Acta Univ. Agric. Silvic. Mendelianae Brun. 2020, 68, 383-394
Published online 2020-04-29

The Efficiency of Public Health and Medical Care Systems in EU Countries: Dynamic Network Data Envelopment Analysis

Kristína Kočišová, Jakub Sopko

Department of Banking and Investment, Faculty of Economics, Technical University of Košice, Nemcovej 32, 040 01 Košice, Slovak Republic

Received February 22, 2019
Accepted March 31, 2020

Our paper analyses the technical efficiency and the change in the efficiency of the healthcare systems in 23 European Union (EU) countries between 2008 and 2016 based on the data published by OECD. We apply Dynamic Network Data Envelopment Analysis (DNDEA) to assess the efficiency of the medical care system and public health system, together with overall healthcare system efficiency. The findings suggest that the efficiency of public health systems in 2016 were higher than the efficiency of medical care systems in the same year only in Denmark. In the case of France, Hungary, Ireland, Lithuania, Poland, Portugal, Spain and the United Kingdom, the medical systems were more efficient. The model marked Austria, Czech Republic, Estonia, Finland, Germany, Greece, Italy, Latvia, Luxembourg, Netherlands, Slovak Republic, Slovenia and Sweden as efficient in terms of the medical care system as well as the public health system in 2016.


The Slovak Scientific Grant Agency supported this work as part of the research project VEGA 1/0794/18.


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