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Efficiency differences among hospitals and surgical departments in Ukraine

100%
Pilyavskyy A., Staat M.
Acta Universitatis Lodziensis. Folia Oeconomica
|
2011
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vol. 252
EN
The study analyses the technical efficiency and the efficiency change of 193 community hospitals and polyclinics across Ukraine, for the years 1997 to 2001. These facilities are a subset of the medical institutions in rural Ukraine; they are identical w.r.t. their function in the health system and share the same departmental structure. The data comprise the number of physicians and the number of nurses employed in the departments as well as the polyclinics attached to the hospitals, the number of inpa- tient and outpatient admissions as well as the number of surgical procedures, lab tests and x-rays performed. Finally, the number of deaths and deaths after surgery are used as quality proxies. We employ an order-m estimator, a robust nonparametric technique to assess the ef- ficiency of health care providers as well as possible changes of their productivity. The efficiency scores are calculated with an output-oriented model. Efficiency scores are close to unity for hospitals whereas polyclinics are somewhat less efficient. The Malm- quist index exceeds unity for three out of four periods for both hospitals and polyclinics indicating improved productivity on average.
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Polityka zdrowotna w Macedonii Północnej – zagadnienia ogólne

63%
Olszewski P.
Myśl Ekonomiczna i Polityczna
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2023
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vol. 77
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issue 2
69-86
EN
The article refers to general aspects of health policy in North Macedonia after the Macedonian government introduced a package of reforms in recent years to improve the general health of the population. The issues outlined here focus on such aspects of health policy as the implementation of a system of universal health insurance and a new system of primary health care, as well as free health care for children and the elderly, and the expansion of access to preventive and curative services.
PL
Opracowanie dotyczy ogólnych aspektów polityki zdrowotnej w Macedonii Północnej po wprowadzeniu w ostatnich latach przed rząd macedoński pakietu reform w celu poprawy ogólnego stanu zdrowia społeczeństwa. Zarysowana tu problematyka dotyczy przede wszystkim takich aspektów polityki zdrowotnej, jak wdrożenie systemu powszechnego ubezpieczenia zdrowotne- go oraz nowego systemu podstawowej opieki zdrowotnej, a także bezpłatnej opieki zdrowotnej dla dzieci i osób starszych oraz rozszerzenia dostępu do świadczeń profilaktycznych i leczniczych.
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