engleski

Factors influencing the financial performance in hospitals

Croatian public non-profit hospitals are facing with financial instability in last 15 years. Public non-profit hospitals in Croatia are systems that provide health care and treatments to all patients regardless of their income, but the state budget for financing hospital health care and treatments has been decreasing over the years. Due to this the financial performance of public non-profit hospitals has been becoming a subject that needs to be properly analysed. This research aims to provide an overview of relevant published empirical research conducted between 2002 and 2015 on the indicators used to measure financial performance in hospitals, as well as the factors which are believed to affect the financial performance of hospitals. The motivation to carry out this research stems from the importance of success of public non- profit hospitals as a topic, as well as from the fact that the area of hospital management is currently still underresearched. This theoretical overview of literature shows that the financial performance in hospitals is mostly measured through profitability, by using indicators such as operating margin, profit margin, return on equity and return on assets. On the other hand, factors which are thought to affect hospital financial performance are the quality of providing health care and treatment, cost-system functionality, operational efficiency, productivity, ownership, clinical technology, patient revenues and the involvement of hospital management in the work of hospital boards of directors supervising the hospital.

Public non-profit hospitals; hospital management; financial performance; performance indicators; health care management; theoretical review

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