We analyze the technical efficiency of German and Swiss urban public transport companies by means of SFA. In transport networks we might face different network structures or complexities, not observed, but influencing the production process. The unobserved factors are typically modeled as separable factors. However, we argue that the entire production process is organized around different network...
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This paper examines the cost efficiency in the nursing home industry, an issue of concern to Swiss policy makers because of the explosive growth of national expenditure on elderly care and the aging of the population. A stochastic cost frontier model with a translog function has been applied to a balanced panel data of 1780 observations from 356 nursing homes operating over five years (1998-2002)...
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This paper examines the temporal variation of cost efficiency in Switzerland’s general hospitals. The variation of total costs and the number of empty beds has been analyzed using a sample of 168 hospitals operating from 1998 to 2003. In addition more than 100,000 observations form the inpatient data disaggregated to DRG categories have been used to analyze the variations in the length of...
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This paper explores the cost structure of Swiss hospitals, focusing on differences due to teaching activities and those across different ownership and subsidization types. A stochastic total cost frontier with a Cobb-Douglas functional form has been estimated for a panel of 150 general hospitals over the six-year period from 1998 and 2003. Inpatient cases adjusted by DRG cost weights and...
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Adequate and timely application of analgesics after surgical operations is important from both clinical and economic perspectives. Administering pain relief measures requires information about development of post-operative pain and the effect of analgesics. Such information can be obtained from studying patients’ perception of pain in different periods after the operation. This paper applies an...
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This paper is a case study of the use of public use administrative data for the estimation of empirical relations when key dependent variables are not available in the data. It is shown that the out-of-hospital mortality rates can be identified using the patient discharge data without post-discharge death records. Using data on the lengths of hospitalizations and out-of-hospital spells, the...
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This paper analyses the demand of Swiss families for child care facilities. A choice experiment has been used to study the effects of the facilities’ characteristics as well as socioeconomic factors on the selected child care mode. The experimental data have been analysed using a discrete choice model with multinomial logit specification. The results suggest that the stated demand for...
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This paper examines the application of different parametric methods to measure cost efficiency of electricity distribution utilities. The cost frontier model is estimated using four methods: Displaced Ordinary Least Squares, Fixed Effects, Random Effects and Maximum Likelihood Estimation. These methods are applied to a sample of 59 distribution utilities in Switzerland. The data consist of an...
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This paper examines the issue of cost-efficiency in Switzerland’s nursing homes, an issue of concern to policy makers because of the rapid growth of elderly care expenditure and the aging of the population. The fact that nursing homes in Switzerland exist in different institutional forms, private for-profit, government and non-profit status, raises the issue of their relative cost efficiency. A...
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This paper examines the effects of hospital conversions between For-Profit and Not-For-Profit forms on quality of medical care. The sample includes Medicare patients treated in California’s private hospitals from 1990 to 1998 for Acute Myocardial Infarction and Congestive Heart Failure. The results suggest that converted hospitals have experienced quality changes before conversion, which may...
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