IDEAS home Printed from https://ideas.repec.org/a/vrs/ecoman/v9y2017i2p57-63n6.html
   My bibliography  Save this article

Efficiency of Public and Nonpublic Primary Health Care Providers in Poland

Author

Listed:
  • Lachowska Anna

    (The West Pomeranian Business School in Szczecin, Faculty of Economics and IT, Department of Economics, Szczecin, Poland)

Abstract

The main aim of the paper is to reveal the outcomes of a research based on the efficiency of primary health care providers. The scientific goal of the mentioned research was the development of an efficiency measurement model and verification of its usefulness in practice. Overall, the research found that it is possible to use the efficiency measurement model for health care providers. Besides, significant differences were discovered in the efficiency of public and nonpublic primary health care providers. The research was conducted in the West Pomeranian Voivodship in Poland. This paper contributes to the widespread debate on public and nonpublic ownership in the field of healthcare. Also, it has practical implications as the research findings may be useful for any healthcare sector stakeholder, from decision makers to patients. The research was based on the literature overview, which allowed to elaborate the efficiency measurement model. The empirical research (based on a form of questionnaires) allowed testing the proposed model. The described efforts allowed drawing conclusions on the efficiency of primary health care institutions in the West Pomeranian Voivodship. The following methods of data analysis are presented in the paper: synthetic measure of development (SMD), Ward’s method, and k-means method. According to the main conclusion of the research, it is possible to measure the efficiency of public and nonpublic health care providers of the Polish healthcare system. The proposed model for measuring the socioeconomic efficiency may be used as one of the tools used to measure the efficiency in the primary care. The verification of the usefulness of the model showed that nonpublic health care providers operating in the field of the public sector, outperformed public providers. The paper contributes to the theoretical field as it reveals a comprehensive approach to the efficiency measurement in the health care sector. The efficiency measurement model is based on the three major pillars of the healthcare sector, namely, income/resources, cost, and the social aspect. The elaborated efficiency measurement model for the healthcare sector was implemented and tested on a group of primary health care providers in the West Pomeranian Voivodship. The research allowed for positive conclusions regarding its usefulness in practice.

Suggested Citation

  • Lachowska Anna, 2017. "Efficiency of Public and Nonpublic Primary Health Care Providers in Poland," Engineering Management in Production and Services, Sciendo, vol. 9(2), pages 57-63, June.
    • Handle: RePEc:vrs:ecoman:v:9:y:2017:i:2:p:57-63:n:6
    DOI: 10.1515/emj-2017-0014
    as

    Download full text from publisher

    File URL: https://doi.org/10.1515/emj-2017-0014
    Download Restriction: no
    File URL: https://libkey.io/10.1515/emj-2017-0014?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Garber, Alan M. & Phelps, Charles E., 1997. "Economic foundations of cost-effectiveness analysis," Journal of Health Economics, Elsevier, vol. 16(1), pages 1-31, February.
    2. Charnes, A. & Cooper, W. W. & Rhodes, E., 1978. "Measuring the efficiency of decision making units," European Journal of Operational Research, Elsevier, vol. 2(6), pages 429-444, November.
    3. Jacobs,Rowena & Smith,Peter C. & Street,Andrew, 2006. "Measuring Efficiency in Health Care," Cambridge Books, Cambridge University Press, number 9780521851442, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Pereira, Miguel Alves & Figueira, José Rui & Marques, Rui Cunha, 2020. "Using a Choquet integral-based approach for incorporating decision-maker’s preference judgments in a Data Envelopment Analysis model," European Journal of Operational Research, Elsevier, vol. 284(3), pages 1016-1030.
    2. Pereira, Miguel Alves & Camanho, Ana Santos & Figueira, José Rui & Marques, Rui Cunha, 2021. "Incorporating preference information in a range directional composite indicator: The case of Portuguese public hospitals," European Journal of Operational Research, Elsevier, vol. 294(2), pages 633-650.
    3. Alonso, José M. & Clifton, Judith & Díaz-Fuentes, Daniel, 2015. "The impact of New Public Management on efficiency: An analysis of Madrid's hospitals," Health Policy, Elsevier, vol. 119(3), pages 333-340.
    4. George Fragkiadakis & Michael Doumpos & Constantin Zopounidis & Christophe Germain, 2016. "Operational and economic efficiency analysis of public hospitals in Greece," Post-Print hal-01414677, HAL.
    5. Alda, Erik, 2019. "Does Size influence Jail Efficiency?: A Metafrontier analyisis of local Jails in the United States," MPRA Paper 91803, University Library of Munich, Germany.
    6. Iveta Palecková, 2017. "Application of Window Malmquist Index for Examination of Efficiency Change of Czech Commercial Banks," DANUBE: Law and Economics Review, European Association Comenius - EACO, issue 3, pages 173-190, September.
    7. Martine Audibert & Xiao Xian Huang & Jacky Mathonnat & Aurore Pelissier & Anning Ma, 2012. "Health Insurance Reform and Efficiency of Township Hospitals in Rural China: An Analysis from Survey Data," CERDI Working papers halshs-00587799, HAL.
    8. Obure, Carol Dayo & Jacobs, Rowena & Guinness, Lorna & Mayhew, Susannah & Vassall, Anna, 2016. "Does integration of HIV and sexual and reproductive health services improve technical efficiency in Kenya and Swaziland? An application of a two-stage semi parametric approach incorporating quality me," Social Science & Medicine, Elsevier, vol. 151(C), pages 147-156.
    9. Chowdhury, Hedayet & Zelenyuk, Valentin, 2016. "Performance of hospital services in Ontario: DEA with truncated regression approach," Omega, Elsevier, vol. 63(C), pages 111-122.
    10. Rozpędowska-Matraszek Danuta J., 2020. "Efficiency Frontiers in Treating Lifestyle Diseases," Folia Oeconomica Stetinensia, Sciendo, vol. 20(1), pages 341-359, June.
    11. Alexandre Marinho & Simone de Souza Cardoso & Vivian Vicente de Almeida, 2009. "Brasil e OCDE: Avaliação da Eficiência em Sistemas de Saúde," Discussion Papers 1370, Instituto de Pesquisa Econômica Aplicada - IPEA.
    12. Berger, Michael & Sommersguter-Reichmann, Margit & Czypionka, Thomas, 2020. "Determinants of soft budget constraints: how public debt affects hospital performance in Austria," LSE Research Online Documents on Economics 116865, London School of Economics and Political Science, LSE Library.
    13. Oliver Tiemann & Jonas Schreyögg, 2012. "Changes in hospital efficiency after privatization," Health Care Management Science, Springer, vol. 15(4), pages 310-326, December.
    14. Audibert, Martine & Mathonnat, Jacky & Pelissier, Aurore & Huang, Xiao Xian & Ma, Anning, 2013. "Health insurance reform and efficiency of township hospitals in rural China: An analysis from survey data," China Economic Review, Elsevier, vol. 27(C), pages 326-338.
    15. Gorgemans, Sophie & Urbina-Pérez, Olga, 2022. "New legal forms in health services: Evaluation of a Spanish public policy," Health Policy, Elsevier, vol. 126(8), pages 802-807.
    16. Amitabh Chandra & Jonathan S. Skinner, 2011. "Technology Growth and Expenditure Growth in Health Care," NBER Working Papers 16953, National Bureau of Economic Research, Inc.
    17. Iablonskii, K. & Fedotov, Y., 2015. "Organizational performance measurement of healthcare organizations," Working Papers 6422, Graduate School of Management, St. Petersburg State University.
    18. Olena Kalinichenko & Carla A. F. Amado & Sérgio P. Santos, 2013. "Performance Assessment in Primary Health Care: A Systematic Literature Review," CEFAGE-UE Working Papers 2013_03, University of Evora, CEFAGE-UE (Portugal).
    19. Varabyova, Yauheniya & Schreyögg, Jonas, 2013. "International comparisons of the technical efficiency of the hospital sector: Panel data analysis of OECD countries using parametric and non-parametric approaches," Health Policy, Elsevier, vol. 112(1), pages 70-79.
    20. Aparna Bhatia & Megha Mahendru, 2016. "Non-parametric Analysis of Technical Efficiency of Public Sector Banks (PSBs) in India," Global Business Review, International Management Institute, vol. 17(2), pages 318-331, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:vrs:ecoman:v:9:y:2017:i:2:p:57-63:n:6. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Peter Golla (email available below). General contact details of provider: https://www.sciendo.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.