全球智库信息集成服务系统(G2TT): Does Managerial 'Outsourcing' Reduce Expense Preference Behavior? A Comparison of Adopters and Non-Adopters of Contract-Management in US Hospitals

G2TT

来源类型	Working Paper
规范类型	报告
DOI	10.3386/w9157
来源ID	Working Paper 9157
	Does Managerial 'Outsourcing' Reduce Expense Preference Behavior? A Comparison of Adopters and Non-Adopters of Contract-Management in US Hospitals
	Kathleen Carey; Avi Dor
发表日期	2002-09-01
出版年	2002
语种	英语
摘要	This paper explores potential realization of gains by hospitals that are managed on a day-to-day basis by external organizations under formal contracts. It draws from the incentives literature, which postulates that managers of firms where ownership is separated from control will employ an input mix that deviates from cost minimization. While this status applies to hospitals generally, we hypothesize that specialized managerial expertise, coupled with the threat of non-renewal, will improve efficiency in hospitals that opt for contract. Secondary data obtained from the AHA Annual Surveys (1991-1998) are applied to examine the distribution of expense preference' parameters for all contract management adopters both pre- and post-adoption. These are contrasted with two control groups of hospitals drawn from the same years using propensity score methods. Results reveal allocative inefficiency among both adoption and control groups but a significantly lower change in the expense preference parameter pre- and post-adoption associated with a staffing. This suggests that changes in incentive contracts are one important strategy hospitals are using to cope with competitive pressures.
主题	Microeconomics ; Households and Firms ; Health, Education, and Welfare ; Health
URL	https://www.nber.org/papers/w9157
来源智库	National Bureau of Economic Research (United States)
引用统计
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/566769
推荐引用方式 GB/T 7714	Kathleen Carey,Avi Dor. Does Managerial 'Outsourcing' Reduce Expense Preference Behavior? A Comparison of Adopters and Non-Adopters of Contract-Management in US Hospitals. 2002.

条目包含的文件
文件名称/大小	资源类型	版本类型	开放类型	使用许可
w9157.pdf（296KB）	智库出版物		限制开放	CC BY-NC-SA	浏览