Papers (peer reviewed journals)

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 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.


Health Policy


Facultad de Ciencias Económicas y Empresariales
University of Cantabria
39005 Cantabria



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