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Efficiency and Productivity Differences in Healthcare Systems: The Case of the European Union

Author

Listed:
  • Roman Lacko

    (Department of Tourism, Faculty of Commerce, University of Economics in Bratislava, Dolnozemská Cesta 1, 852 35 Bratislava, Slovakia)

  • Zuzana Hajduová

    (Department of Business Finance, Faculty of Business Management, University of Economics in Bratislava, Dolnozemská Cesta 1, 852 35 Bratislava, Slovakia)

  • Tomáš Bakalár

    (Faculty of Mining, Ecology, Process Control and Geotechnologies, Technical University of Košice, Letná 9, 042 00 Košice, Slovakia)

  • Henrieta Pavolová

    (Faculty of Mining, Ecology, Process Control and Geotechnologies, Technical University of Košice, Letná 9, 042 00 Košice, Slovakia)

Abstract

This study aims to identify significant differences between the countries of the European Union, follow the course of achievement of the convergence objectives, assess developments against specific common characteristics of the countries, and propose possible measures that could improve the state of health in the EU as a whole by implementing standard cohesion policies. To compare efficiency and productivity among the states of the European Union, we used data envelopment analysis (DEA) and the Malmquist productivity index (MPI). On the basis of our findings, even countries that joined the EU later achieve high technical efficiency values. However, it should be noted that it is in these countries that technical efficiency values tend to decline. The values of the Malmquist productivity index broadly indicate stagnation in western countries and productivity decline in central and eastern European countries. This decline is mainly due to a negative shift in the technological frontier in these countries.

Suggested Citation

  • Roman Lacko & Zuzana Hajduová & Tomáš Bakalár & Henrieta Pavolová, 2022. "Efficiency and Productivity Differences in Healthcare Systems: The Case of the European Union," IJERPH, MDPI, vol. 20(1), pages 1-14, December.
  • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:178-:d:1012080
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    References listed on IDEAS

    as
    1. Panagiotis Mitropoulos, 2021. "Production and quality performance of healthcare services in EU countries during the economic crisis," Operational Research, Springer, vol. 21(2), pages 857-873, June.
    2. Richard Gearhart, 2016. "The robustness of cross-country healthcare rankings among homogeneous OECD countries," Journal of Applied Economics, Universidad del CEMA, vol. 19, pages 113-144, May.
    3. Bruce Hollingsworth, 2008. "The measurement of efficiency and productivity of health care delivery," Health Economics, John Wiley & Sons, Ltd., vol. 17(10), pages 1107-1128, October.
    4. Anatoly Pilyavsky & Matthias Staat, 2008. "Efficiency and productivity change in Ukrainian health care," Journal of Productivity Analysis, Springer, vol. 29(2), pages 143-154, April.
    5. Ozbugday, Fatih Cemil & Tirgil, Abdullah & Kose, Elif Gul, 2020. "Efficiency changes in long-term care in OECD countries: A non-parametric Malmquist Index approach," Socio-Economic Planning Sciences, Elsevier, vol. 70(C).
    6. Madalina Ecaterina Popescu & Eva Militaru & Amalia Cristescu & Maria Denisa Vasilescu & Monica Mihaela Maer Matei, 2018. "Investigating Health Systems in the European Union: Outcomes and Fiscal Sustainability," Sustainability, MDPI, vol. 10(9), pages 1-28, September.
    7. Claudiu Tiberiu Albulescu, 2022. "Health Care Expenditure in the European Union Countries: New Insights about the Convergence Process," IJERPH, MDPI, vol. 19(4), pages 1-16, February.
    8. Richard Gearhart, 2016. "The Robustness of Cross-Country Healthcare Rankings Among Homogeneous Oecd Countries," Journal of Applied Economics, Taylor & Francis Journals, vol. 19(1), pages 113-143, May.
    9. William W. Cooper & Lawrence M. Seiford & Kaoru Tone, 2007. "Data Envelopment Analysis," Springer Books, Springer, edition 0, number 978-0-387-45283-8, December.
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