Title: Efficiency of public hospitals in Tunisia: a DEA with bootstrap application

Authors: Sami Chaabouni; Chokri Abednnadher

Addresses: Faculty of Economics and Management of Sfax, Laboratory MODEVIE, University of Sfax, Street of Airport, Km 4.5, LP 1088, Sfax 3018, Tunisia ' Faculty of Economics and Management of Sfax, Laboratory MODEVIE, University of Sfax, Street of Airport, Km 4.5, LP 1088, Sfax 3018, Tunisia

Abstract: This paper analyses the technical efficiency of public hospitals in Tunisia during the period 2000-2007. We use a two-stage procedure proposed by Simar and Wilson (2007). In the first stage, we use data envelopment analysis (DEA)-VRS model to identify the efficiency scores, and the second stage, we use a bootstrapped truncated regression model to identify the covariates that explain technical efficiency. We confirm that the efficiency growth did not improve significantly over the period of this study. In addition, we show that the efficiency of public hospitals is homogenous, with little variation across the analysed hospitals.

Keywords: public hospitals; Tunisia; data envelopment analysis; DEA; bootstrap; truncated regression; public healthcare; hospital efficiency; technical efficiency.

DOI: 10.1504/IJBHR.2012.051380

International Journal of Behavioural and Healthcare Research, 2012 Vol.3 No.3/4, pp.198 - 211

Published online: 20 Aug 2014 *

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