ArticlePloS one2017
A window-DEA based efficiency evaluation of the public hospital sector in Greece during the 5-year economic crisis.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Approach in inputs & outputs selection of Data Envelopment Analysis (DEA) efficiency measurement in hospitals: A systematic review.PloS one · 2024Pooled it
- Integrated Analysis of Healthcare Efficiency: A Systematic Review.Journal of medical systems · 2017Pooled it
- Evaluation of the efficiency of county-level medical and health services under the background of county medical community policy: a case study of Sanming, China.Health economics review · 2026Article
- Crisis-time efficiency in Eastern Poland's regional hospitals (2015-2024): a data envelopment analysis.Frontiers in health services · 2026Article
- The Reform That Was Never Completed: Why Greece Must Redesign Its Health Financing Architecture.Healthcare (Basel, Switzerland) · 2025Article
- 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
- Evaluating hospital performance with additive DEA and MPI: the Isfahan University of Medical Science case study.BMC health services research · 2025Article
- Hospital performance evaluation models: A scoping review.Journal of education and health promotion · 2025Review
- Efficiency of Primary Health Services in the Greek Public Sector: Evidence from Bootstrapped DEA/FDH Estimators.Healthcare (Basel, Switzerland) · 2024Article
- Assessing the Overall Technical Efficiency, Pure Technical Efficiency, and Scale Efficiency of United States Department of Defense Hospitals.Risk management and healthcare policy · 2024Article
- Healthcare reform and productivity of Hospital: a DEA-based analysis from South West of Iran.Cost effectiveness and resource allocation : C/E · 2023Article
- Dynamic Performance Assessment of Hospitals by Applying Credibility-Based Fuzzy Window Data Envelopment Analysis.Healthcare (Basel, Switzerland) · 2022Article
- Evaluating the comparative efficiency of medical centers in Taiwan: a dynamic data envelopment analysis application.BMC health services research · 2022Article
- Productivity analysis of regional-level hospital care in the Czech republic and Slovak Republic.BMC health services research · 2022Article
- Efficiency and Productivity of Public Hospitals in Serbia Using DEA-Malmquist Model and Tobit Regression Model, 2015-2019.International journal of environmental research and public health · 2021Article
- Examination on level of scale efficiency in public hospitals in Tanzania.Cost effectiveness and resource allocation : C/E · 2021Article
- Efficiency Comparison of Public Hospitals under Different Administrative Affiliations in China: A Pilot City Case.Healthcare (Basel, Switzerland) · 2021Article
- Measurement and Evaluation of the Operating Efficiency of China's Basic Pension Insurance: Based on Three-Stage DEA Model.Risk management and healthcare policy · 2021Article
- Configuration Analysis of Influencing Factors of Technical Efficiency Based on DEA and fsQCA: Evidence from China's Medical and Health Institutions.Risk management and healthcare policy · 2021Article
- The effect of Iran's health transformation plan on hospital performance: Kerman province.PloS one · 2021Article
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Abstract
The main objective of this study was to apply the non-parametric method of Data Envelopment Analysis (DEA) to measure the efficiency of Greek NHS hospitals between 2009-2013. Hospitals were divided into four separate groups with common characteristics which allowed comparisons to be carried out in the context of increased homogeneity. The window-DEA method was chosen since it leads to increased discrimination on the results especially when applied to small samples and it enables year-by-year comparisons of the results. Three inputs -hospital beds, physicians and other health professionals- and three outputs-hospitalized cases, surgeries and outpatient visits- were chosen as production variables in an input-oriented 2-year window DEA model for the assessment of technical and scale efficiency as well as for the identification of returns to scale. The Malmquist productivity index together with its components (i.e. pure technical efficiency change, scale efficiency change and technological scale) were also calculated in order to analyze the sources of productivity change between the first and last year of the study period. In the context of window analysis, the study identified the individual efficiency trends together with "all-windows" best and worst performers and revealed that a high level of technical and scale efficiency was maintained over the entire 5-year period. Similarly, the relevant findings of Malmquist productivity index analysis showed that both scale and pure technical efficiency were improved in 2013 whilst technological change was found to be in favor of the two groups with the largest hospitals.
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