In what way the ‘organisational change and technical efficiency’ impacts the supply of healthcare services? Discuss.

An increasing number of hospitals react to recent demographic, epidemiological and managerial challenges moving from a traditional organizational model to a Patient-Centered (PC) hospital model. Although the theoretical managerial literature on the PC hospital model is vast, quantitative evaluations of the performance of hospitals that moved from the traditional to the PC organizational structure is scarce. However, quantitative analysis of effects of managerial changes is important and can provide additional argument in support of innovation.

Methods

We take advantage of a quasi-experimental setting and of a unique administrative data set on the population of hospital discharge charts (HDCs) over a period of 9 years of Lombardy, the richest and one of the most populated region of Italy. During this period three important hospitals switched to the PC model in 2010, whereas all the others remained with the functional organizational model. This allowed us to develop a difference-in-difference analysis of some selected measures of efficiency and effectiveness for PC hospitals focusing on the “between-variability” of the 25 major diagnostic categories (MDCs) in each hospital and estimating a difference-in-difference model.

Results

We contribute to the literature ________ _______ _________ _________ ____ ____ __________ _______ ___ ___ _________ _____.
______ ____ _______ ___ ___.
_________ _____ ________ _____ ___ ______ __________ _________.
_____ ____ _______ _________ _______ ____ _______.
_____ ___ _________ _______ ______ ________ ______ ________ _________ __________ ___ __________.
____ ________ ____ ________ _________ _________ __________ _____ ____ __________.
______ ___ _________ _________ ____ _____ _________ _______ _______ _______ ______.
____ _____ _______ _______ _____ ___.
______ ___ _______ ________ ____ _____ __________ ______ _____.
____ ________ _______ _______ _________ ________ _______ _____ ______ _________.
_____ _____ ____ ___ ______.
__________ ______ ____ ______ ______ ________ _____ ______.
________ ______ _________ _____ ____ _________ ___ __________ __________ _______ ____ _____.
___ ____ ______ _____ ____ ____ _________ ______ __________.
______ _______ ____ __________ ______ ________ ___.
_______ __________ _____ _________ ____ ______ ________ __________ ____ _______ _________.
__________ _________ ______ _____ _____ ____ _____ __________ _________ _______.
______ _______ ____ ______ ____ ____ _______ ____.
_______ ____ ___ ________ _____ __________ ____ ___ ___ _______.
_________ _________ __________ ______ ________ _________ ________ _________ __________ _____ ____ _____.
___ ____ _____ _________ ____ _____.
______ ______ ________ ______ _________ _________.
___ __________ _________ _____ ______ ____ ___.
______ __________ _________ ________ _________ ___.
________ ________ ____ _______ ______ _________ _______ __________ __________ __________ ____ ____.
__________ ________ _____ ____ ____ ___ _______ _____.
________ _____ _______ ___ _________.
____ __________ __________ ____ ____ _______ _______ __________ _________.
_____ ____ __________ ________ _____ ___ _______ _______ _________ ____.
__________ ____ ___ __________ _____ ____ ___ _________ _____ _________ _____.
_______ _____ ____ ___ ________.
________ _______ ________ _______ ______ ____ _______ _________.
_____ __________ __________ __________ __________ ________ _____ _______ __________ ____ __________ ______.
_____ _________ _______ ____ ___ _______ ____ _____ _______ ______.
__________ _______ _______ ____ __________.
______ ______ ___ __________ _________ _______ _____.
_____ ___ _____ ____ ________ _________ ______ _____.
____ _________ ____ ________ _______ _______ _____ _________ __________ ________ ____.
__________ ________ __________ __________ _________ ___ _______ ________ _____ _________ _____ _______.
___ ___ __________ _____ _______ ______ ___ ___ _____.
_____ ______ ___ ________ ________ _________ ________ _____ _________.
___ _______ ______ _______ ___ _______ ______.
______ _____ _________ _______ _________ ___ ____.
________ ________ ________ ____ __________ _________ ___ _____ ___.
______ ______ ____ ___ ______ __________.
_______ ____ ___ ___ ___ ___ ____ ______ ________ ______.
__________ ____ ____ ______ __________.
______ _________ _________ _____ ____ ______ _______ _____ __________ _______ _________ ________.
___ __________ ________ __________ ______ _________ ________ _______ _______ _________.
_____ __________ ____ ___ _____ ________ ___.
_______ ___ ______ _____ _______ ___ _____ _________.
____ __________ __________ _________ ____ _____ ________ ____ __________ ____ ______.
___ ______ __________ _______ ___ ________ ________ _________ ________ ___ ____.
_______ ___ ___ ______ _____ ____ ________.
_______ ____ ______ ____ ______ _____ ________ _______.
__________ _________ ____ ______ ____ _______ ___ ________.
___ ______ ________ ______ _______ ____ ______ _________ _____.
________ _______ ________ __________ ____ _______ ________.
________ ______ ____ _____ __________ ________ ________.
______ _______ __________ _______ __________ _____ __________ ____ _________ ________ _________ _______.
________ _____ __________ _________ ______ _________ ____ _____ _____ __________ _________ ___.
____ _________ _________ _____ _________ _________ _____.
_____ ______ ______ ________ __________ _____ ____ ____ _____ _____ ____.
___ _____ ______ _______.
Get Full Answer on WhatsApp