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

Dubas‐Jakóbczyk, Katarzyna; Kocot, Ewa; Kozieł, Anna

doi:10.3390/ijerph17072188

Cited by 16 publications

(23 citation statements)

References 19 publications

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“…Moreover, in the literature, it is established that total assets and revenue/cost are positively correlated in the healthcare service sector [23]. At the same time, gross profits are negatively associated with assets and revenue/cost for a hospital's financial performance [23].…”

Section: Input Market Pricing (Costs For Labor and Capital/time)mentioning

confidence: 99%

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2021

IJCMCR

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Background: Healthcare is a special case in several economic markets especially in the United States. It is vital to determine if COVID-19 vaccine production ful lls the conventional economic prediction model to inform policy evolving vaccine productions. To determine potential market characteristics, externalities and pro t maximization conditions for entry and exit in the COVID-19 vaccine market. To establish the factors that play vital role in production decision making for new and or existing pharmaceutical companies producing COVID-19 vaccines. The determination of perfect competition and potential violation assumptions where the government can play a role for social welfare. Economic Conceptual Model:The economic theory for perfect competition, and profit maximization conditions that must hold to achieve efficient market point is utilized to project possible solutions. The theory serves as a foundation in determining if indeed the existing COVID-19 vaccine production align with perfect competition characteristics and what characteristics a potential pharmaceutical company may consider to enter or exit the existing market. The synthesis of the theory framework helps determine the externalities, potential violations caused by real world vaccine production scenario, and barriers to entry. Synthesis of existing literature helps support the theory assumptions. Observation and relevance:The government subsidies play a vital role in encouraging new pharmaceutical companies to participate in research and development of COVID-19 vaccines. The current real world scenario has limited demand and supply side heads, introducing uncertainties in production decision making. Vaccine patent, price negotiation constrains, co-pay/ deductibles on vaccine, and information asymmetry may all contribute to externalities. Booster doses and more information on the life cycle of COVID-19 virus can help mitigate the uncertainties of production. Existing corporate giving, government subsidies, and pricing mechanism on vaccines might impose positive and negative externalities depending on the country of distribution. Future studies might evaluate the existing theory from the perspective of imperfect competition.

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Section: Input Market Pricing (Costs For Labor and Capital/time)mentioning

confidence: 99%

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2021

IJCMCR

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“…Wśród przyczyn wyróżnia się czynniki na poziomie makro (uwarunkowania systemowe); mezo (rola organu tworzącego) i mikro (zarządzania konkretną placówką) [7]. Dostępne piśmiennictwo wskazuje jednak, że instytuty badawcze podlegle Ministrowi Zdrowia znajdowały się w roku 2018 w gorszej sytuacji finansowej niż pozostali publiczni świadczeniodawcy usług zdrowotnych (szpitale funkcjonujące w formie SPZOZ oraz spółek z całościowym /lub większościowym udziałem podmiotu publicznego) [6]. Instytuty badawcze z reguły nie generowały także zysków.…”

Section: Dyskusjaunclassified

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Problematyka oceny sytuacji finansowej publicznych świadczeniodawców usług zdrowotnych w polskim systemie ochrony zdrowia była analizowana w licznych publikacjach naukowych [1][2][3][4][5][6][7][8]. Potrzeba oceny i monitorowania sytuacji finansowej jest szczególnie istotna w kontekście zadłużenia publicznych świadczeniodawców.

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Assessment of the Financial Standing of Selected Research Institutes Supervised by the Minister of Health Between 2014-2018

2020

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The aim: The purpose of this study is the analysis of the financial situation of the institutes supervised by the Minister of Health in the period 2014-2018. Material and methods: The study group consisted of 10 institutes that conducted inpatient and / or outpatient medical activities in 2018. Data to analysis derived from financial statements of research institutes from 2014 to 2018. The selection of financial indicators to ratio analysis is based on Ministry of Health ordinance from 2017. Results: The situation of the analyzed hospitals is difficult, with the difference between individual entities. The analyzed units were characterized by high net losses (9 out of 10 units generated a loss each year) low value of revenues in relation to costs and high share of remuneration in the structure of operating costs. There was no visible financial situation improvement per year. Simultaneously, in 2018 the difference between units were major: on a point scale 0 -70 ranged from: 51 points (73%) at the Institute of Physiology and Pathology of Hearing to 9 points (13%) at the Institute of Polish Mother’s Health Center. The results are consistent with the conclusions of the Supreme Audit Office’s reports, that baseline, medical institutes do not pursue a sustainable policy. Conclusions: Based on the analyzed data, it can be concluded that the economic situation of these units in 2014-2018 is difficult and has not changed much compared to previous periods.

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“…Financially stable health facilities have a better capacity to finance investments, provide quality improvement resources, pay higher wages, and attract higher-skilled staff. 1 Reduced access to care in financially unstable public health facilities further erodes their sustainability, as people with the ability to pay seek health care elsewhere. 2 The health facilities' poor financial standing and debt problems may stem from internal efficiency issues, such as poor management or low-quality services, but they may also be attributable to external forces, such as the local economy or policy changes.…”

Section: Introductionmentioning

confidence: 99%

“…3,[16][17][18][19] For example, a study from Poland indicated that a mix of both system and micro-level factors contributed to undermining public hospital financial standing, with poor management, weak owner control, and the state of hospital infrastructure being the lead factors at a facility level. 1 The literature is also scarce on approaches used to deal with debts and liabilities of public PHC facilities or improve their financial sustainability in the contexts similar to RS. The existing studies, conducted in the high-income countries, considered experiences of health care providers that are not direct match to the PHC centres in RS, such as the community mental health centres, 20 community health centres, 21 rural accountable care organisations, 22 nurse-managed health centres 23 and primary care trusts.…”

Section: Introductionmentioning

confidence: 99%

Financial sustainability strategies of public primary health care centres in the Republic of Srpska, Bosnia and Herzegovina

Rakić

Djudurovic

Antonić

2021

Health Planning & Management

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Background: The literature on the functioning of public health facilities in health systems with significant arrears is limited. The growing liabilities of health facilities and the accumulating arrears have been a challenge in the Republic of Srpska. Most public primary healthcare (PHC) centres generated a gross loss in 2018. Method: Guided by the 'positive deviance' approach, we used an exploratory case study design to identify strategies used by managers to achieve financial sustainability in eight top-performing PHC centres. Qualitative data were collected through face-to-face in-depth semistructured interviews with key informants from the PHC centres that reported positive financial results in 2018. Results: Seven organisational goals, comprising 34 financial sustainability strategies, were recognised during the data analysis and were used to build an organisational-level model for a PHC centre. Conclusion: Managers concurrently used multiple strategies to ensure financial sustainability. Each centre tailored its range of strategies to the organisational context, local context, and wider environment of the health system. The strategies were conceived and implemented by managers operating at different organisational levels under the leadership of top-level managers. Managers of indebted health facilities can learn from the positively deviant peers who manage facilities that achieved satisfactory financial performance.

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

Cited by 16 publications

References 19 publications

Untitled

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Assessment of the Financial Standing of Selected Research Institutes Supervised by the Minister of Health Between 2014-2018

Financial sustainability strategies of public primary health care centres in the Republic of Srpska, Bosnia and Herzegovina

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