Transaction Costs, Outsourcing, and the Public Procurement Review Process in the Czech Republic and Slovakia

Šumpíková, Markéta; Ďurčeková, Ina

doi:10.2478/nispa-2019-0021

“…Innovation is a very important aspect of public procurement processes and thus, it is an important determinant in improving the quality and efficiency of treatment and diagnostic processes in the healthcare system. There are also many barriers to innovation as evidenced by several studies (Nemec et al 2020a;Berezin et al 2018;Šumpíková & Ďurčeková, 2019).…”

Section: Discussionmentioning

confidence: 99%

The efficiency evaluation of public procurement of medical equipment

Gavurová¹,

Kubák²

2021

JESI

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At present, the health systems of many countries face complex challenges even if their priority objectives remain the same -to provide sustainable health systems at the current and the prognostic demographic changes and requirements in a health system. The quality and the efficiency of healthcare delivery and their mutual conformity have been brought to public attention. Similarly, the quality and the efficiency of an entire process depends on the instrumentation and its procurement that represents a significant economic and procedural issue in the healthcare systems for a long time. Many reports of the public procurement processes and research studies declare this fact. The primary aim of this study is to evaluate the public procurement efficiency in the health system by means of the valuation approach, or savings' estimates that are achieved by the public procurement. The savings were defined as a percentage difference between the estimated * This research was supported by the Internal Grant Agency of FaME Tomas Bata University in Zlin: RVO/2020: "Economic quantification of marketing processes that focus on value increase for a patient in a process of system creation to measure and control efficiency in health facilities in the Czech Republic".

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“…Innovation is a very important aspect of public procurement processes and thus, it is an important determinant in improving the quality and efficiency of treatment and diagnostic processes in the healthcare system. There are also many barriers to innovation as evidenced by several studies [13] [22] [30]. A creation of innovative partnerships can solve this problem too [21] [36].…”

Section: Discussionmentioning

confidence: 99%

“…The authors, Šumpíková and Ďurčeková [30], realized an interesting comparative analysis that aims at researching the extent of the use of external law services in the public-procurement review process by procuring authorities and proposers in the Slovak Republic and the Czech Republic. The study's results show that while the use of the external law firm may lead to a higher success rate of the review process on the side of a procuring authority, the same does not apply to proposers.…”

Section: Background Of the Studymentioning

confidence: 99%

Efficiency Evaluation of Public Procurement of Medical Equipment

Gavurová¹,

Kubák²

2020

Preprint

0

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At present, the health systems of many countries face complex challenges even if their priority objectives remain the same - to provide sustainable health systems at the current and the prognostic demographic changes and requirements in a health system. The quality and the efficiency of healthcare delivery and their mutual conformity have been brought to public attention. Similarly, the quality and the efficiency of an entire process depends on the instrumentation and its procurement that represents a significant economic and procedural issue in the healthcare systems for a long time. Many reports of the public procurement processes and research studies declare this fact. The primary aim of this study is to evaluate the public procurement efficiency in the health system by means of the valuation approach, or savings’ estimates that are achieved by the public procurement. The savings were defined as a percentage difference between the estimated and the final contract price. The secondary objective is to examine an influence of selected variables on a creation of savings in the public procurement process by means of a regression analysis. The researched variables are as follows: time, method, procurement, NUTS level of procurement, Common Procurement Vocabulary Code, number of offers. The analysis results showed interesting findings. The number of offers has a significantly positive impact on the savings. It means that if the number of offers increases by one unit, the savings will increase by 15.6%. Also, time variable (year) has a positive impact on the savings. Consequently, it may be assumed that the public procurement process is improving from a time perspective. It may be partially caused by the fact that a new public procurement legislative has been valid since 2015. The NUTS level has also an impact on the savings in relation to the public procurement. The public procurements which took place at the level of a state were more beneficial as the public procurements at the regional level. Also, the procurement method was statistically significant parameter of a regression analysis. The competition actions together with a negotiation process created higher savings in comparison to tenders. In case of the CPV codes, the most significant savings were achieved in the group of ‘various medicinal products’. The study’s results provide a valuable knowledge for the creators of policies and a realization of the national strategic plans within the health system. Also, these results support a creation of national and international benchmarks in this area and a networking of international partnerships in the area of a public procurement that focus on a development of methodologies and comparative platforms creation.

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“…Public health is currently one of the most discussed social topics in the world, policy makers seek to understand health from different perspectives, while the economic perspective of health has an irreplaceable place in decision-making processes (Nemec et al, 2020;Šumpíková & Ďurčeková, 2019). From a macroeconomic point of view, the health of the population is of great importance, as it is a source of economic and social development and the effects of health on various areas of life are considerable.…”

Section: Theoretical Backgroundmentioning

confidence: 99%

How Do Gender Inequalities in Health Relate to the Competitiveness of Developed Countries? An Empirical Study

Gavurová¹,

Ivanková²,

Rigelský³

et al. 2020

JOC

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Public health plays an important role in the spectrum of economic indicators. Simultaneously, the competitiveness of countries is a key economic indicator, and this interconnection requires special attention, especially in the decision-making process of public policies. The main objective of the presented study was to evaluate the effects of selected health indicators on the competitiveness of developed countries. The following health variables were collected for the analysed period from 2010 to 2018: four variables of Life Expectancy (LE) and three variables of Perceived Health Status (PHS). Each variable was observed from the perspective of gender differentiation and gender inequalities. The Global Competitiveness Index (GCI) was also used in the analyses as an economic variable. The research sample included all countries of the Organisation for Economic Co-operation and Development (OECD). The analytical data processing consisted of descriptive analysis, difference analysis (Wilcoxon Test), regression analysis (Panel regression model) and correlation analysis (Spearman's ρ). Regarding the results, all health variables showed differences between men and women. The results of the regression analysis revealed a very strong and significant effect of LE and PHS on the competitiveness of individual economies. The correlation analysis confirmed all relations. Improving the health of men and women is likely to increase the competitiveness of developed countries. As a result, it provides space for further research and policy-making in each country.

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Transaction Costs, Outsourcing, and the Public Procurement Review Process in the Czech Republic and Slovakia

Cited by 5 publications

References 24 publications

The efficiency evaluation of public procurement of medical equipment

The efficiency evaluation of public procurement of medical equipment

Efficiency Evaluation of Public Procurement of Medical Equipment

How Do Gender Inequalities in Health Relate to the Competitiveness of Developed Countries? An Empirical Study

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