Naslov
Evaluation of Croatia's regional hospital efficiency: An application of data envelopment analysis

Autori
Rabar, Danijela

Vrsta, podvrsta i kategorija rada
Radovi u zbornicima skupova, cjeloviti rad (in extenso), znanstveni

Izvornik
Interdisciplinary Management Research IX / Bacher, Urban ; Barković, Dražen ; Dernoscheg, Karl-Heinz ; Lamza-Maronić, Maja ; Matić, Branko ; Pap, Norbert ; Runzheimer, Bodo - Opatija : Faculty of Economics Osijek, Hochschule Pforzheim University, 2013, 649-659

ISBN
978-953-253-117-6

Skup
Interdisciplinary Management Research IX

Mjesto i datum
Opatija, Hrvatska, 10.05.2013. - 12.05.2013

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
regional hospital efficiency ; county ; data envelopment analysis ; window analysis

Sažetak
Due to expenditure increases that can be attributed to several reasons, healthcare systems throughout the world strive towards cost containment. In order to conduct it in a satisfactory manner, it is necessary first to determine the sources of inefficiency in the process of providing healthcare services. In this paper regional healthcare efficiency of Croatian counties is measured based on hospital performance in three-year period (2007-2009) using Data Envelopment Analysis (DEA). The set of inputs and outputs consists of six indicators. Four of them are directly related to the healthcare efficiency, while two are external/uncontrollable factors included in order to take into account great regional socio-economic disparities. Analysis is carried out using models with assumption of variable returns-to-scale (BCC). Since the hospitals have little control over their outputs and more opportunities to reduce inputs used to produce them, input-oriented models are used. In terms of providing hospital healthcare services, DEA identifies efficient counties as examples of good operating practices (benchmark members) and inefficient counties that are analyzed in detail to determine not only the sources but also the amounts of their inefficiency in each source. To enable proper monitoring of efficiency dynamics and make conclusions on behaviour of the county (whether its efficiency has improved, deteriorated or stagnated), window analysis is applied. Based on the results, guidelines for implementing necessary improvements to achieve efficiency are given. Analysis reveals great disparities among counties.

Izvorni jezik
Engleski

Znanstvena područja
Matematika, Ekonomija

POVEZANOST RADA