B0713
Title: Decomposing efficiency of Greek health system to input-output invariant components under technology heterogeneity
Authors: Kostas Kounetas - University of Patras (Greece) [presenting]
Abstract: Adopting a two stages methodological framework the aim is to investigate the productive performance of hospitals and health centers in Greece in 2011, taking into account possible heterogeneity. Based on the metafrontier notion, we re-introduce a methodology previously proposed, which allows the identification of technology gaps among different health structures and their decomposition into input- and output-invariant components using a bootstrap approach. Empirical findings indicate the existence of significant and rather increasing technology heterogeneity within Greek health system and the regions that it belongs, with the health centers to lay away from the Greek health metafrontier. Furthermore, the decomposition results suggests specific prefectures to be output driving for both hospitals and health centers drawing the attention to catching up policies focusing on input and/or output scale adjustments. Finally, a hierarchical modeling approach used to examine the factors that affect technology gaps reveal the statistical importance of prefecture GDP and population as the health structures years of operation.
