What is regarded by economists as 'increased efficiency' may instead be a
shifting of costs from the paid economy to the unpaid economy.
For instance, a reduction in the time patients spend in hospital may seem to be an increase
in the efficiency of the hospital [...] the money costs of the hospital per patient
fall but the unpaid work of women in the household rises (Elson, 1989, quoted
in Sparr 1994b: 17).