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The efficiency of hospitals: platform for sustainable health care system

Author

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  • Beata Gavurova

    (Tomas Bata University in Zlín, Czech Republic)

  • Kristina Kocisova

    (Technical University of Košice, Slovakia)

Abstract

Hospitals and other providers of health services are facing enormous pressure to reduce costs while providing better services for patients without lowering their quality. By utilising a two-stage dynamic Data Envelopment Analysis (DEA) approach, we explore whether there is a compromise between the production of services and the quality of services in the process of providing health care at the level of hospitals in Slovakia. While the first stage deals with the production efficiency of the hospitals, the second stage deals with the quality of service using patient-reported safety and satisfaction measures. The efficiency of hospitals in Slovakia is assessed, using hospital-level data from the database of INEKO for the years 2015 and 2018. In order to dynamically analyse the efficiency changes during the analysed period, the Malmquist index was used. The results revealed that overall technical efficiency increased over the analysed period. We can also see an increase within the service production division as well as service quality division. The results obtained represent a significant platform for the creators of health policy at the national level, and for the creators of the strategic regional health plans as a basis of continuous creation of mechanisms that are inevitable for providing a sustainable system of the Slovak health care at the regional level. The global threats of epidemics, such as COVID-19 pandemic, address the question of public health systems’ sustainability, which enormously increases.

Suggested Citation

  • Beata Gavurova & Kristina Kocisova, 2020. "The efficiency of hospitals: platform for sustainable health care system," Entrepreneurship and Sustainability Issues, VsI Entrepreneurship and Sustainability Center, vol. 8(2), pages 133-146, December.
    • Handle: RePEc:ssi:jouesi:v:8:y:2020:i:2:p:133-146
    DOI: 10.9770/jesi.2020.8.2(8)
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    References listed on IDEAS

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    1. Iveta Vrabková & Sabrina Lee, 2023. "Approximating the influence of external factors on the technical efficiency score of hospital care: evidence from the federal states of Germany," Health Economics Review, Springer, vol. 13(1), pages 1-14, December.

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    More about this item

    Keywords

    two-stage dynamic DEA; service production division; service quality division; hospitals; Slovakia;
    All these keywords.

    JEL classification:

    • C61 - Mathematical and Quantitative Methods - - Mathematical Methods; Programming Models; Mathematical and Simulation Modeling - - - Optimization Techniques; Programming Models; Dynamic Analysis
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • R11 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General Regional Economics - - - Regional Economic Activity: Growth, Development, Environmental Issues, and Changes
    • R58 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - Regional Government Analysis - - - Regional Development Planning and Policy

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