Efficiency of Hospitals in the Czech Republic: Conditional Efficiency Approach
Autor: | PhDr. Lenka Šťastná Ph.D., Camilla Mastromarco PhDr. Jana Votápková Ph.D., Camilla Mastromarco |
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Typ: | Články v impaktovaných časopisech |
Rok: | 2019 |
Číslo: | 0 |
ISSN / ISBN: | |
Publikováno v: | Journal of Productivity Analysis, Vol. 51 (1), 73-89 |
Místo vydání: | |
Klíčová slova: | Efficiency, hospitals, conditional order-m FDH, Czech Republic |
JEL kódy: | |
Citace: | Mastromarco, C., Stastna, L. & Votapkova, J. J Prod Anal (2019) 51: 73. https://doi.org/10.1007/s11123-019-00543-y |
Granty: | GAUK 910 915 Analýza českých nemocnic: efektivita & vliv zavedení poplatků na objem poskytované péče |
Abstrakt: | The paper estimates cost efficiency of 81 general hospitals in the Czech Republic during 2006-2010. We employ the conditional order-m approach which is a nonparametric method for efficiency computation accounting for environmental variables. Effects of environmental variables are assessed using the non-parametric significance test and partial regression plots. We find not-for-profit ownership and a presence of a specialized center in a hospital to be detrimental to hospital performance in the group of small and medium hospitals, while not-for-profit ownership is favorable to efficiency for big hospitals. Generally, hospital performance gets worse in period 2009-2010 because additional revenues received in form of user charges which were introduced in 2008 increase spending of hospitals. Only big hospitals proved to take some cost-saving measures as a reaction to financial crisis. |