Document Type
Article
Publication Date
8-2021
Abstract
In the wake of growing attempts to assess the validity of public reporting, much research has examined the effectiveness of public reporting regarding cost or quality of care. However, relatively little is known about whether transparency through public reporting significantly influences hospital efficiency despite its emerging expectations for providing value-based care. This study aims to identify the dynamics that transparency brought to the healthcare market regarding hospital technical efficiency, taking the role of competition into account. We compare the two public reporting schemes, All-Payer Claims Database (APCD) and Hospital Compare. Employing Data Envelopment Analysis (DEA) and a cross-sectional time-series Tobit regression analysis, we found that APCD is negatively associated with hospital technical efficiency, while hospitals facing less competition responded significantly to increasingly transparent information by enhancing their efficiency relative to hospitals in more competitive markets. We recommend that policymakers take market mechanisms into consideration jointly with the introduction of public reporting schemes in order to produce the best outcomes in healthcare.
Identifier
85113764673 (Scopus)
DOI
10.3390/healthcare9081031
Publisher
MDPI AG
Repository Citation
Han, A., & Lee, K.-H. (2021). The impact of public reporting schemes and market competition on hospital efficiency. Healthcare, 9(8), Article 1031. http://doi.org/10.3390/healthcare9081031
Publication Information
Healthcare
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.