Acta Univ. Agric. Silvic. Mendelianae Brun. 2014, 62(4), 697-706 | DOI: 10.11118/actaun201462040697

Efficiency Evaluation of Hospitals in the Environment of the Slovak Republic

Stanislav Sendek
Faculty of Business and Economics, Mendel University in Brno, Zemědělská 1, 613 00 Brno, Czech Republic

The paper applies the Data Envelopment Analysis as a deterministic non-parametric method based on the linear programming, to measure the efficiency of Slovak hospitals based on input and output performance. Managing physician or hospital practice patterns is an important tool to reduce health care costs. State-run hospitals, as decision-making units working in an operating healthcare system of the country, might have some excess resources in the process of providing care. It is also e-health tools which might contribute to the cost containment in them, enhancing finally the quality of patient care in the overall assessment.

Keywords: Data Envelopment Analysis, radial BCC model, e-health, input-output analysis, hospital efficiency assessment, decreasing returns to scale

Published: October 4, 2014  Show citation

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Sendek, S. (2014). Efficiency Evaluation of Hospitals in the Environment of the Slovak Republic. Acta Universitatis Agriculturae et Silviculturae Mendelianae Brunensis, 62(4), 697-706. doi: 10.11118/actaun201462040697
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    References

    1. AMERICAN THORACIC SOCIETY DOCUMENTS. 2005. Guidelines for the Management of Adults with Hospital-acquired, Ventilator-associated, and Healthcare-associated Pneumonia. Am. J. Respir. Crit. Care Med., 171(4): 388-416. Available at: Go to original source...
    2. ANAP. 2010. Création de valeur par les technologies de l’'information et de la communication pour les structures de santé - Synthèse des connaissances. Agence Nationale d’'Appui à la Performance des établissements de santé et médico-sociaux. [online]. Available at: [cit. 2014-09-05].
    3. BANKER, R. D., CHARNES, A., and COOPER, W. W. 1984. Some models for estimating technical and scale inefficiencies in Data Envelopment Analysis. Management Science, 30: 1078-1092. DOI: 10.1287/mnsc.30.9.1078 Go to original source...
    4. BANNICK, R. R. and OZCAN, Y. A. 1995. Efficiency analysis of federally funded hospitals: Comparison of DoD and VA hospitals using Data Envelopment Analysis. Health Services Management Research, 8(5): 73-85. DOI: 10.1177/095148489500800201 Go to original source...
    5. BATES, D. W. et al. 1997. The Costs of Adverse Drug Events in Hospitalized Patients. Jama, 277(4): 307-311. DOI: 10.1001/jama.1997.03540280045032 Go to original source...
    6. BATES, D. W., CULLEN, D. J., LAIRD, N., PETERSEN, L. A., SMALL, S. D., SERVI, D. et al. 1995. Incidence of adverse drug events and potential adverse drug events: Implications for prevention. Jama, 274(1): 29-34. DOI: 10.1001/jama.1995.03530010043033 Go to original source...
    7. BARNUM, D. T. et al. 2011. Measuring hospital efficiency with Data Envelopment Analysis: Nonsubstitutable vs. substitutable inputs and outputs. Journal of Medical Systems, 35(6): 1393-1401. DOI: 10.1007/s10916-009-9416-0 Go to original source...
    8. BITRAN, G. R., VALOR-SEBATIER, J. 1987. Some mathematical programming based measures of efficiency in health care institutions. Advances in Mathematical Programming and Financial Planning, 1: 61-84.
    9. BLACK, A. D. et al. 2011. The Impact of eHealth on the Quality and Safety of Health Care: A Systematic Overview. PLoS Medicine, 8(1): e1000387. DOI: 10.1371/journal.pmed.1000387. [online]. Available at: [cit. 2013-12-29]. DOI: 10.1371/journal.pmed.1000387 Go to original source...
    10. BUELL, J. M. (n. d.). 2007. Flexing their IT muscles. Healthcare executive, 22(5): 16-20. [online]. Available at: [cit. 2013-12-29].
    11. CHARNES, A., COOPER, W. W. and RHODES, E. L. 1978. Measuring the efficiency of decision-making units. European Journal of Operational Research, 2(6): 429-444. DOI: 10.1016/0377-2217(78)90138-8 Go to original source...
    12. CHILINGERIAN, J. A., SHERMAN, H. D. 1990. Managing physician efficiency and effectiveness in providing hospital services. Health Service Management Research, 3(1): 3-15. DOI: 10.1177/095148489000300101 Go to original source...
    13. COMMISSION OF THE EUROPEAN COMMUNITIES. 2004. e-Health - making healthcare better for European citizens: An action plan for a European e-Health Area. [online]. Available at: [cit. 2014-06-20].
    14. CROLL, P. R., CROLL, J. 2007. Investigating risk exposure in E-Health systems. Elsevier. International journal of medical informatics, 76(5-6): 460-465. DOI: 10.1016/j.ijmedinf.2006.09.013 Go to original source...
    15. DANSKY, K. H., THOMPSON, D., SANNER, T. 2009. A framework for evaluating eHealth research. Evaluation and Program Planning, 29(4): 397-404. DOI: 10.1016/j.evalprogplan.2006.08.009 Go to original source...
    16. DARKINS, A. et al. 2008. Care Coordination/Home Telehealth: the systematic implementation of health informatics, home telehealth, and disease management to support the care of veteran patients with chronic conditions. Telemed. J. E-Health, 14(10): 1118-1126. DOI: 10.1089/tmj.2008.0021. PMID:19119835 [PubMed - indexed for MEDLINE]. DOI: 10.1089/tmj.2008.0021 Go to original source...
    17. DEVARAJ, S., KOHLI, R. 2003. Performance Impacts of Information Technology: Is Actual Usage the Missing Link? Management Science, 49(3): 273-289. DOI: 10.1287/mnsc.49.3.273.12736 Go to original source...
    18. EMPIRICA et al. 2005. Study on Economic Impact of eHealth: Developing an evidence-based context-adaptive method of evaluation for eHealth. [online]. Available at: [cit. 2012-11-25].
    19. EUROPEAN COMMISSION. 2004. eHealth is Worth it. [online]. Available at: [cit. 2013-12-29].
    20. GARTNER, MHSA SWEDEN. 2009. eHealth for a Healthier Europe. [online]. Available at: [cit. 2013-12-17].
    21. HARRISON, J. P. et al. 2004. Efficiency of Federal Hospitals in the United States. Journal of Medical Systems, 28(5): 411-422. DOI: 10.1023/B:JOMS.0000041168.28200.8c Go to original source...
    22. HEALTH POLICY INSTITUTE. 2013. Dlhy do konca roka 2013 presiahnu úroveň 300 mil. €. [online]. Available at: [cit. 2014-02-17].
    23. HEALTHCARE INFORMATICS. 2007. Real-time infection protection. [online]. Available at: [cit. 2014-02-17].
    24. JABLONSKÝ, J., DLOUHÝ, M. 2004. Modely hodnocení efektivnosti produkčních jednotek. Praha: Professional Publishing.
    25. KAZLEY, A. S., OZCAN, Y. A. 2008. Electronic medical record use and efficiency: A DEA and windows analysis of hospitals. Socio-Economic Planning Sciences, 43(3): 209-216. DOI: 10.1016/j.seps.2008.10.001 Go to original source...
    26. KORST, L. M. et al. 2003. Nursing documentation time during implementation of an electronic medical record. Journal of Nursing Administration, 33(1): 24-30. DOI: 10.1097/00005110-200301000-00006 Go to original source...
    27. KUOSMANEN, T., POST, T. 1999. Robust efficiency measurement: Dealing with outliers in Data Envelopment Analysis. [online]. Available at: [cit. 2014-09-05].
    28. NÚSCH, a. s. 2003. Zlyhávajúcich sŕdc pribúda pre lepšiu liečbu. [online]. Available at: [cit. 2014-02-17].
    29. NCZI. 2014: Statistical internal database of statistical surveys. [online]. Available at:
    30. OZCAN, Y. A., LUKE, R. D., and HAKSEVER, C., 1992. Ownership and organizational performance: A comparison of technical efficiency across hospital types. Medical Care, 30(9): 781-794. DOI: 10.1097/00005650-199209000-00003 Go to original source...
    31. SHEKELLE, P., WACHTER, R., WINTERS, B. et al. 2013. Making healthcare safer II: an updated critical analysis of the evidence for patient safety practices. Evid. Rep. Technol. Assess. (Full Rep.), (211): 1-945.
    32. SHOJANIA, K. G. et al. 2001. Making health care safer: a critical analysis of patient safety practices, Evid. Rep. Technol. Assess. (Summ), (43): i-x, 1-668. PMID: 11510252 [PubMed - indexed for MEDLINE].
    33. SMITH, J. 2004. Building a Safer NHS for Patients: Improving Medication Safety. [online]. Available at: [cit. 2014-02-20].
    34. TERRY, K. 2002. EMRs boost efficiency, too. Medical Economics, 79(7): 38-40.
    35. VARABYOVA, Y., SCHREYÖGG, J. 2013. International comparisons of the technical efficiency of the hospital sector: Panel data analysis of OECD contries using parametric and non-parametric approaches. Health Policy, 112(1-2): 70-9. DOI: 10.1016/j.healthpol.2013.03.003. DOI: 10.1016/j.healthpol.2013.03.003 Go to original source...
    36. WALTON, R., DOVEY, S., HARVEY, E., FREEMANTLE, N. 1999. Computer support for determining drug dose: systematic review and meta-analysis. BMJ, 318(7189): 984-990. DOI: 10.1136/bmj.318.7189.984 Go to original source...
    37. WORLD HEALTH ORGANISATION. 2005. Preventing chronic diseases a vital investment. [online]. Available at: [cit. 2014-02-20].
    38. WORLD HEALTH ORGANISATION. 2000. World Health Report. [online]. Available at: [cit. 2014-01-10].

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