Efficiency of Hospitals in the Czech Republic

Votápková, Jana; Šťastná, Lenka

doi:10.18267/j.pep.466

Cited by 7 publications

(8 citation statements)

References 23 publications

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“…In fact, curing patients (with educational aims) along with promises by the government to satisfy all the medical needs of people and to support patients with low income have exposed teaching hospitals to inefficiency ( 44 , 45 ). Also, similar findings showed the inefficiency of teaching hospitals in the Czech Republic ( 40 ).…”

Section: Discussionsupporting

confidence: 57%

“…In addition, we need to consider the fact that teaching hospitals are referral destinations for patients with chronic and complex disease from small cities ( 39 ). Therefore, in these hospitals, the average length of stay is higher, and bed turnover is lower than they are in other hospitals, which will in turn, place them among inefficient hospitals ( 6 , 40 , 41 ).…”

Section: Discussionmentioning

confidence: 99%

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Assessing the performance of hospitals before and after the implementation of Iran’s Health Sector Evolution Plan (HSEP) using the Pabon Lasso model

Rahimisadegh

Haghdoost

Emadi

et al. 2021

mjiri

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Background: The health sector evolution plan was implemented in 2014 in government hospitals across the country as a part of the universal health coverage achievement programs. This study assessed the performance of hospitals before and after the implementation of this plan, using the Pabon Lasso model. Methods: The population of this study consisted of the hospitals of the country in the 2013-2015 time frame; overall, 874 hospitals (94.5% of the population) were included in the study. In order to assess performance, we used the Pabon Lasso model and hospital performance indicators (Average Length of Stay, Bed Turnover, and Bed Occupancy Rate). The data were collected from the Hospital Information System and provincial deputies of curative affairs and were then analyzed using the descriptive indicators of mean, frequency, and median in SPSS 22. Also, Paired Student T-test and ANOVA were used to compare the performance of different groups of hospitals before and after the implementation of the health sector evolution plan. Results: The implementation of the health sector evolution plan has led to a significant improvement in the three performance indicators in the hospitals of the country. Before the implementation of the health sector evolution plan, the most inefficient, inefficient, fairly efficient, and most efficient zones included 31%, 18%, 17%, and 33% of the studied hospitals, respectively. However, the implementation of the health sector evolution plan changed the percentages to 29%, 21%, 20%, and 30%, respectively. Teaching hospitals, which are governmental and are mostly located in capital cities of the provinces, were overall more inefficient than non-teaching hospitals. Conclusion: The number of the most efficient and most inefficient hospitals has decreased, and the number of average performance hospitals has increased after the implementation of the health sector evolution plan. Therefore, the health sector evolution plan has not led to an overall increase or decrease in the performance of hospitals but has reduced the difference in the performance of hospitals. Equal support of government hospitals along with financial protection against health expenses, improves the performance indicators of hospitals and reduces performance differences among them.

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Assessing the performance of hospitals before and after the implementation of Iran’s Health Sector Evolution Plan (HSEP) using the Pabon Lasso model

Rahimisadegh

Haghdoost

Emadi

et al. 2021

mjiri

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“…However, to our knowledge, this study is the first one computing conditional efficiency of hospitals. The paper also extends previous research on Czech hospitals (non-parametric analyses in Dlouhý et al (2007) and Novosadova & Dlouhy (2007) which did not account for environmentals at all; and a parametric analysis in our previous research in Votapkova & Stastna (2013)) by using the best known non-parametric method and by covering more recent and more appropriate data on outputs not available before (Diagnostic-Related-Groups, DRG, reflecting the severity of treated patients).…”

Section: Introductionsupporting

confidence: 73%

Efficiency of hospitals in the Czech Republic: Conditional efficiency approach

2019

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. Abstract:The paper estimates cost efficiency of 81 general hospitals in the Czech Republic during 2006-2010. We employ the conditional order-m approach which is a nonparametric method for efficiency computation accounting for environmental variables. Effects of environmental variables are assessed using the non-parametric significance test and partial regression plots. We find not-for-profit ownership and a presence of a specialized center in a hospital to be detrimental to hospital performance in the group of small and medium hospitals, while not-for-profit ownership is favorable to efficiency for big hospitals. Generally, hospital performance gets worse in period 2009-2010 because additional revenues received in form of user charges which were introduced in 2008 increase spending of hospitals. Only big hospitals proved to take some cost-saving measures as a reaction to financial crisis.Keywords: efficiency, hospitals, conditional order-m FDH, Czech Republic JEL: D24, I22Studies, Charles University in Prague, for providing data. We are grateful to Mika Kortelainen for methodological consultations and providing his R code. Financial support by GAUK 690 512 and SV IES 260 113 grants are gratefully acknowledged.

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“…Some publications present the issue with a general description of new legal forms on the principle of profit organizations and their impact on healthcare in the Czech Republic [9,10] or comparative approaches are adopted to analyse hospital governance in an international context [8]. Far greater attention has been focused on the evaluation of the economic efficiency of health facilities deriving either from general approaches [29,30], from available validated economic indicators from annual reports, or by evaluating economic efficiency using the sophisticated Data Envelopment Analysis methods [31][32][33] and Stochastic Frontier Analysis [34] based on centrally available, though unverified, hospital statistical data (ÚZIS [Institute of Health Information and Statistics]).…”

Section: Corporate Governance Hospital Governancementioning

confidence: 99%