Productivity and quality changes in Greek public hospitals

The objective of this paper is to estimate productivity changes after the inclusion of quality variables for a panel of Greek public hospitals during the period 2002–2007. We measure hospital productivity and quality changes through a non‐parametric estimation of the quality adjusted Malmquist productivity index by using the percentage of survival after admissions as a proxy of hospital care services quality. Even though the empirical results indicate on average deterioration both in productivity and quality there is considerable variation among the sample hospitals.