Abstract
Healthcare is a highly sophisticated segment of the public sector, which requires not only highly professional and competent staff, but also a properly set ratio of healthcare professionals. In the Czech Republic, the state, as the main guarantor of health care, applied strong control through price and volume control. The aim of the paper is to define the differences in the technical efficiency of public hospitals, with regard to the size of hospitals and partial types of human resources. An input-oriented Data Envelopment Analysis model (DEA model) was chosen for modeling the technical efficiency of 47 public hospitals. The personnel performance concept of the evaluation of technical efficiency was further implemented in eight specific models, from the perspective of individual input variables relative to output variables and according to different assumptions regarding the character of economies of scale. The results of technical efficiency were analyzed using correlation, regression analysis, and the Bootstrap method. The least efficient hospitals in terms of hospital size are large hospitals, and the most balanced results have been achieved by medium-sized hospitals. The average efficiency rate in models that include all selected input and output variables is highest in medium-sized hospitals, with a value of 0.866 for CRS and an efficiency rate of 0.926 for VRS. The rationalization of human resources should be implemented in order not to reduce the quality of care provided.
Highlights
Public health and healthcare is an economically demanding sector where two thirds of financial resources in the individual organizations as well as the healthcare system are expended on labor force, and it is essential to address the issues of the efficiency of human resources in order to ensure the sustainability and development of healthcare
The results of the hospital efficiency calculations according to the input-oriented constant returns to scale (CRS)
variable returns to scale (VRS) models show that hospitals (DMUs) are less efficient in the CRS models, as expected, compared to the VRS models
Summary
Public health and healthcare is an economically demanding sector where two thirds of financial resources in the individual organizations as well as the healthcare system are expended on labor force, and it is essential to address the issues of the efficiency of human resources in order to ensure the sustainability and development of healthcare. The efficiency of human resources, especially health professionals, is a very topical, albeit controversial issue. Mentioned, in this regard, is the disaccord between the efficiency, quality, and equality, and the failure of the management of healthcare organizations and public administration, very often within the context of X-inefficiency [1,2]. Kozuń-Cieślak [3] state that the generally acknowledged positive relation between the human capital potential and prosperity cannot be verified because the investment into human capital in public health does not positively correlate with technical efficiency
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International journal of environmental research and public health
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
