Efficiency and productivity change in Ukrainian health care |
| |
Authors: | Anatoly Pilyavsky Matthias Staat |
| |
Institution: | (1) Lviv Academy of Commerce, Lviv, Ukraine;(2) Warsaw School of Information Technology and Management, Warsaw, Poland;(3) University of Mannheim, Mannheim, Germany |
| |
Abstract: | The study analyses technical efficiency and efficiency change of 193 community hospitals and polyclinics across Ukraine, for
the years 1997–2001. These facilities are a subset of the medical institutions in rural Ukraine; they are identical w.r.t.
their function in the health system and share the same departmental structure. The data comprise the number of beds in the
hospitals, the number of staff employed in the hospitals as well as the polyclinics connected to the hospitals, the number
of inpatient and outpatient admissions as well as the number of surgical procedures, lab tests, X-rays performed and the number
of deaths and deaths after surgery. Because of the known sensitivity of traditional nonparametric frontier estimators to outlier
observations, we employ an order-m estimator, a robust technique, to assess the efficiency of these health care providers as well as changes of their productivity
time. The efficiency scores are calculated with an output-oriented model; they are close to unity for hospitals whereas polyclinics
seem somewhat less efficient. The Malmquist-indices averaged over all observations are close to unity indicating that productivity
does not change over during our observation period. But, depending on the period and the region, substantial deviations from
unity can be observed.
|
| |
Keywords: | Hospitals Efficiency Order-m Malmquist Index |
本文献已被 SpringerLink 等数据库收录! |
|