East-west: does it make a difference to hospital efficiencies in Ukraine?

Health Economics
Anatoly I PilyavskyMikhail V Golubchikov

Abstract

Ukraine's history has given it a split personality (e.g. divergent cultural influences on economic and managerial behavior), as was observed in the recent political developments both prior to and following the December 2004 elections. Eastern regions were heavily influenced by Russo-Soviet rule, while western regions have more of a European outlook. This study, which is largely exploratory, compares recent trends in hospital efficiency in Ukraine to see if this split personality manifests itself in differential rates of improvement. Given the inflexibility of Soviet-style planned economies, it is hypothesized that western regions will show greater improvement in economic efficiency that can be attributed to higher levels of managerial and medical entrepreneurship. Data for this study comes from three oblasts (i.e. geopolitical regions), one in the west and two in the east, spanning from 1997 to 2001. Data envelopment analysis (DEA) was used to estimate technical efficiency for the hospitals. After correcting for bias, a second-stage Tobit regression was estimated. Results indicate that hospitals in the west improved efficiencies, while those in the east stayed constant. These western areas of the nation, being more amenable to ...Continue Reading

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Citations

Nov 1, 2012·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Panagiotis MitropoulosAris Sissouras
Nov 13, 2008·Health Care Management Science·Carlos Pestana BarrosJosé Cabral Vieira
Apr 21, 2010·Health Care Management Science·Jos L T Blank, Vivian G Valdmanis
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Feb 3, 2012·Health Care Management Science·Oliver Tiemann, Jonas Schreyögg
May 28, 2010·Journal of Medical Systems·Nick KontodimopoulosDimitris Niakas
Aug 13, 2010·Journal of Medical Systems·Nick KontodimopoulosDimitris Niakas
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Nov 21, 2007·Cost Effectiveness and Resource Allocation : C/E·Nick KontodimopoulosDimitris Niakas
Aug 13, 2010·Journal of Medical Systems·Jos L T Blank, Bart Laurents van Hulst
Aug 19, 2011·Journal of Health Organization and Management·Thuy Linh Pham
Feb 26, 2014·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Adriana CastelliPadraic Ward
Feb 27, 2018·Health Care Management Science·Sebastian KohlJens O Brunner
Oct 24, 2017·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Man-Li WangShuai Jiang
Sep 19, 2018·Health Care Management Science·Habib ZareMahyar Kamali Saraji
Feb 8, 2019·Health Care Management Science·Fengyi LinQian Long Kweh
Oct 1, 2014··Andrzej RomanowskiAsim Evren Yantaç

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