ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2013
How efficient are Greek hospitals? A case study using a double bootstrap DEA approach.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Integrated Analysis of Healthcare Efficiency: A Systematic Review.Journal of medical systems · 2017Pooled it
- Beyond Efficiency Scores: Explaining Health System Performance Using Two-Stage Bootstrap DEA and Machine Learning.Healthcare (Basel, Switzerland) · 2026Article
- Performance of Greek Public Hospitals Before and After the Economic Recession and the Pandemic: Application of a Novel Cost Malmquist Index for Comparing Productivity Across Multiple Groups.Healthcare (Basel, Switzerland) · 2025Article
- Factors influencing the technical efficiency of diabetes care at primary care level in Mexico.Health policy and planning · 2024Article
- Efficiency effects of public hospital closures in the context of public hospital reform: a multistep efficiency analysis.Health care management science · 2024Article
- The spatio-temporal pattern and its influencing factors of production efficiency of health resources in China.Frontiers in public health · 2024Article
- Healthcare Service Efficiency: An Empirical Study on Healthcare Capacity in Various Counties and Cities in Taiwan.Healthcare (Basel, Switzerland) · 2023Article
- Do VIP medical services damage efficiency? New evidence of medical institutions' total factor productivity using Chinese panel data.Frontiers in public health · 2023Article
- Assessing the Efficiency and Productivity of the Hospital Clinics on the Island of Rhodes during the COVID-19 Pandemic.International journal of environmental research and public health · 2022Article
- The impact of human resources for health on the health outcomes of Chinese people.BMC health services research · 2022Article
- The Core of Healthcare Efficiency: A Comprehensive Bibliometric Review on Frontier Analysis of Hospitals.Healthcare (Basel, Switzerland) · 2022Review
- Configurational Paths to Higher Efficiency in County Hospital: Evidence From Qualitative Comparative Analysis.Frontiers in public health · 2022Article
- Efficiency in COVID-19 Vaccination Campaigns-A Comparison across Germany's Federal States.Vaccines · 2021Article
- Efficiency of Human Resources in Public Hospitals: An Example from the Czech Republic.International journal of environmental research and public health · 2021Article
- Efficiency Comparison of Public Hospitals under Different Administrative Affiliations in China: A Pilot City Case.Healthcare (Basel, Switzerland) · 2021Article
- Efficiency and productivity of health systems in prevention and control of non-communicable diseases in China, 2008-2015.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- The efficiency of provincial government health care expenditure after China's new health care reform.PloS one · 2021Article
- Measuring productivity of healthcare services under environmental constraints: evidence from China.BMC health services research · 2020Article
- Efficiency of health resource utilisation in primary-level maternal and child health hospitals in Shanxi Province, China: a bootstrapping data envelopment analysis and truncated regression approach.BMC health services research · 2020Article
- A DEA-Based Complexity of Needs Approach for Hospital Beds Evacuation during the COVID-19 Outbreak.Journal of healthcare engineering · 2020Article
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Abstract
The purpose of this study was to measure Greek hospital performance using different input-output combinations, and to identify the factors that influence their efficiency thus providing policy makers with valuable input for the decision-making process. Using a unique dataset, we estimated the productive efficiency of each hospital through a bootstrapped data envelopment analysis (DEA) approach. In a second stage, we explored, using a bootstrapped truncated regression, the impact of environmental factors on hospitals' technical and scale efficiency. Our results reveal that over 80% of the examined hospitals appear to have a technical efficiency lower than 0.8, while the majority appear to be scale efficient. Moreover, efficiency performance differed with inclusion of medical examinations as an additional variable. On the other hand, bed occupancy ratio appeared to affect both technical and scale efficiency in a rather interesting way, while the adoption of advanced medical equipment and the type of hospital improves scale and technical efficiency, correspondingly. The findings of this study on Greek hospitals' performance are not encouraging. Furthermore, our results raise questions regarding the number of hospitals that should operate, and which type of hospital is more efficient. Finally, the results indicate the role of medical equipment in performance, confirming its misallocation in healthcare expenditure.
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