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An evaluation of hospital efficiency in Nigeria : a stochastic frontier approach

Includes bibliographical references.

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Main Author: Ikenwilo, Divine
Other Authors: Abraham, Haim
Format: Thesis
Language:English
Published: School of Economics 2015
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access_status_str Open Access
author Ikenwilo, Divine
author2 Abraham, Haim
author_browse Abraham, Haim
Ikenwilo, Divine
author_facet Abraham, Haim
Ikenwilo, Divine
author_sort Ikenwilo, Divine
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description Includes bibliographical references.
format Thesis
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institution University of Cape Town (South Africa)
language eng
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2015
publishDateRange 2015
publishDateSort 2015
publisher School of Economics
publisherStr School of Economics
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/14949 An evaluation of hospital efficiency in Nigeria : a stochastic frontier approach Ikenwilo, Divine Abraham, Haim Muheki, Charlotte W Health Economics Nigeria Hospital efficiencies Includes bibliographical references. Some people have argued that there is no reason to expect economic efficiency in a government enterprise because the funds allocated to various ends have to be exhausted to meet targets. In a social and welfarist sense, this argument seems valid if in essence, such earmarked targets, to improve societal welfare, are met. However, in the face of rising hospital costs and insufficient government funds, the issue of effectively allocating government funds to alternative uses becomes paramount. The setting for this research paper is Nigeria. This research work aims at investigating how well financial resources are used in government hospitals in Nigeria. It not only explores the resources employed in hospitals, but also how well these hospitals use minimum resources to achieve maximum outpatient and inpatient output. Hospital cost and expenditure data are collected from 40 government cottage and general hospitals in South East Nigeria (Anambra and Enugu states specifically). The data is collected by means of open-ended questionnaires, which are filled in by relevant administrators in the hospitals visited and also by ministry of health personnel at the state levels. The main research question asked is whether hospitals in this part of the country (and indeed Nigeria as a whole) are allocatively inefficient. A second question as to whether hospitals in Anambra State are more efficient than Enugu State is also posed. The major component of the research involves using the cost and expenditure data to build cost functions for the entire hospitals studied. The main thrust of analysis is the stochastic frontier process, which also incorporates an efficiency effects model. The choice of this model, above all else, is because it provides numerical efficiency estimates and thus provides quantifiable proof of how well poorly Nigerian hospitals fare. It is found in the analysis of the data collected that the hospitals studied are generally inefficient, as 70 percent of them operate at costs above the average permissible cost frontier. 2015-11-13T13:01:44Z 2015-11-13T13:01:44Z 2001 Master Thesis Masters MSocSc http://hdl.handle.net/11427/14949 eng application/pdf School of Economics Faculty of Commerce University of Cape Town
spellingShingle Health Economics
Nigeria
Hospital efficiencies
Ikenwilo, Divine
An evaluation of hospital efficiency in Nigeria : a stochastic frontier approach
thesis_degree_str Master's
title An evaluation of hospital efficiency in Nigeria : a stochastic frontier approach
title_full An evaluation of hospital efficiency in Nigeria : a stochastic frontier approach
title_fullStr An evaluation of hospital efficiency in Nigeria : a stochastic frontier approach
title_full_unstemmed An evaluation of hospital efficiency in Nigeria : a stochastic frontier approach
title_short An evaluation of hospital efficiency in Nigeria : a stochastic frontier approach
title_sort evaluation of hospital efficiency in nigeria a stochastic frontier approach
topic Health Economics
Nigeria
Hospital efficiencies
url http://hdl.handle.net/11427/14949
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