Zhodnocení efektivnosti nemocnic akutní péče v České republice a Slovenské republice

Abstract

The aim of the diploma thesis is to evaluate the technical efficiency of selected acute care hospitals established by the regions and the Ministry of Health of the Czech Republic and the Slovak republic, using the average values of input and output parameters in 2017-2019. The selected set of units consists of public hospitals that meet the qualification criteria, which means that they provide comprehensive acute inpatient care in at least five of the seven basic medical departments. Two output-oriented models of data envelopment analysis were chosen to model technical efficiency. Model M1 is an output-oriented CCR model with constant returns to scale (CRS) and model M2 is an output-oriented BCC model with variable returns to scale (VRS). Selected input parameters (number of beds, number of doctors, number of nurses) and output parameters (number of hospitalized patients, number of operated patients) correspond to the average for the three years 2017-2019. The technical efficiency of selected hospitals is also examined in terms of the size of the bed stock. Selected public hospitals in the Czech Republic achieve better average levels of technical efficiency than selected public hospitals in the Slovak Republic. Selected public hospitals with a lower number of beds (up to 500 beds) in both the Czech Republic and the Slovak Republic show a worse average level of technical efficiency than hospitals from both countries, which have a higher number of beds (over 500 beds).