Publication detail

Efficiency of Hospitals in the Czech Republic: Conditional Efficiency Approach

Author(s): PhDr. Lenka Šťastná Ph.D., Camilla Mastromarco
PhDr. Jana Votápková Ph.D., Camilla Mastromarco
Type: Articles in journals with impact factor
Year: 2019
Number: 0
Published in: Journal of Productivity Analysis, Vol. 51 (1), 73-89
Publishing place:
Keywords: Efficiency, hospitals, conditional order-m FDH, Czech Republic
JEL codes:
Suggested Citation: Mastromarco, C., Stastna, L. & Votapkova, J. J Prod Anal (2019) 51: 73.
Grants: GAUK 910 915 Analysis of Czech Hospitals: Cost Efficiency & Impact of User Charges on the Amount of Inpatient Care Provided
Abstract: The paper estimates cost efficiency of 81 general hospitals in the Czech Republic during 2006-2010. We employ the conditional order-m approach which is a nonparametric method for efficiency computation accounting for environmental variables. Effects of environmental variables are assessed using the non-parametric significance test and partial regression plots. We find not-for-profit ownership and a presence of a specialized center in a hospital to be detrimental to hospital performance in the group of small and medium hospitals, while not-for-profit ownership is favorable to efficiency for big hospitals. Generally, hospital performance gets worse in period 2009-2010 because additional revenues received in form of user charges which were introduced in 2008 increase spending of hospitals. Only big hospitals proved to take some cost-saving measures as a reaction to financial crisis.




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