Leistungsorientierte Budgetierung in Amerika

Performance-Based Budgeting (PBB), first introduced by the U.S. federal government in 1993 and adopted by numerous states between 1993 and 1998, was seen as a way to restore trust in government by making it more accountable, citizen-oriented, performance-driven, and cost-effective. Budget reformers believed that this rational approach to public budgeting would enhance the efficiency and effectiveness of government programs. Louisiana implemented PBB in 1997 and mandated it for all public entities, including state hospitals. The aim of this study is to assess the relative impacts of PBB on the technical efficiency of public hospitals. It addresses the following research question: Does PBB and its underlying rationality improve the efficiency of public hospitals? The data comes from three sources, including annual hospital surveys from 1996 and 2005, the Area Resource File from the Bureau of Health Professions, and the Center for Medicare and Medicaid Services. This investigation combines three innovative techniques, including data envelopment analysis, propensity score matching, and the Mann-Whitney test.