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A Strategic Financial Management Evaluation of Private Hospitals’ Effectiveness and Efficiency for Sustainable Financing: A Research Study

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  • Michael Kourtis
  • Panayiotis Curtis
  • Michael Hanias
  • Eleftherios Kourtis

Abstract

Purpose: The purpose of the study is to evaluate the performance οf private hospitals and identify conditions that secure sustainable financing οf the sector. Design/Methodology/Approach: The Data Envelopment Analysis (DEA) was used as the main tool to measure efficiency and effectiveness among fifteen (15) major private hospitals in Greece. Audited financial statement data were analyzed as a basis for the assessment of their performance. Αn input oriented model was applied due to the fact that assets and employee expenses are more likely to be under the control of management in private hospitals, compared to revenues and CFFO. The latter were used as outputs that represent measures of effectiveness and efficiency respectively which secure sustainability. We opted for the Variable Return to Scale (VRS) version of DEA (in connection with the CRS one), since hospital are systems extremely depended on the human capital and the knowledge management, as a means of creating value and are characterized by non-linear dynamics. Findings: The great majority of the hospitals in the sample exhibit increasing and decreasing returns scale. Inefficiencies found to emanate from a non-optimal scale of the hospitals rather, than from management’s lack of capability to transform inputs to outputs. Practical Implications: The study aspires to frame options and help management to make informed choices that promote sustainable development of the private sector, which are also applicable to the public one. It is essential for public authorities to judge the meaningful performance of the private hospitals, to administer accordingly the level of its subsidies through public insurance funds, the claw back and rebate policies in a period of fiscal austerity and act accordingly to attract or deter the inflow of scalable private funds in healthcare to promote human wellbeing. Originality/Value: Performance differences, can be leveraged to guide improvements in the operation of the private hospitals and reforms in the health care system.

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  • Michael Kourtis & Panayiotis Curtis & Michael Hanias & Eleftherios Kourtis, 2021. "A Strategic Financial Management Evaluation of Private Hospitals’ Effectiveness and Efficiency for Sustainable Financing: A Research Study," European Research Studies Journal, European Research Studies Journal, vol. 0(1), pages 1025-1054.
    • Handle: RePEc:ers:journl:v:xxiv:y:2021:i:1:p:1025-1054
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    Cited by:

    1. Dinesh R. Pai & Fatma Pakdil & Nasibeh Azadeh-Fard, 2024. "Applications of data envelopment analysis in acute care hospitals: a systematic literature review, 1984–2022," Health Care Management Science, Springer, vol. 27(2), pages 284-312, June.
    2. Panayiotis Curtis & Michael Hanias & Eleftherios Kourtis & Michael Kourtis, 2021. "Financial Performance Assessment οf Strategy for Building Resilience and Readiness in the Hotel Sector of Greece," International Journal of Finance, Insurance and Risk Management, International Journal of Finance, Insurance and Risk Management, vol. 11(2), pages 3-27.
    3. Elzbieta Izabela Szczepankiewicz & Beata Zaleska & Anna Bartoszewicz, 2021. "Assessment of the Level of Implementation of Internal Audits in Polish Public Hospitals," European Research Studies Journal, European Research Studies Journal, vol. 0(2), pages 78-95.
    4. Eleftherios Kourtis & Michael Kourtis & Panayiotis Curtis & Michael Hanias, 2022. "Sustainable Business Growth, Value Creation and Dynamic Competitive Advantage: The Greek Pharmaceutical Industry," European Research Studies Journal, European Research Studies Journal, vol. 0(2), pages 46-79.

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    More about this item

    Keywords

    Hospitals; efficiency; effectiveness; financial data; DEA; sustainable strategy.;
    All these keywords.

    JEL classification:

    • C14 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Semiparametric and Nonparametric Methods: General
    • D21 - Microeconomics - - Production and Organizations - - - Firm Behavior: Theory
    • D24 - Microeconomics - - Production and Organizations - - - Production; Cost; Capital; Capital, Total Factor, and Multifactor Productivity; Capacity
    • C61 - Mathematical and Quantitative Methods - - Mathematical Methods; Programming Models; Mathematical and Simulation Modeling - - - Optimization Techniques; Programming Models; Dynamic Analysis
    • H41 - Public Economics - - Publicly Provided Goods - - - Public Goods
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health

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