Is sunshine regulation the new prescription to brighten up public hospitals in Portugal?

Pereira, Miguel Alves; Marques, Rui Cunha

doi:10.1016/j.seps.2021.101219

Cited by 14 publications

(3 citation statements)

References 62 publications

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“…Hospital internal structure (11), regional differences (4, 11), and decision-maker participation in the assessment (13) of the environmental, social, and economic sustainability of the hospital (7) have a significant impact on the efficiency of hospitals. The development of outpatient care (23), reducing supplier-induced demand (76), the strengthening of hospital management and quality management (70, 77), the strengthening of governance and regulation (78), and enhanced crisis resilience such as COVID-19 crisis (8) are recommended as effective strategies to increase hospital efficiency. In addition, hospitals can serve as productive business entities through health system structure reform at the macro level, proper implementation of healthcare stratification, and responsiveness of insurance companies (23,79).…”

Section: Discussionmentioning

confidence: 99%

Hospital efficiency in the eastern mediterranean region: A systematic review and meta-analysis

Ravaghi

Afshari

Isfahani

et al. 2023

Front. Public Health

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BackgroundRecent rising costs and shortages of healthcare resources make it necessary to address the issue of hospital efficiency. Increasing the efficiency of hospitals can result in the better and more sustainable achievement of their organizational goals.ObjectiveThe purpose of this research is to examine hospital efficiency in the Eastern Mediterranean Region (EMR) using data envelopment analysis (DEA).MethodsThis study is a systematic review and meta-analysis of all articles published on hospital efficiency in Eastern Mediterranean countries between January 1999 and September 2020, identified by searching PubMed through MEDLINE, Web of Science, Scopus, Science Direct, and Google Scholar. The reference lists of these articles were checked for additional relevant studies. Finally, 37 articles were selected, and data were analyzed through Comprehensive Meta-Analysis Software (v.2.2.064).ResultsUsing the random-effects model, the mean hospital efficiency in Eastern Mediterranean hospitals was 0.882 ± 0.01 at 95% CI. Technical efficiency (TE) was higher in some countries such as Iraq (0.976 ± 0.035), Oman (0.926 ± 0.032), and Iran (0.921 ±0.012). A significant statistical correlation was observed between the hospital efficiency and the year of publication and sample size (p < 0.05).ConclusionEfficiency plays a significant role in hospital growth and development. Therefore, it is important for healthcare managers and policymakers in the EMR to identify the causes of inefficiency, improve TE, and develop cost-effective strategies.

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Section: Discussionmentioning

confidence: 99%

Hospital efficiency in the eastern mediterranean region: A systematic review and meta-analysis

Ravaghi

Afshari

Isfahani

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…For instance, Pereira et al (2020) develop a multi-criteria decision analysis (MCDA) approach to rank nine of the European health systems with Beveridgian financing to identify the weaknesses of the Portuguese National Health. In addition, Pereira and Marques (2022) focus on the importance of regulatory mechanisms, such as sunshine regulation to ensure the adequate functioning of healthcare systems in terms of accountability and transparency. Using MCDA approach, the authors propose a sunshine regulatory model to the public hospitals in Portugal.…”

Section: Jhass 54mentioning

confidence: 99%

The efficiency of healthcare systems in the Arab countries: a two-stage data envelopment analysis approach

Husseiny

2022

JHASS

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PurposeThis study aims at evaluating the technical efficiency (TE) of healthcare systems in the Arab region and exploring the key factors that affect the efficiency performance.Design/methodology/approachThe study applies a two-stage Data Envelopment Analysis (DEA) approach to a sample of 20 Arab countries. In the first stage, a DEA model is used to calculate the TE scores of the examined healthcare systems in 2019 and 2010, following both the output and input orientations of efficiency. In the second stage, a censored Tobit model is estimated to investigate the determinants of healthcare efficiency.FindingsDEA results of 2019 indicate that achievable efficiency gains of the Arab countries range from 0.4% to 16% under the output and input orientations, respectively. Six countries are efficient under both orientations. Although the average efficiency scores of the Arab countries have deteriorated between 2010 and 2019, Djibouti and Sudan had the greatest efficiency improvements between the two years. Bahrain, Mauritania, Morocco and Qatar proved to be efficient in 2010 and 2019 under the two orientations of efficiency and according to the two DEA specifications followed. The Tobit model reveals that corruption and government health expenditure tend to have an adverse impact on healthcare efficiency.Originality/valueThe author evaluates healthcare efficiency and healthcare's efficiency determinants in the Arab countries. Regardless Arab countries' diversity, these countries are facing common health challenges, including diminishing role of governments in healthcare financing; increased out-of-pocket healthcare spending; poor healthcare outputs and prevalence of health inequities resulting from weak governance institutions. Comparing the efficiency of healthcare systems between 2010 and 2019 gives insights on the potential impact of the Arab spring uprisings on healthcare efficiency. Moreover, examining the determinants of healthcare efficiency allows for better understanding of how to improve the efficiency of healthcare systems in the region.

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“…Given this epidemiological profile, and the negative impact of COVID-19 on chronic non-communicable disease control, the Brazilian Ministry of Health (MoH) emphasizes the need to reduce mortality from these diseases through prevention and treatment, by means of regulation for all levels of care (primary, secondary and tertiary). In Brazil, regulation is accomplished through management contracts with each and all healthcare units and transparent monitoring of indicators, that are easily captured in the MoH information system [ 18 ]. The current policy is in line with United Nations Sustainable Development Goal 3 (SDG 3), proposed in 2015, regarding “Good Health and Well-being”.…”

Section: Introductionmentioning

confidence: 99%

Planning feasible and efficient operational scenarios for a university hospital through multimethodology

Lobo

Lins²,

Rodrigues³

et al. 2022

Socio-Economic Planning Sciences

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Is sunshine regulation the new prescription to brighten up public hospitals in Portugal?

Cited by 14 publications

References 62 publications

Hospital efficiency in the eastern mediterranean region: A systematic review and meta-analysis

Hospital efficiency in the eastern mediterranean region: A systematic review and meta-analysis

The efficiency of healthcare systems in the Arab countries: a two-stage data envelopment analysis approach

Planning feasible and efficient operational scenarios for a university hospital through multimethodology

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