Productivity efficiencies in Ukrainian polyclinics: lessons for health system transitions from differential responses to market changes |
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| Authors: | Patrick M Bernet Michael D Rosko Vivian G Valdmanis Anatoly Pilyavsky William E Aaronson |
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| Institution: | (1) Florida Atlantic University, Boca Raton, FL, USA;(2) Widener University, Chester, PA, USA;(3) Health Policy Program, University of the Sciences in Philadelphia, 600 South 43rd Street, Philadelphia, PA 19104, USA;(4) Lviv Academy of Commerce, Lviv, Ukraine;(5) University of Information Technology and Management, Warsaw, Poland;(6) Temple University, Philadelphia, PA, USA |
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| Abstract: | Ukraine’s recent elections revealed deep divisions between eastern regions, which favored central economic planning, and western
regions, which preferred more free market reforms. This study compares polyclinics in Ukraine to see if the inflexibility
of Soviet-style planned economies results in lower economic efficiency in eastern regions. Using data from two geopolitical
regions, Data Envelopment Analysis (DEA) scores for polyclinic efficiencies are modeled as a function of demographic and economic
determinants. Surprisingly, results indicate that polyclinics in western Ukraine are less efficient. Possible explanations,
including case mix intensity, responsiveness to local preferences, physician entrepreneurial behavior and a legacy of inequitable
funding, are discussed.
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| Keywords: | Ukraine Polyclinic Efficiency Data Envelopment Analysis |
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