The impact of New Public Management on efficiency : an analysis of Madrid’s hospitals.

Madrid has recently become the site of one the most controversial cases of public healthcare reform in the European Union. Despite the fact that the introduction of New Public Management (NPM) into Madrid hospitals has been vigorous, little scholarship has been done to test whether NPM actually led...

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Detalles Bibliográficos
Autores: Alonso Alonso, José Manuel, Clifton, Judith|||0000-0001-6081-6800, Díaz Fuentes, Daniel|||0000-0002-6290-2363
Tipo de recurso: artículo
Fecha de publicación:2015
País:España
Institución:Universidad de Cantabria (UC)
Repositorio:UCrea Repositorio Abierto de la Universidad de Cantabria
Idioma:inglés
OAI Identifier:oai:repositorio.unican.es:10902/9638
Acceso en línea:http://hdl.handle.net/10902/9638
Access Level:acceso abierto
Palabra clave:Healthcare reform
Efficiency
New Public Management
Madrid
Descripción
Sumario:Madrid has recently become the site of one the most controversial cases of public healthcare reform in the European Union. Despite the fact that the introduction of New Public Management (NPM) into Madrid hospitals has been vigorous, little scholarship has been done to test whether NPM actually led to technical efficiency. This paper is one of the first attempts to do so. We deploy a bootstrapped Data Envelopment Analysis to compare efficiency scores in traditionally managed hospitals and those operating with new management formulas. We do not find evidence that NPM hospitals are more efficient than traditionally managed ones. Moreover, our results suggest that what actually matters may be the management itself, rather than the management model.