EFEKTYWNOŚĆ USŁUGOWA JAKO KRYTERIUM WYBORU MECHANIZMU FINANSOWANIA SZPITALI
Loading...
Date
2003
Authors
Advisor
Editor
Journal Title
Journal ISSN
Volume Title
Publisher
Wydział Prawa i Administracji UAM
Title alternative
EFFECTIVENESS OF SERVICES AS SELECTION CRITERION HOSPITAL FUNDING METHOD
Abstract
As of January 1st 1999, the objective funding mechanism for hospitals was introduced,
which introduced 16 regional healthcare funds purchasing hospital services.
The aim of the paper is to argue that an improvement in the effectiveness of services delivered
by Polish hospitals is an important factor that should justify the application of objective
funding mechanism.
In the introduction, the author presents the healthcare system changes that were implemented
at the beginning of 1999. The factors that influence the effectiveness of hospital services
as well as the rationale behind the service-based hospital funding are also presented.
The research reported here spans over the years 1996-2001. The effectiveness of hospital
services was measured by means of Data Envelopment Analysis — a nonlinear programming
method developed in 1978 by A. Charnes, W.W. Cooper and E. Rhodes. A ratio analysis and
correlation analysis were also used to monitor hospital performance.
The empirical study showed that the transition from subjective to objective mechanism in
hospital funding resulted in a shorter average hospitalization time and improved patient admission
rates. Besides, the study confirms the fact that individual regional funds applied various
payment units to settle expenses with hospitals, whereas the only justifiable unit should
correlate with the measure of the efficiency of the hospital.
Description
Sponsor
Keywords
Citation
Ruch Prawniczy, Ekonomiczny i Socjologiczny 65, 2003, z. 4, s. 153-171