Public vs Private in Hospital Efficiency. Exploring determinants in a competitive environment

This study investigates the determinants of efficiency in an Italian regional health system and estimates the effect exerted by ownership on hospitals’ performance. To achieve this aim, the Veneto region was considered as a case study and a full dataset (2011–2012) containing nonpublicly available technical data and cost and income items was analyzed. Efficiencies are measured applying a three-stage data envelopment analysis (DEA). Our results suggest that private hospitals perform better than public hospitals in productivity and cost saving, not considering the effect of other environmental and operational variables such as length of stay and beds per capita