A Kitchen with too Many Cooks: Factors Associated with Hospital Profitability

Cho, Na-Eun; Hong, Ki-Hoon

doi:10.3390/su10020323

Cited by 9 publications

(6 citation statements)

References 27 publications

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“…Numerous previous studies, conducted in different countries, indicated that the type of ownership might be an important factor determining hospital financial performance [8,37,38]. Our study focused solely on public hospitals, thus, the scope of owners was limited.…”

Section: Discussionmentioning

confidence: 99%

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Financial Performance of Public Hospitals: A Cross-Sectional Study among Polish Providers

Dubas‐Jakóbczyk

Kocot²,

Kozieł³

2020

IJERPH

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There is growing evidence of a positive association between health care providers’ financial standing and the quality of care. In Poland, the instable financial situation and growing debt of public hospitals has been a source of concern for more than two decades now. The objectives of this paper were to compare the financial performance of public hospitals in Poland, depending on the ownership and organizational form; and analyze whether there is an association between financial performance and the chosen variables. We conducted a cross sectional study covering the whole population of public hospitals operating in 2018. The total number of included units was 805. The hospitals’ financial outcomes were measured by several variables; Spearman’s rank correlation was calculated, and a multivariable logistic regression model was performed. In 2018, the majority of public hospitals in Poland (52%) generated a gross loss, while 40% hospitals had overdue liabilities. There were statistically significant differences between hospital groups, with university hospitals and those owned by counties (local hospitals) being in the most disadvantageous situation. Additionally, corporatized public hospitals performed worse than those functioning in the classic legal form of independent health care units. Urgent actions are needed to measure and monitor the potential impact of financial performance on the quality of care.

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Section: Discussionmentioning

confidence: 99%

“…Financially stable hospitals are better able to maintain reliable systems and provide resources for quality improvement [1]. Therefore, monitoring financial performance of heath care units is important in the context of improving efficiency and securing the organizational sustainability of care provision [7,8].…”

Section: Introductionmentioning

confidence: 99%

Financial Performance of Public Hospitals: A Cross-Sectional Study among Polish Providers

Dubas‐Jakóbczyk

Kocot²,

Kozieł³

2020

IJERPH

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“…Other studies were excluded because the reference categories in their estimations did not strictly compare public and private management, (i.e. Thorpe et al 2001;Lien et al 2008;Czypionka et al 2014;Cavallieri et al 2018;Cho & Hong 2018). Other studies had to be excluded because the authors did not provide enough statistical information to include in the final database.…”

Section: --Insert Table 1 About Here --mentioning

confidence: 99%

Is Private Production of Hospital Services Cheaper than Public Production? A Meta-Regression of Public Versus Private Costs and Efficiency for Hospitals

Bel

Estève

2019

International Public Management Journal

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The question of whether private organizations can outperform public ones in public service delivery has been a major topic of interest over the last few decades. However, the empirical evidence does not systematically support the hypothesis of lower costs and higher efficiency when private organizations deliver public services. To better understand the cost and efficiency differences between public and private organizations, we have conducted a metaregression analysis of econometric studies relating to hospital ownership and performance.We have analyzed 61 estimates extracted from health studies, using public versus private hospital costs and efficiency as an independent variable. Our analysis shows a genuine true effect in favor of public sector hospitals. Although we found evidence that the public sector may provide public health services more cheaply than the private sector, the latter achieves better productive efficiency. We discuss how this divergence in results is affected by factors such as country, year, the use of panel data in a study, the extent to which performance is measured by examining financial costs, and the inclusion of not-for-profit hospitals.

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“…Teaching hospitals tend to offer a more complex range of medical services than non-teaching organizations, including tertiary care services, and thus, they are more likely to attract patients with severe diagnoses [42]. The ratio of Medicaid and Medicare patients tend to have a complicated health status or a chronic disease [50].…”

Section: Control Variablesmentioning

confidence: 99%

The Impact of Public Reporting Schemes and Market Competition on Hospital Efficiency

Han

Lee

2021

Healthcare

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In the wake of growing attempts to assess the validity of public reporting, much research has examined the effectiveness of public reporting regarding cost or quality of care. However, relatively little is known about whether transparency through public reporting significantly influences hospital efficiency despite its emerging expectations for providing value-based care. This study aims to identify the dynamics that transparency brought to the healthcare market regarding hospital technical efficiency, taking the role of competition into account. We compare the two public reporting schemes, All-Payer Claims Database (APCD) and Hospital Compare. Employing Data Envelopment Analysis (DEA) and a cross-sectional time-series Tobit regression analysis, we found that APCD is negatively associated with hospital technical efficiency, while hospitals facing less competition responded significantly to increasingly transparent information by enhancing their efficiency relative to hospitals in more competitive markets. We recommend that policymakers take market mechanisms into consideration jointly with the introduction of public reporting schemes in order to produce the best outcomes in healthcare.

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A Kitchen with too Many Cooks: Factors Associated with Hospital Profitability

Cited by 9 publications

References 27 publications

Financial Performance of Public Hospitals: A Cross-Sectional Study among Polish Providers

Financial Performance of Public Hospitals: A Cross-Sectional Study among Polish Providers

Is Private Production of Hospital Services Cheaper than Public Production? A Meta-Regression of Public Versus Private Costs and Efficiency for Hospitals

The Impact of Public Reporting Schemes and Market Competition on Hospital Efficiency

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