Analyzing the effect of health reforms on the efficiency of Ecuadorian public hospitals.

ABSTRACT: This study aims to assess whether Ecuadorian health reforms carried out since 2008 have affected the efficiency performance of public hospitals in the country. We contribute to the literature by shedding new light on the effects on public healthcare efficiency for developing countries when policies move toward health equity and universal coverage. We follow a two-stage approach, wherein the first stage we make use of factor and cluster analysis to obtain three clusters of public hospitals based on their technological endowment; we exploit Data Envelopment Analysis for panel data in the second stage to estimate robust efficiency measures over time. Our innovative empirical strategy considers the heterogeneity of healthcare institutions in the analysis of their efficiency performance. The re

SUBMITTER: Piedra-Pena J 

PROVIDER: S-EPMC10462564 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature