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Využití analýzy obalu dat pro hodnocení efektivnosti českých nemocnic
[Use of data envelopment analysis for efficiency evaluation of czech hospitals]

Author

Listed:
  • Martin Dlouhý
  • Josef Jablonský
  • Ivana Novosádová

Abstract

Efficiency of hospitals belongs among frequently discussed topics of public policy. This paper deals with a nonparametric model for efficiency evaluation of hospitals - data envelopment analysis (DEA). DEA evaluates efficiency of production units with the help of mathematical programming. DEA specifies the production frontier as the most pessimistic piecewise linear envelopment of the data. In case that a hospital is inefficient DEA determines the sources of inefficiency and defines corresponding target values. In this study, authors analyze the sample of 22 Czech acute-care hospitals with the constant-returns-to-scale model (the CCR model) and the variable-returns-to-scale model (the BCC model). The data comes from regional yearbooks of the Institute of Health Information and Statistics of the Czech Republic (ÚZIS ČR). A fundamental problem of evaluation in health care is a definition of inputs and outputs, especially a measurement of case-mix of patients. Interpretation of the results is described on one selected hospital (Hospital of Prachatice). One hospital was identified as efficient by the CCR model and six hospitals were efficient according to the BCC model.

Suggested Citation

  • Martin Dlouhý & Josef Jablonský & Ivana Novosádová, 2007. "Využití analýzy obalu dat pro hodnocení efektivnosti českých nemocnic [Use of data envelopment analysis for efficiency evaluation of czech hospitals]," Politická ekonomie, Prague University of Economics and Business, vol. 2007(1), pages 60-71.
    • Handle: RePEc:prg:jnlpol:v:2007:y:2007:i:1:id:590:p:60-71
    DOI: 10.18267/j.polek.590
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    References listed on IDEAS

    as
    1. Josef Jablonský, 2004. "Modely hodnocení efektivnosti produkčních jednotek [Models for efficiency evaluation of decision making units]," Politická ekonomie, Prague University of Economics and Business, vol. 2004(2).
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    Citations

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    Cited by:

    1. Jana Votápková & Lenka Šťastná, 2013. "Efficiency of Hospitals in the Czech Republic," Prague Economic Papers, Prague University of Economics and Business, vol. 2013(4), pages 524-541.
    2. Jan Hanousek & Evžen Kočenda & Anastasiya Shamshur, 2014. "Efektivita evropských firem [Efficiency of European Firms]," Politická ekonomie, Prague University of Economics and Business, vol. 2014(3), pages 303-322.
    3. Ippoliti, Roberto & Falavigna, Greta, 2012. "Efficiency of the medical care industry: Evidence from the Italian regional system," European Journal of Operational Research, Elsevier, vol. 217(3), pages 643-652.
    4. Camilla Mastromarco & Lenka Stastna & Jana Votapkova, 2019. "Efficiency of hospitals in the Czech Republic: Conditional efficiency approach," Journal of Productivity Analysis, Springer, vol. 51(1), pages 73-89, February.
    5. Martin Dlouhý, 2014. "Models of Subsidy Allocation among City Districts," Prague Economic Papers, Prague University of Economics and Business, vol. 2014(1), pages 108-120.

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    More about this item

    Keywords

    efficiency; data envelopment analysis; health services; hospitals;
    All these keywords.

    JEL classification:

    • C10 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - General
    • D24 - Microeconomics - - Production and Organizations - - - Production; Cost; Capital; Capital, Total Factor, and Multifactor Productivity; Capacity
    • I10 - Health, Education, and Welfare - - Health - - - General

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