The Level of Decentralization Impact on the Bulgarian Social Health Care Competitiveness.

Venelin Terziev,Stoyanka Petkova-Georgieva

doi:10.2139/ssrn.3477288

Abstract

One of the most significant characteristics on which the Bulgarian social health care system competitiveness depends is the level of decentralization. In this study the authors explain a methodology for estimating the level of decentralization by using the knowledge of the so-called performance measurement system (PMS). The established theoretical model is tested among health care managers in 78 sub-divisional units randomly chosen among the Bulgarian health care system – facilities and hospitals. There have been made several conclusions that could be a base for future research and discussion.

Highlights

One of the most significant and traditional instruments for management competitiveness increasing is the socalled “performance measurement system” (PMS)
Theory and earlier evidence suggest that decisions relating to decentralization and PMS choices are made simultaneously and that these choices are influenced by a number of exogenous factors
We find that decentralization is positively and significantly related to knowledge transfer costs and negatively related to levels of subunit interdependencies

Summary

INTRODUCTION

One of the most significant and traditional instruments for management competitiveness increasing is the socalled “performance measurement system” (PMS). The specific feature that was necessary to be available was the management and organization structure of the examined hospital or facility to be like a business organization with a lot of sub-divisional structures on many levels of decentralization. Their use can essentially be traced back to two problem areas. Using the existing data without focusing on management bottlenecks demands a manipulation of large amount of numbers with little useful information, thence with restricted practical use. The accent of the research is to give some important methodology’s steps of how the PMS can be useful for competitiveness increasing

THEORETICAL STUDY

INVESTIGATION RESULTS

CONCLUSION