Explaining the efficiency of anaesthesiology and intensive care wards in the Slovak Republic
-
DOIhttp://dx.doi.org/10.21511/ppm.16(1).2018.16
-
Article InfoVolume 16 2018, Issue #1, pp. 166-172
- 1319 Views
-
137 Downloads
This work is licensed under a
Creative Commons Attribution-NonCommercial 4.0 International License
In this article, the authors measure and evaluate the efficiency of anesthesiology and intensive care wards in the Slovak Republic using the suitable methods and check suitability of methods and variables used in the Slovak healthcare environment. Nowadays, trends are towards modification of basic data envelopment analysis (DEA) incorporating other quantitative methods. In this study, the authors examined the influence of contextual variables on CCR DEA efficiency scores. Variables Ageing index and Unemployment rate had unexpected sign/effect on efficiency. Variables Average length of stay and Bed occupancy rate seem to be adequate to be used and checked for significance in terms of selected wards of the Slovak Republic healthcare. Such types of articles are completely missing in the Slovak Republic. Methods and variables the authors have used could be modificated to needs of individual wards. These findings could be used to build information system of efficiency in the Slovak healthcare within cooperation with National Health Information Center.
- Keywords
-
JEL Classification (Paper profile tab)I18, C24, C67
-
References26
-
Tables5
-
Figures2
-
- Figure 1. Research’s conceptual framework
- Figure 2. The path coefficient of direct and indirect effect
-
- Table 1. Descriptive statistics of input variables
- Table 2. Descriptive statistics of output variables
- Table 3. Descriptive statistics of explanatory variables
- Table 4. Efficiency scores and slacks
- Table 5. Regression models results
-
- Araújo, C., Barros, C. P., & Wanke, P. (2013). Efficiency determinants and capacity issues in Brazilian for-profit hospitals. Health Care Management Science, 17(2), 126-138.
- Blank, J. L. T., & Valdmanis, V. G. (2010). Environmental factors and productivity on Dutch hospitals: A semi-parametric approach. Health Care Management Science, 13(1), 27-34.
- Blank, J. L. T., & Van Hulst, B. L. (2010). Governance and performance: The performance of Dutch hospitals explained by governance characteristics. Journal of Medical Systems, 35(5), 991-999.
- Castelli, A., Street, A., Verzulli, R., & Ward, P. (2015). Examining variations in hospital productivity in the English NHS. European Journal of Health Economics, 16(3), 243-254.
- Cooper, W. W., Seiford, L. M., & Tone, K. (2007). Data Envelopment Analysis. A comprehensive Text with Models, Applications, References and DEA-Solver software. New York: Springer.
- Djema, H., & Djerdjouri, M. (2012). A two-stage DEA with partial least squares regression model for performance analysis in healthcare in Algeria. International Journal of Applied Decision Sciences, 5(2), 118-141.
- Foo, C. Y., Lim, K. K., Sivasampu, S., Dahian, K. B., & Goh, P. P. (2015). Improving the effectiveness of service delivery in the public healthcare sector: the case of ophthalmology services in Malaysia. BMC Health Services Research, 15(1).
- Gholami, R., Añón Higón, D., & Emrouznejad, A. (2015). Hospital performance: Efficiency or quality? Can we have both with IT? Expert Systems with Applications, 42(12), 5390-5400.
- Gok, M. S., & Sezen, B. (2013). Analyzing the ambiguous relationship between efficiency, quality and patient satisfaction in healthcare services: The case of public hospitals in Turkey. Health Policy, 111(3), 290-300.
- Hadad, S., Hadad, Y., & Simon-Tuval, T. (2011). Determinants of healthcare system's efficiency in OECD countries. European Journal of Health Economics, 14(2), 253-265.
- Hadji, B., Meyer, R., Melikeche, S., Escalon, S., & Degoulet, P. (2014). Assessing the Relationships Between Hospital Resources and Activities: A Systematic Review. Journal of Medical Systems, 38(10).
- Harrison, J. P., Lambiase, L. R., & Zhao, M. (2010). Organizational factors associated with quality of care in US teaching hospitals. Journal of Health Care Finance, 36(3), 1-12.
- Hu, H.-H., Qi, Q., & Yang, C.-H. (2012). Analysis of hospital technical efficiency in China: Effect of health insurance reform. China Economic Review, 23(4), 865-877.
- Chaabouni, S., & Abednnadher, C. (2012). Efficiency of public hospitals in Tunisia: a DEA with bootstrap application. International Journal of Behavioural and Healthcare Research, 3(3-4), 198-211.
- Jehu-Appiah, C., Sekidde, S., Adjuik, M., Akazili, J. C., Almeida, S. D., Nyonator, F., Baltussen, R., Asbu, E. Z., & Kirigia, J. M. (2014). Ownership and technical efficiency of hospitals: Evidence from Ghana using data envelopment analysis. Cost Effectiveness and Resource Allocation, 12(1).
- Kalogeropoulou, M., Ioannidis, A., & Mourdoukoutas, P. (2012). Measuring performance in non-profit organisations: the case of Greek public hospitals. International Journal of Behavioural and Healthcare Research, 3(3-4), 212-225.
- Karagiannis, R. (2013). A system-of-equations two-stage DEA approach for explaining capacity utilization and technical efficiency. Annals of Operations Research, 227(1), 25-43.
- Katharakis, G., Katharaki, M., & Katostaras, T. (2014). An empirical study of comparing DEA and SFA methods to measure hospital units' efficiency. International Journal of Operational Research, 21(3), 341-364.
- Kaya Samut, P., & Cafri, R. (2015). Analysis of the Efficiency Determinants of Health Systems in OECD Countries by DEA and Panel Tobit. Social Indicators Research, 129(1), 113-132.
- Kounetas, K., & Papathanassopoulos, F. (2013). How efficient are Greek hospitals? A case study using a double bootstrap DEA approach. European Journal of Health Economics, 14(6), 979-994.
- Matranga, D., Bono, F., Casuccio, A., Firenze, A., Marsala, L., Giaimo, R., Sapienza, F., & Vitale, F. (2014). Evaluating the effect of organization and context on technical efficiency: A second-stage dea analysis of Italian hospitals. Epidemiology Biostatistics and Public Health, 11(1), 1-11.
- Mitropoulos, P., Mitropoulos, I., & Sissouras, A. (2012). Managing for efficiency in health care: The case of Greek public hospitals. European Journal of Health Economics, 14(6), 929-938.
- Rahman, M. A., & Capitman, J. A. (2012). Factors Affecting Profit Efficiency of Private Hospitals in Bangladesh: Are Urban Hospitals More Profit-Efficient? Journal of Health Management, 14(2), 83-96.
- Simar, L., & Wilson, P. W. (2007). Estimation and inference in two-stage, semi-parametric models of production processes. Journal of econometrics, 136(1), 31-64.
- Valdmanis, V. G., Rosko, M. D., & Mutter, R. L. (2008). Hospital quality, efficiency, and input slack differentials. Health Services Research, 43(5P2), 1830-1848.
- Varabyova, Y., & Schreyögg, J. (2013). International comparisons of the technical efficiency of the hospital sector: Panel data analysis of OECD countries using parametric and non-parametric approaches. Health Policy, 112(1-2), 70-79.