Financing reform and productivity change in Brazilian teaching hospitals: Malmquist approach

This study evaluates the performance and productivity changes for the Brazilian Federal University Hospitals, considering the years of 2003 and 2006, that is, before and after a 2004 financing reform. The analysis is based on the Malmquist index approach. Results indicate that the financing reform provided improvement in the technical efficiency, although the technological frontier has not presented a positive shift. This suggests that increased budgets were a good stimulus for efficiency but the intended enhancement of the technology through the financing reform has not yet taken place.