THE IMPACT OF ECONOMIC CRISIS TO HOSPITAL SECTOR AND THE EFFICIENCY OF GREEK PUBLIC HOSPITALS
Journal Title: European Journal of Business and Social Sciences - Year 2016, Vol 4, Issue 10
Abstract
Objectives - To examine the performance of 90 general Greek hospitals in 2010 and 2011 and to identify initiatives or strategies adopted to enhance efficiency. Methods - CCR and BCC input-oriented Data Envelopment Analysis and the bootstrapping methodology were used to derive the statistical properties of efficiency scores and to eliminate the sampling bias. Results - The average efficiency score is increased to 85.9% and to 90% the year 2011 under the constant and variable returns to scale assumption respectively. When considering the bootstrapping results however, none of the 90 hospital units appear to be close to the frontier. Hospitals found to be inefficient by utilizing 80% of the available inputs. Conclusions Following the implementation of the Memoranda, the Greek government decreased public spending to hospitals by more than 11%. Although overall hospital efficiency showed a slight increase, there is an imperative need for administrative measures aiming to the better distribution and use of health care resources. Additionally, as out of pocket payments to public hospitals show an increasing trend, efforts should be made to retain access especially for vulnerable groups.
Authors and Affiliations
Kaitelidou, D| Center for Health Services Management and Evaluation, Faculty of Nursing, University of Athens, 123 Papadiamadopoulou Str, Goudi, Athens, Greece, Katharaki, M. | Department of Economics, National and Kapodistrian University of Athens, 1 Sofokleous Str, 10559, Athens, Greece, Kalogeropoulou, M| Corresponding Author Center for Health Services Management and Evaluation, Faculty of Nursing, University of Athens, 123 Papadiamadopoulou Str, Goudi, Athens, Greece. e-mail: mariakalo@nurs.uoa.gr, makaloger@yahoo.gr Tel.: +30 210 7461473, Fax: +30 210 7461470, Economou, Ch. | Panteion University of Athens, 136 Sygrou Avenue, 176 71 Athens, Greece, Siskou, O| Center for Health Services Management and Evaluation, Faculty of Nursing, University of Athens, 123 Papadiamadopoulou Str, Goudi, Athens, Greece, Souliotis, K| Faculty of Social Sciences, University of Peloponnese, Damaskinou & Kolokotroni Str., 20100 Corinth, Greece, Tsavalias, K| Center for Health Services Management and Evaluation, Faculty of Nursing, University of Athens, 123 Papadiamadopoulou Str, Goudi, Athens, Greece, Liaropoulos, L. | Center for Health Services Management and Evaluation, Faculty of Nursing, University of Athens, 123 Papadiamadopoulou Str, Goudi, Athens, Greece
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