Abstract

This paper evaluates the efficiency level of medical spa businesses operating in Slovakia. The research aims to compile an efficiency ranking of these specific healthcare facilities to apply both methods and analyze their alternative use within the efficiency level measurement. The object of research is the Slovak spa businesses over the years 2014-2018. The study involved the Simplex Method of Linear Programming and the selected Data Envelopment Analysis model. In the study frame, the authors quantified the efficiency of medical spa businesses as the optimization task of SMPL and BCC input-oriented DEA model to identify prosperous businesses from non-prosperous ones. The study applied the Spearman rank correlation to reveal a potential degree of association of business rankings. The calculations were provided by the MS Excel, MS Excel Solver package, and the statistical program Gretl. The findings indicated that the business efficiency measured by SMPL provided similar results to the DEA model. These methods could be considered equivalent. Therefore, their alternative use was confirmed. The obtained results showed that both methods almost equally divided the businesses into two groups: 1) with efficiency score above (10 DMUs) and 2) below the overall achieved average (11 DMUs). According to the average results of both applied methods, the most efficient DMUs were DMU09 (Spa Lúcky, j.s.c.) and DMU03 (Spa Bojnice, j.s.c.), vice versa, the lowest efficiency score was achieved by DMU04 (Spa Brusno, j.s.c.). This research could be considered an important opportunity to identify new gaps in the prior literature and present the need for further development in these specific healthcare facilities, not only in Slovakia. The presented research findings are also beneficial for practice as they may lead to the formulation of recommendations for improvement of the current state of Slovak spa tourism and the spa businesses themselves.

Highlights

  • Medical tourism has been changing the healthcare scene, especially in developing countries offering a combination of low costs for medical services and experienced medical personnel

  • For quantifying the efficiency of the Slovak spa businesses for 2014–2018, the study applied linear programming apparatus solved by the Simplex Method using a matrix mapping of three selected input and output items

  • The paper aimed to analyze the efficiency of Slovak spa businesses by applying the Simplex Method by applying linear programming (SMLP) and an appropriate Data Envelopment Analysis (DEA) model and detecting significant relation between these methods of business efficiency evaluation

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Summary

Introduction

Medical tourism has been changing the healthcare scene, especially in developing countries offering a combination of low costs for medical services and experienced medical personnel. In the Slovak Republic, spa therapy is an integral part of the public health system, but medical facilities providing these services act as tourist establishments. Spa facilities primarily provide health care benefits based on the therapeutic effects of climate and the natural resources of the environment (Derco, 2014; Dryglas and Salamaga, 2017; Kuzysin et al, 2021). They are not specific for the treatment of concrete diseases. The financial stability of these medical spas rests on the balance between medical products covered by public health insurance, medical and wellness

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