Governments are searching for possibilities to improve efficiency and reduce cost of the public sector services. Privatising, deregulation, changing property rights have become popular policy items in recent politics. Although there has been much progress in methodological issues and the availability of reliable data, there is still a huge gap between efficiency research and policy implementation of the results. The aim of this book is to bridge this gap.

The book provides a summary of recent research, an overview of methods, an insight of factors affecting efficiency, an evaluation of the findings and possible policy recommendations. This aim is addressed by various case studies. The book is divided into six parts. Besides the general introductory and concluding chapters (part I and part VI), each chapter refers to a specific segment of the public sector. Part II addresses the performance of health care facilities. Part III analyzes the performance of educational service providers. Part IV contains studies of the performance of law enforcement agencies and part V provides analysis of the performance of regional service providers. These specific sectors account for the bulk of previous studies of efficiency and productivity in the public sector. By further including extensive literature overviews in each chapter, the volume creates a comprehensive picture of the state of the art of current research in this field.

Public Provision and Performance is a valuable tool to those working in central and local government, providers of public services and students in economics and public administration.

Hospitals worldwide command the majority of any countries' health care budget. Reasons for these higher costs include the aging of the population requiring more intensive health care treatments provided in hospitals, the relatively high costs of labor in this labor intensive industry and payment systems that may encourage inefficient behavior on the part of hospital managers and physicians. Governments are seeking to instruments to mitigate this cost rise. Liberalizing hospital markets, deregulation, changing budget systems and changing ownership are only a few examples of attempts to make hospitals more efficient.
Hospital industry responds in various ways to changing market conditions and legislation. In most western hospital markets we observe hospital consolidation, acquisitions, mergers and the founding of several types of network and hospital associations. The question is whether this trend also contributes to more efficiency.
In this volume a number of outstanding internationally known scholars in the field of productivity measurement and health economics provide the reader with an excellent insight in the complexity of the issue. They explain that there is no straightforward panacea or recipe for the issues addressed. It is shown that the composition of the demand for care, the economic context, environmental and geographical conditions affect the outcomes. Policymakers should therefore take these nuances into account. A policy of increasing productivity starts with knowledge and insights in the complexity of the issue. The book therefore advocates the development of a strategy of collecting relevant data and conducting academic research that meet the standard of thestate of the art. The book provides two illustrative examples of such a strategy in Finland and Australia.
The authors have avoided as much as possible the technical jargon and complex mathematics and statistics involved in this research area. Therefore the book is par excellence suitable for policymakers and hospital managers, as well as for graduate students of health economics and health administration.
*Avoids, as much as possible, technical jargon and complex mathematics and statistics
*International in scope