented as the percentage of total output
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2958261&req=5

Fig2: The difference between the observed and expected case-mix adjusted output in each of the MDCs (MDC 1–26). Results are presented as the percentage of total output
Mentions: In this study we observed that there were some differences in the average case-mix between the Nordic countries (Table 1). This may be due to coding differences. Using patient-level data, it was possible to provide insight into the differences of patient care by looking more closely at the produced DRGs in each country. For each of the DRG groups the relative share of cases within each DRG group was compared. In addition, we compared the average case-mix, LOS and case-mix weighted cases/population in every DRG group and wider aggregates of DRGs, the major diagnostic categories (MDC) (Fig. 2).Fig. 2

Bottom Line: In 2002, average efficiency was markedly higher in Finland compared to Norway and Sweden.This study found differences in cost efficiency that cannot be explained by input prices or differences in coding practices.More analysis is needed to reveal the causes of large efficiency disparities between Nordic hospitals.

View Article: PubMed Central - PubMed

Affiliation: THL, Center for Health and Social Economics, Helsinki, Finland. mika.linna@thl.fi

ABSTRACT
The aim of this study was to compare the performance of hospital care in four Nordic countries: Norway, Finland, Sweden and Denmark. Using national discharge registries and cost data from hospitals, cost efficiency in the production of somatic hospital care was calculated for public hospitals. Data were collected using harmonized definitions of inputs and outputs for 184 hospitals and data envelopment analysis was used to calculate Farrell efficiency estimates for the year 2002. Results suggest that there were marked differences in the average hospital efficiency between Nordic countries. In 2002, average efficiency was markedly higher in Finland compared to Norway and Sweden. This study found differences in cost efficiency that cannot be explained by input prices or differences in coding practices. More analysis is needed to reveal the causes of large efficiency disparities between Nordic hospitals.

Show MeSH