Efficiency vs Effectiveness: a Benchmarking Study on European Healthcare Systems

Storto, Corrado lo; Goncharuk, Anatoliy G.

doi:10.14254/2071-789x.2017/10-3/8

Cited by 38 publications

(35 citation statements)

References 39 publications

(36 reference statements)

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“…The health‐care system encourages doctors to corrupt medical practices, ie, charging shadow payments for medical services from patients (for every visit, diagnostics, operation, etc) or earning money as agents of pharmaceutical companies on recipes and wrong recommendations. This bad practice every year worsens the quality and effectiveness of medical services, as evidenced by the lowest rating of the health‐care system in Ukraine among 32 European countries . As a result, many talented doctors and nurses leave Ukraine and find work in other countries.…”

Section: The Resultsmentioning

confidence: 99%

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Exploring a motivation of medical staff

Goncharuk

2018

Health Planning & Management

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This paper aims to identify the true motivators (needs) of medical staff, compare them with the current labor incentives, and detect possible differences in motivators for main groups of medical staff. Observing personnel of 5 hospitals and students of the medical institute by special questionnaires, the author confirmed the hypothesis of different motivators for groups of medical staff with different ages, professions, and gender. The author used special questionnaires to collect the data. Study results confirmed the hypothesis of different motivators for groups of medical staff with different ages, professions, and gender. The author also found significant differences between the motivation of Ukrainian health workers and their colleagues from other countries. The main conclusion is that no matter how we would like to satisfy gender and age equality, all people are individual and what is good for an elderly male doctor cannot be acceptable for a young female nurse. Therefore, forming the motivation system for employees of medical institutions, it is necessary to take into account the age, gender, professions, and other characteristics of each employee. In this way, we can achieve the highest health-care performance.

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Section: The Resultsmentioning

confidence: 99%

“…The recent study found that Ukraine has the most ineffective and inefficient health‐care system among 32 European countries. This country launches the health‐care reform in 2018.…”

Section: Introductionmentioning

confidence: 99%

Exploring a motivation of medical staff

Goncharuk

2018

Health Planning & Management

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“…A differentiation between the two concepts is rather a norm in other fields of research such as economics, management, organizational studies, strategic planning, etc. (McCormick, 1981;Bartuševičienė and Šakalytė, 2013;lo Storto and Goncharuk, 2017;Mandl, Dierx and Ilzkovitz, 2008;Codagnone, 2008), but the two concepts are often used inter-changeably in law (at least regarding the present topic, see for example Dragoș and Neamțu, 2013), with few studies addressing the differences between the two (Cornall, 2008;Ransome, 2008;Voermans, ten Napel and Passchier, 2015;European Union, 2015;OECD, 2010;Trinder and Kellett, 2007).…”

Section: Methodsmentioning

confidence: 99%

Effectiveness and Efficiency of Administrative Appeal Procedures: a Case Study on Tax Disputes in Romania

Moldovan

Bucatariu²

2019

CEPAR

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The aim of this article is to evaluate the effectiveness and efficiency of (internal) administrative appeal in tax or fiscal matters in Romania, in comparison to the more time and resource consuming court action against an administrative decision imposing fiscal obligations. In order to evaluate the effectiveness and efficiency of administrative appeals, we analysed data from the reports and documents issued by the Romanian National Agency for Fiscal Administration (NAFA) regarding efficiency related indicators, as well as dispute settlements and the amount of collected tax as effectiveness criteria. Furthermore, data regarding the results of the administrative procedure is compared to the results of the judicial procedure in terms of the number of admitted legal actions that annulled fiscal obligations. The results show that at least in the 2013-2017 period, the administrative procedure was both inefficient and ineffective since, on average, less than 7% of fiscal disputes were solved/settled in favour of the appellant. Moreover, the procedure was rather time consumingalthough the disputes should have been settled in 45 days, the answer was provided after 70 days. Hence, the administrative procedure is often seen as a mere stepping stone toward subsequent legal/court actions, with no possibility to provide a satisfactory solution and thus lessen the workload of the court. Surprisingly, the taxpayers seem to consider the courts as a more favourable/efficient means as more than half of legal actions brought against fiscal administrative acts were settled in favour of the taxpayer, i.e. the fiscal obligations were annulled. The effectiveness of the preliminary administrative procedure was further analysed from multiple perspectives pertaining to the players that have a direct or indirect legitimate interest in this procedure. These are (i) the courts, which should/could benefit from a reduced workload if the procedure was effective, (ii) the taxpayers filing administrative appeals, which could have a feasible alternative to the time and resource consuming judicial means, and (iii) the fiscal bodies that issued fiscal administrative acts or that must respond to the appeals. The fact that this procedure is a mandatory predecessor of the judicial one and not an alternative means of dispute resolution seems to significantly impede its efficiency and effectiveness. The results can serve as a basis to analyse and compare the respective data in other countries with similar legal and tax systems.

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“…Since its introduction, DEA has been extensively employed in economic analysis to calculate measures of efficiencies in various situations and industries, such as transportation [29,31,32], government and public sector [33][34][35], public utilities [21,22,[36][37][38], healthcare [39][40][41], education [42,43], banking and finance [44,45], energy and environmental studies [46][47][48][49][50][51][52], manufacturing and information technology [53][54][55][56].…”

Section: Dea Methodsmentioning

confidence: 99%

Efficiency, Conflicting Goals and Trade-Offs: A Nonparametric Analysis of the Water and Wastewater Service Industry in Italy

Storto

2018

Sustainability

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This paper presents a benchmarking study of the water and wastewater industry in Italy. A three-stage modeling approach was implemented to measure the efficiency of 53 utility operators. This approach is based on the implementation of network and conventional data envelopment analysis (DEA) to model the production process of the water service utility operators. In comparison to the conventional black-box or one-stage production model generally adopted in previous studies, the proposed approach provides information relative to the different efficiency components of the stages and blocks of the water service production process and its overall efficiency. Further, by shifting the efficiency analysis to a two-dimensional performance space, i.e., resource and market-efficiency, it offers a more comprehensive view of the water service industry and allows accounting for different business goals at the same time and for an investigation of industry trade-offs. Results show that the operators' efficiencies in the Italian water service industry are generally variable and low. There are no water service utilities which are 100% efficient from the resource-efficiency perspective, and the maximum efficiency score is 0.545. Efficiency measurements suggest that there is a general orientation of the Italian water industry to not invest in upgrading and improving the infrastructure assets, and achieving an acceptable efficiency in the operations is critical to delivering water services to market in an efficient way. Only one utility operator is 100% efficient from the market-efficiency perspective. The low tariffs adopted by the water service operators do not allow the gaining of satisfactory service remuneration and the achievement of long-term business sustainability. The joint analysis of the resource and market efficiency scores indicates that there is a trade-off between the corresponding business goals.

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Efficiency vs Effectiveness: a Benchmarking Study on European Healthcare Systems

Cited by 38 publications

References 39 publications

Exploring a motivation of medical staff

Exploring a motivation of medical staff

Effectiveness and Efficiency of Administrative Appeal Procedures: a Case Study on Tax Disputes in Romania

Efficiency, Conflicting Goals and Trade-Offs: A Nonparametric Analysis of the Water and Wastewater Service Industry in Italy

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