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Operational and economic efficiency analysis of public hospitals in Greece

Author

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  • George Fragkiadakis

    (Technical University of Crete [Chania])

  • Michael Doumpos

    (Technical University of Crete [Chania])

  • Constantin Zopounidis

    (Audencia Business School, Technical University of Crete [Chania])

  • Christophe Germain

    (Audencia Business School)

Abstract

The continuous growth of hospital costs has driven governments in many countries to seek ways to improve their efficiency. In Greece, this has consistently been a major issue for almost two decades, as efficiency assessment and monitoring systems are lacking. In response to this need, the evaluation of the National Health System hospitals' efficiency level is a precondition for planning, implementing and monitoring any promising reform. In this paper, a non-parametric modeling approach is employed to assess and analyze the efficiency of 87 Greek public hospitals over the period 2005–2009, using data envelopment analysis. The operational and economic aspects of the hospitals' operation are considered on the basis of their service/case mix and cost structure. We also investigate the efficiency trends over time with the Malmquist index and a second stage regression analysis is performed to explain the operational and economic efficiency results in terms of the hospitals' operating characteristics and the environment in which they operate.

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  • George Fragkiadakis & Michael Doumpos & Constantin Zopounidis & Christophe Germain, 2016. "Operational and economic efficiency analysis of public hospitals in Greece," Post-Print hal-01414677, HAL.
    • Handle: RePEc:hal:journl:hal-01414677
    DOI: 10.1007/s10479-014-1710-7
    Note: View the original document on HAL open archive server: https://audencia.hal.science/hal-01414677
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    2. Guilan Kong & Lili Jiang & Xiaofeng Yin & Tianbing Wang & Dong-Ling Xu & Jian-Bo Yang & Yonghua Hu, 2018. "Combining principal component analysis and the evidential reasoning approach for healthcare quality assessment," Annals of Operations Research, Springer, vol. 271(2), pages 679-699, December.
    3. Onder, O. & Cook, W. & Kristal, M., 2022. "Does quality help the financial viability of hospitals? A data envelopment analysis approach," Socio-Economic Planning Sciences, Elsevier, vol. 79(C).
    4. ANANG, Benjamin Tetteh, 2022. "Two-Stage Dea Estimation Of Technical Efficiency: Comparison Of Different Estimators," Review of Agricultural and Applied Economics (RAAE), Faculty of Economics and Management, Slovak Agricultural University in Nitra, vol. 25(1), March.
    5. Rita Matos & Diogo Ferreira & Maria Isabel Pedro, 2021. "Economic Analysis of Portuguese Public Hospitals Through the Construction of Quality, Efficiency, Access, and Financial Related Composite Indicators," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 157(1), pages 361-392, August.
    6. Olawale Odewole, Philip & Oyesola Salawu, Rafiu, 2021. "Assessment Of The Efficiency Of Selected Public Sector Entities In Nigeria," Ilorin Journal of Economic Policy, Department of Economics, University of Ilorin, vol. 8(1), pages 18-30, June.
    7. Sanjeet Singh & Prabhat Ranjan, 2018. "Efficiency analysis of non-homogeneous parallel sub-unit systems for the performance measurement of higher education," Annals of Operations Research, Springer, vol. 269(1), pages 641-666, October.
    8. Delis, Manthos & Iosifidi, Maria & Tsionas, Mike G, 2017. "Endogenous bank risk and efficiency," European Journal of Operational Research, Elsevier, vol. 260(1), pages 376-387.
    9. İlgün, Gülnur & Sönmez, Seda & Konca, Murat & Yetim, Birol, 2022. "Measuring the efficiency of Turkish maternal and child health hospitals: A two-stage data envelopment analysis," Evaluation and Program Planning, Elsevier, vol. 91(C).
    10. Oleg Badunenko & Harald Tauchmann, 2019. "Simar and Wilson two-stage efficiency analysis for Stata," Stata Journal, StataCorp LP, vol. 19(4), pages 950-988, December.
    11. Anastasios Trakakis & Miltiadis Nektarios & Styliani Tziaferi & Panagiotis Prezerakos, 2022. "Evaluation of the Efficiency in Public Health Centers in Greece Regarding the Human Resources Occupied: A Bootstrap Data Envelopment Analysis Application," IJERPH, MDPI, vol. 19(3), pages 1-13, January.

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