The effectiveness of horizontally integrated hospitals in the Czech Republic

In the Czech Republic, hospital costs are close to half of the total health care costs. This ratio is quite high compared to other V4 countries. It is therefore essential to concern ourselves with whether these expenses are spent effectively. Regarding the fact that in recent years hospitals continue to unite into various holdings, it is desirable to look into whether this form of horizontal integration leads to the desired effect, that is, to lowering expenses, raising effectiveness and to higher quality health care. This article is focussed on the effectiveness of two chosen holdings and it will analyse 6 indicators before and after integration. Keywords— Effectiveness, holding, hospital, integration, trend analysis.

[1]  David Parkin,et al.  Measuring production efficiency of acute hospitals in Scotland, 1991-94: validity issues in data envelopment analysis , 1997 .

[2]  Sayed Shahab Hosseini,et al.  The Evaluation of Relative Efficiency of Teaching Hospitals , 2012 .

[3]  W. Montagna Something old. , 1970, The Journal of investigative dermatology.

[4]  I. Vaňková,et al.  The Factors Influencing Economic Efficiency of the Hospital Bed Care in Terms of the Regional Allowance Organizations , 2014 .

[5]  L. Burns,et al.  Owned vertical integration and health care: Promise and performance , 1996, Health care management review.

[6]  Kankana Mukherjee,et al.  Market Structure and Technical Efficiency in the Hospital Services Industry: A DEA Approach , 2006, Medical care research and review : MCRR.

[7]  D. Prior,et al.  Technical efficiency and scope economies in hospitals , 1996 .

[8]  Matthias Staat,et al.  Efficiency of hospitals in Germany: a DEA-bootstrap approach , 2006 .

[9]  Ali Emrouznejad,et al.  Data envelopment analysis: theory and applications , 2009, J. Oper. Res. Soc..

[10]  M Dubas Khalid,et al.  A TEST OF THE EFQM EXCELLENCE MODEL OF TQM , 2005 .

[11]  Gilberto Turati,et al.  Behavioral differences between public and private not-for-profit hospitals in the Italian National Health Service. , 2007, Health economics.

[12]  Jeffrey P Harrison,et al.  An efficiency analysis of Veterans Health Administration hospitals. , 2005, Military medicine.

[13]  G. Bazzoli,et al.  Is provider capitation working? Effects on physician-hospital integration and costs of care. , 2000, Medical care.

[14]  Josef Jablonský,et al.  Využití analýzy obalu dat pro hodnocení efektivnosti českých nemocnic , 2007 .

[15]  J. Yfantopoulos,et al.  Measuring Efficiency and Productivity Across Hospitals in the Regional Health Authority of Thessaly, in Greece , 2011 .

[16]  Shahram Tofighi,et al.  Efficiency measurement in developing countries: application of data envelopment analysis for Iranian hospitals , 2011, Health services management research.

[17]  Adel M. Al-Shayea Measuring Hospital ’ s units Efficiency : A Data Envelopment Analysis Approach , 2011 .

[18]  How can hospital performance be measured and monitored? , 2003 .

[19]  M. Linna,et al.  A comparative application of econometric frontier and DEA methods for assessing cost efficiency of Finnish hospitals. , 1998, Developments in health economics and public policy.

[20]  J. Magnussen,et al.  Efficiency measurement and the operationalization of hospital production. , 1996, Health services research.

[21]  Robert S. Huckman,et al.  Hospital Integration and Vertical Consolidation: an Analysis of Acquisitions in New York State , 2005 .

[22]  J. Kohnen,et al.  Business Process Benchmarking: Finding and Implementing Best Practices , 1995 .

[23]  R. Jacobs,et al.  Alternative Methods to Examine Hospital Efficiency: Data Envelopment Analysis and Stochastic Frontier Analysis , 2001, Health care management science.

[24]  L. Baker,et al.  Measuring competition in health care markets. , 2001, Health services research.

[25]  L. Casalino,et al.  Something old, something new: recent developments in hospital-physician relationships. , 2003, Health services research.

[26]  M. Rosko Cost efficiency of US hospitals: a stochastic frontier approach. , 2001, Health economics.

[27]  W. Bowlin,et al.  Measuring Performance: An Introduction to Data Envelopment Analysis (DEA) , 1998 .

[28]  Ulrike Mandl,et al.  The effectiveness and efficiency of public spending , 2008 .

[29]  W. Greene Distinguishing between Heterogeneity and Inefficiency: Stochastic Frontier Analysis of the World Health Organization S Panel Data on National Health Care Systems , 2003, Health economics.

[30]  Wen-Bao Lin Factors Affecting Hospital ’ s Adoption of a Market Orientation , 2011 .

[31]  Tasneem Hameed,et al.  Change. , 2018, The Journal of the Oklahoma State Medical Association.

[32]  Stuart Peacock,et al.  Efficiency Measurement in Health and Health Care , 2008 .

[33]  M. Farrell The Measurement of Productive Efficiency , 1957 .

[34]  G. Končitíková,et al.  An application of Balanced Scorecard in healthcare organizations , 2014 .

[35]  P. Zweifel,et al.  On the (in)efficiency of Swiss hospitals , 2003 .

[36]  Mehdi Jafari,et al.  Frontier-based techniques in measuring hospital efficiency in Iran: a systematic review and meta-regression analysis , 2013, BMC Health Services Research.

[37]  F. Ackerman The movement toward vertically integrated regional health systems , 1992, Health care management review.

[38]  C. Barros,et al.  An analysis of hospital efficiency and productivity growth using the Luenberger indicator , 2008, Health care management science.