Volume 14 Issue 1 2018


Nabila Asghar
Assistant Professor Department of Economics & Business Administration , University of the Education, Lahore, Pakistan.

Professor of Economics, School of Business and Economics, University of Management and Technology Lahore, Pakistan.

Hafiz Ghulam Mujaddid
Associate Research Fellow at Punjab Economic Research Institute Lahore, Pakistan.

Abstract The main objective of this study is to analyze the efficiency of hospitals of districts of Punjab a province of Pakistan. The study uses the output-oriented DEA bootstrap technique for measuring the efficiency of hospitals by utilizing four inputs and two outputs. The results of the study reveal that not a single district appears to be fully efficient when a bias-corrected efficiency technique is used. The overall efficiency which is measured in the form of mean efficiency has shown a rising trend in 2011 and afterward little deterioration in 2013. The study identifies the less efficient and highly efficient districts of hospitals of the Punjab province of Pakistan. The inference from this study may be helpful for policymakers to formulate and implement policies that help the hospitals of districts of Punjab to perform better through improving their efficiency.
Keywords Technical efficiency, DEA bootstrap, Output, Hospitals
Year 2018
Volume 14
Issue 1
Type Short Report
Recognized by Higher Education Commission of Pakistan, HEC
Category "Y"
Journal Name IBT Journal of Business Studies
Publisher Name ILMA University
Jel Classification C01, C10, C13, C55, I11
DOI http://dx.doi.org/10.46745/ilma.jbs.2018.14.01.10
ISSN no (E, Electronic) 2409-6520
ISSN no (P, Print) 2416-8393
Country Pakistan
City Karachi
Institution Type University
Journal Type Open Access
Type of Review Double Blind Peer Reviewed
Format PDF
Paper Link http://ibtjbs.ilmauniversity.edu.pk/journal/jbs/14.1/10.pdf
Page 120-128
References Akram, N., IhtshamulHaqPadda, & Khan, M. (2008). The long term impact of health on economic growth in Pakistan. The Pakistan Development Review, 47(4), 487-500.

Biorn, E., Hagen, T. P., Iversen, T., & Magnussen, J. (2003). The effect of activity-based financing on hospital efficiency: a panel data analysis of DEA efficiency scores 1992– 2000. Health Care Management Science, 6(4), 271-283.

Bloom, D. E., Canning, D., &Sevilla, J. (2001). The effect of health on economic growth: theory and evidence (No. w8587). National Bureau of Economic Research.

Bwana, K. M. (2015). Measuring Technical Efficiency of Faith Based Hospitals in Tanzania: An application of Data Envelopment Analysis (DEA). Research in Applied Economics, 7(1), 1-12.

Chang, H., Cheng, M. A., & Das, S. (2004). Hospital ownership and operating efficiency: evidence from Taiwan. European Journal of Operational Research, 159(2), 513-527.

Farrell, M. J. (1957). The measurement of productive efficiency. Journal of the Royal Statistical Society. Series A (General), 120(3), 253-290.

Gannon, B. (2005). Testing for variation in technical efficiency of hospitals in Ireland. Economic and Social Review, 36(3), 273.

Gok, M. S., &Sezen, B. (2013). Analyzing the ambiguous relationship between efficiency, quality and patient satisfaction in healthcare services: The case of public hospitals in Turkey. Health policy, 111(3), 290-300.

Magnussen, J. (1996). Efficiency measurement and the operationalization of hospital production. Health services research, 31(1), 21-37.

Matranga, D., & Sapienza, F. (2015). Congestion analysis to evaluate the efficiency and appropriateness of hospitals in Sicily. Health Policy, 119(3), 324-332.

Moshiri, H., Aljunid, S. M., Amin, R. M., Dahlui, M., & Ibrahim, W. N. (2011). Measuring efficiency of teaching hospitals in Malaysia. International Journal of Business and Management, 6(4), 207-2013.

Rasool, S. A., Saboor, A., &Raashid, M. (2014). Measuring Efficiency of Hospitals by DEA: An Empirical Evidence from Pakistan. International Journal of Public Health Science (IJPHS), 3(2), 129-136.

Simar, L. and Wilson, P. (2000). Statistical Inference in Nonparametric Frontier Models: The State of the Art. Journal of Productivity Analysis, 13(1), 49-78.

Simar, L., & Wilson, P. W. (1998). Sensitivity analysis of efficiency scores: How to bootstrap in nonparametric frontier models. Management science, 44(1), 49-61.

Tiemann, O., &Schreyogg, J. (2009). Effects of ownership on hospital efficiency in Germany. BUR-Business Research, 2(2), 115-145.

Varabyova, Y., &Schreyogg, J. (2013). International comparisons of the technical efficiency of the hospital sector: Panel data analysis of OECD countries using parametric and non-parametric approaches. Health policy,112(1), 70-79.

Vitikainen, K., Street, A., &Linna, M. (2009). Estimation of hospital efficiency—Do different definitions and casemix measures for hospital output affect the results? Health Policy, 89(2), 149-159.

Wholey, J. S., &Hatry, H. P. (1992). The case for performance monitoring. Public Administration Review, 52(6) 604-610.