Research
Work in Progress
Hospital ownership and input efficiency: evidence from France (Latest Version)
Abstract : This research introduces a novel assessment examining how hospital ownership (teaching, public, private non-profit, and private for-profit) affects operational efficiency. Using open datasets, I created a comprehensive panel of 1051 French hospitals between 2015 and 2019 to predict and estimate an input requirement function for each hospital type. The findings suggest that, after adjusting for patient characteristics, type of activity, and level of equipment, at least half of private for-profit hospitals require an estimated 40% fewer assistant nurses and 30% fewer nurses to achieve equivalent stay numbers than if they operated as teaching hospitals. Teaching hospitals also appear to be less efficient than other public hospitals, as they need on average 20% more assistant nurses to treat a same volume of patients. This study suggests that a significant portion of this efficiency discrepancy may arise from the fact that teaching hospitals are particularly inefficient managing outpatient admission, as a marginal increase in outpatient admission is translated by a much higher increase in staffing in teaching hospitals as compared to the other ones.
Estimating the impact of hospital closure in France, joint work with Titouan Le Calvé
Policy work
Movilidad de pacientes en el SNS: equilibrios políticos, institucionales y financieros, with Francisco Javier Moreno Fuentes (CSIC), Roberta Perna (CSIC), Gibrán Cruz-Martínez (CSIC). Madrid. Instituto Nacional de Administración Pública (2022).