IDEAS home Printed from
MyIDEAS: Log in (now much improved!) to save this article

Evaluation Of Croatia’S Regional Hospital Efficiency: An Application Of Data Envelopment Analysis

Listed author(s):
  • Danijela Rabar


    (Juraj Dobrila University of Pula Department of Economics and Tourism “Dr. Mijo Mirkovic”, Republic of Croatia)

Registered author(s):

    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 fi rst to determine the sources of inefficiency in the process of providing healthcare services. In this paper regional healthcare effi ciency of Croatian counties is measured based on hospital performance in three-year period (2007-2009) using Data Envelopment Analysis (DEA). Th eset of inputs and outputs consists of six indicators. Four of them are directly related to the healthcare effi ciency, 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, inputoriented models are used. In terms of providing hospital healthcare services, DEA identifi eseffi cient 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.

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.

    File URL:
    Download Restriction: no

    Article provided by Josip Juraj Strossmayer University of Osijek, Faculty of Economics, Croatia in its journal Interdisciplinary Management Research.

    Volume (Year): 9 (2013)
    Issue (Month): ()
    Pages: 649-659

    in new window

    Handle: RePEc:osi:journl:v:9:y:2013:p:649-659
    Contact details of provider: Postal:
    Gajev trg 7, 31000 Osijek

    Phone: 031 224 400
    Fax: 031 211 604
    Web page:

    More information through EDIRC

    No references listed on IDEAS
    You can help add them by filling out this form.

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    When requesting a correction, please mention this item's handle: RePEc:osi:journl:v:9:y:2013:p:649-659. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Hrvoje Serdarusic, PhD)

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    This information is provided to you by IDEAS at the Research Division of the Federal Reserve Bank of St. Louis using RePEc data.