Abstract
In this paper an attempt is made to determine the additional costs being undertaken by the University Hospitals of Greece in relation to those of General Hospitals. To determine the additional cost of University Hospitals, called teaching impact cost, a model of eight factors was constructed. The sample of examined Hospitals consists of fifty-three (53) Hospitals in Greece which issued financial statements for the years 2008-2009. This effort is intend to a direct comparison of the results that incurred in Greece, to other similar efforts that made in other European Countries. The results showed that the University Hospitals of Greece, similar to other European University Hospitals, face a higher operational cost compared to General Hospitals, which is due to education of the future health professionals.
Highlights
The need of government worldwide to decrease public expenditures led to the reform of public services, creating a new trend, which was named New Public Management
Our research identifies the Teaching Impact Factor, which examines the additional costs faced by University Hospitals in relation to General Hospitals for the training of future medical and nurse personnel
In order to determine the cost of Teaching Impact Factor, a dummy variable with values 1 (University Hospital) and 0 (General Hospital) was introduced and in order to separate the year, we use the usual choice of 0-1 dummy index
Summary
The need of government worldwide to decrease public expenditures led to the reform of public services, creating a new trend, which was named New Public Management. New Public Management aimed to restructure the public sector by reducing operating costs and create a more efficient operation of the public sector. To achieve these incentives were created towards the adoption of public services outsourcing were adopted in order to increase competition and reduce costs. Even though the plan to outsource Health Care services by implementing New Public Management was ambitious, various surveys (Hefetz and Warner, 2004; Whitten and Leiden, 2006), concluded that in the long-term neither the costs were reduced nor the quality of services improved, creating at the same time control problems. The result was the return in back sourcing and the internal rendering of services in the public sector (Young and Macinati, 2012). This study tries to find out if University Hospitals related to General Hospitals, face high costs, when the additional teaching cost extinct
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