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Is Private Production of Hospital Services Cheaper than Public Production? A Meta-Regression of Public versus Private Costs and Efficiency for Hospitals

Bel, G; Esteve, M; (2020) Is Private Production of Hospital Services Cheaper than Public Production? A Meta-Regression of Public versus Private Costs and Efficiency for Hospitals. International Public Management Journal , 23 (1) pp. 1-24. 10.1080/10967494.2019.1622613. Green open access

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Abstract

The question of whether private organizations can outperform public ones in public service delivery has been a major topic of interest over the last few decades. However, the empirical evidence does not systematically support the hypothesis of lower costs and higher efficiency when private organizations deliver public services. To better understand the cost and efficiency differences between public and private organizations, we have conducted a meta-regression analysis of econometric studies relating to hospital ownership and performance. We have analyzed 61 estimates extracted from health studies, using public versus private hospital costs and efficiency as an independent variable. Our analysis shows a genuine true effect in favor of public sector hospitals. Although we found evidence that the public sector may provide public health services more cheaply than the private sector, the latter achieves better productive efficiency. We discuss how this divergence in results is affected by factors such as country, year, the use of panel data in a study, the extent to which performance is measured by examining financial costs, and the inclusion of not-for-profit hospitals.

Type: Article
Title: Is Private Production of Hospital Services Cheaper than Public Production? A Meta-Regression of Public versus Private Costs and Efficiency for Hospitals
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/10967494.2019.1622613
Publisher version: http://dx.doi.org/10.1080/10967494.2019.1622613
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL SLASH
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS > Dept of Political Science
URI: https://discovery.ucl.ac.uk/id/eprint/10074838
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