The impact of economic crisis on the Greek hospitals' productivity

被引:19
|
作者
Mitropoulos, Panagiotis [1 ]
Mitropoulos, Ioannis [2 ]
Karanikas, Haralampos [3 ]
Polyzos, Nikolaos [4 ]
机构
[1] Technol Educ Inst Western Greece, Dept Business Adm, Patras, Greece
[2] Technol Educ Inst Western Greece, Dept Business Adm, Lab Decis Making & Business Planning, Patras, Greece
[3] Technol Educ Inst Cent Greece, Dept Informat & Comp Technol, Lamia, Greece
[4] Democritus Univ Thrace, Dept Social Management, Komotini, Greece
关键词
data envelopment analysis; Greek hospital performance; health care reform; Malmquist index; PUBLIC HOSPITALS; HEALTH-CARE; MALMQUIST APPROACH; EFFICIENCY SCORES; BOOTSTRAP; SERVICES; INDEXES; MODELS; DEA;
D O I
10.1002/hpm.2410
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
During the recent economic crisis, Greece implemented a comprehensive reform in the health care system. The 2010 health reform occurred under the constraints imposed by the memorandum of understanding that the Greek Government signed with its EU/International Monetary Fund creditors to control its deficit. The objective of the study is to examine the impact of the reform on the efficiency and productivity of public hospitals in Greece. We use the Malmquist productivity index to comparatively examine the potential changes before and after the reform years. We compare productivity, efficiency, and technological changes using panel data of 111 public acute hospitals operating in Greece throughout the recession period of 2009 to 2012. Bootstrapping methods are applied to allow for uncertainty owing to sampling error and for statistical inference for the Malmquist productivity index and its decompositions. The analysis indicates that the productivity has been increased following the policy changes. It appears that the expected benefits from the reform in general have been achieved, at least in the short-term. This result is examined in the light of management and operations activities, which are related with the reform process. Therefore, at a second stage, the Malmquist index is regressed on variables that may potentially be statistically associated with productivity growth.
引用
收藏
页码:171 / 184
页数:14
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