How much confidence should we place in efficiency estimates?

B-Tier
Journal: Health Economics
Year: 2003
Volume: 12
Issue: 11
Pages: 895-907

Score contribution per author:

2.011 = (α=2.01 / 1 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

Ordinary least squares (OLS) and stochastic frontier (SF) analyses are commonly used to estimate industry‐level and firm‐specific efficiency. Using cross‐sectional data for English public hospitals, a total cost function based on a specification developed by the English Department of Health is estimated. Confidence intervals are calculated around the OLS residuals and around the inefficiency component of the SF residuals. Sensitivity analysis is conducted to assess whether conclusions about relative performance are robust to choices of error distribution, functional form and model specification. It is concluded that estimates of relative hospital efficiency are sensitive to estimation decisions and that little confidence can be placed in the point estimates for individual hospitals. The use of these techniques to set annual performance targets should be avoided. Copyright © 2002 John Wiley & Sons, Ltd.

Technical Details

RePEc Handle
repec:wly:hlthec:v:12:y:2003:i:11:p:895-907
Journal Field
Health
Author Count
1
Added to Database
2026-01-29