A COMPARATIVE STUDY of HEALTH UNITS of the 6TH GREEK HEALTH REGION DURING an ECONOMIC CRISIS PERIOD through DATA ENVELOPMENT ANALYSIS METHOD

Georgios I. Farantos, Nikitas Spiros Koutsoukis

Abstract


The aim of the present study is to investigate the change in relative efficiency through a comparative study on the efficiency of health units within a Greek health region during an economic crisis environment, with the aid of a new application. The study is designed to collect data from the 6th Greek health region and to process that data with the use of Data Envelopment Analysis software. The study methodology extends to the application of the study of efficiency of organisations and the integration of the analysis in an interpretation framework within the economic crisis. The study refers to similar hospital clinics (pathological) within one of the largest Greek health regions in order for the results to be comparable. We estimate and calculate the DEA sizes based on the CRS, VRS and SE models of the Health Units of a Greek health region, with the use of a new application which calculates the change of overall relative Efficiency during the crisis. The study of the change in the efficiency of health units leads to useful conclusions on the negative changes in the observed efficiency of the units and the integration of the studies on the change of efficiency in the Integrated crisis management. The study ranks the efficient and inefficient units and suggests ways of improvement. This study allows for further case studies in the future and the completion of the integrated crisis management model through comparative studies on the efficiency of systems.


Keywords


Kondratiev cycles, health, economic crises, data envelopment analysis (DEA)

Full Text:

PDF

References


Allen, R., Athanassopoulos, A., & Dyson, R. (1997). Weight restrictions and value judgements in data envelopment analysis: Evolution, development and future directions. Annals of Operations Research 73, 13-34. doi:10.1023/A:101896890963

Augustine, N. (1995), Managing the crisis you tried to prevent. Boston: Harvard Business School Press.

Bauer, P., Berger, A., Ferrier, G., & Humphrey, D. (1998). Consistency conditions of regulatory analysis of financial institution: A comparison of Frontier Efficiency Methods. Journal of Economics and Business, 50(2), 85-114.

Bancker, R. D., Charnes, A., & Cooper, W. W. (1984). Some models for estimating technical and scale inefficiencies in data envelopment analysis. Management Science, 30(9), 1078-1092.

Banker, R., D. & Morey, R., C. (1986). Efficiency analysis for exogenously fixed inputs and outputs, Operations Research, 34, 513–521.

Banxia Holdings Limited (2001), Frontier analyst, Banxia’s frontier analyst user’s guide, professional edition. Banxia Software: 20-23.

Barros, C., P. (2008). Airports in Argentina: Technical efficiency in the context of an economic crisis. Journal of Air Transport Management 14, 315-319.

Castels, M., Caraca, J., & Cardoso, G. (2012). Aftermath, The culture of the economic crisis. Clays Ltd, St Ives plc, Oxford : 1.

Coelli, T., J. (1996). A guide to DEAP version 2.1: A data envelopment analysis (computer) Program, CEPA Working Papers, University of New England, Armidale, Australia.

Combs, W. (2007), Protecting organisation reputation during a crisis: The development and application of situational crisis communication theory. Corporate reputation review, 10, 1-14.

Charnes, A., Cooper, W.W. & Rhodes, E. (1978). Measuring the Efficiency of Decision Making Units. European Journal of Operational Research 2: 429-443.

Dacanay, S. H. O. (2007). Malmquist index and technical efficiency of Philippine commercial banks in the post-Asian financial period. Philippine Management Review, 14, 93-114.

Debrew, J. (1951). The coefficient of resource utilization. Econometrica, The Econometric Society, 1(3), (JSTOR) 273-292.

Farantos, G. (2015). The data envelopment analysis method for the assessment of the efficiency of organizations: A literature review. International Conference on Business and Economics, Hellenic Open University, 22-24.

Farantos, G. I., & Koutsoukis, N. S. (2015). Integrated crisis management: A literature review. International Exchanges on Communication, Management and Marketing. Communication Institute of Greece, Athens, ISBN: 978-618-81861-0-8: 35-53.

Farell, M. J. (1957). The measurement of productive efficiency. Journal of the Royal Statistical Sοciety. Series A, 120(3), 253-290.

Fink, S. (2002). Crisis Management: Planning for the inevitable. Guild Backprint Edition: N.Y.

Grinin L. E., Devezas T. C., & Korotayev A. V. (2012). Kondratieff’s mystery. In L. E. Grinin, T. C. Devezas & A. V. Korotayev (Eds.). Kondratieff waves. Dimensions and prospects at the dawn of the 21st century (pp. 5-22). Volgograd, Russia: Uchitel.

Korotayev, A., Zinkina, J., & Bogenolnov, J. (2011). Kontratieff waves in global invention activities (1900-2008). Technological forecasting and social change 78, 1280-1284.

Lesser, I. O. (2005), Greece’s new geopolitical environment. Southeast European and Black Sea Studies, 5(3), 347-363.

Mariolis A., Mihas, C., Alevizos, A., Mariolis-Sapsakos, T., Sergentanis, T. N., Kalogerakos, N., Virvilis, C., Fourkas, C., Skandalakis, P., & Stefanadis, C. (2008). Dissatisfaction with cardiovascular health and primary health care services: Southern Mani, isolated area in Europe. A case study. Hellenic S. Cardiol, 49(3), 139-144.

Matsas M. (2010). Critique: Journal of Socialist Theory, 38,(3), 489-502.

Mitroff, I., Pearson, C., & Harrington, C. (1996). The essential guide to managing corporate crises: A step-by-step handbook for surviving major catastrophes. (pp. 57-99) Oxford University Press, Oxford.

Mitroff, I. (2005). Why some companies emerge stronger and better from a crisis, 7 essential lessons for surviving disasters. AMACOM, N.Y.: 27-241.

Mossialos, E., Allin, S., & Davaki, K. (2005). Analysing the Greek health system: A tale of fragmentation and inertia. Health Econ., 14, (Supp. 1), S151-S168.

Movahedi, M. M., Saati S., & VahidiInt, A. R. (2007). Iranian railway efficiency (1971-2004): An application of DEA. J. Contemp. Math. Sciences, 2(32), 1569–1579.

Olson, S. (2009). Understanding the crisis management system of the European Union. Crisis Management in the European Union, Cooperation in the face of emergencies, Springer, 1-15.

Ozcan-Gunai N. E., & Tektas, A. (2006). Efficiency analysis of the Turkish banking sector in precrisis and crisis period: A DEA approach, Contemporary Economic Policy, 24(3), Advance Access publication.

Papageorgiou, E., Tsounis, A., Sarafis, P. & Bamidis, P. (2014). Utilization of modern economics and informative applications in the field of the qualitative upgrade of hospital sector operation. Interscientific Health Care, 6(1), 24-34.

Ray, S. (2004). Data envelopment analysis. Cambridge: Cambridge University Press.

Renner, A., Kirigia, J., Zere, E., Barry, S., Kirigia, D., Kamara, C. & Muthuri, L., (2005). Research technical efficiency of peripheral health units in Pujehun district of Sierra Leone: a DEA application. BMC Health Services, 1-11.

Scheel, H. (2000). EMS: Efficiency measurement system user’s manual, Version 1.3: 2.

Simar, L., & Wilson, P.W. (2007). Estimation and inference in two stage, semi-parametric models of productive efficiency. Journal of Econometrics, 136, 31–64.

Sowlati, T. S., Paradi, J. C., & Suld, C. (2005). Information systems project priorization using data envelopment analysis. Mathematical and Computer Modelling 41, 1279-1298.

Thanassoulis, E. (2001). Introduction to the theory and application of data envelopment analysis: A foundation text with integrated software. Massachusetts: Kluwer Academic publishers.

Yawe, B. (2010). Hospital performance evaluation in Uganda: A super efficiency data envelope analysis model. Zambia Social Science Journal, 1(1), 79-102.




DOI: http://dx.doi.org/10.17349/jmc116205

Refbacks

  • There are currently no refbacks.




Copyright (c) 2016 Journal of Media Critiques [JMC]

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.