Healthcare systems and performance evaluation: comparison of performance indicators in v4 countries using models of composite indicators

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Show simple item record Hejduková, Pavlína Kureková, Lucie
dc.contributor.other Ekonomická fakulta cs 2017-10-02 2017-10-02 2017-10-02
dc.identifier.issn 1212-3609
dc.description.abstract Healthcare systems play a very important role in society and their role is becoming increasingly important in regard to the phenomenon of population ageing. The issue of the performance of healthcare systems should be at the forefront in terms of the interest of academic research studies and discussions among the scientific community. The proper functioning of the healthcare system should also be a priority in regard to public policy. These facts should encourage governments to regularly evaluate the performance of their healthcare systems and create international comparisons. Many indicators are used to measure and evaluate performance of healthcare systems – e.g. those created by the WHO, Eurostat, or OECD Health Statistics and OECD Health Policy Studies. For our paper, data from the OECD Health Policy Studies was used as a primary source. V4 states were chosen for the evaluation of the performance of healthcare systems. The reasons for this are as follows: V4 countries are transitive economies of the CEE with a poorer state of health of their populations than in more developed countries of the OECD or EU; the given systems have long been underfinanced; and reforms are focused exclusively on economic goals and lack a broader concept in terms of long-term sustainability. For the purposes of this paper, a composite indicator of the performance of healthcare systems was designed and includes ten variables for the studied ten-year period. In order to establish a comparison of the performance of healthcare systems, three methods were used to model them: (i) using the area of a radar chart, (ii) determining performance based on order, and (iii) determining performance based on distance from the reference unit. These three methods for determining the performance of healthcare systems allow us to compare the performance of healthcare systems in V4 countries specifically. The goals of this paper are as follows: compare and evaluate the performance of healthcare systems among V4 countries using selected indicators from the field of healthcare and establish what position the Czech Republic’s healthcare system holds in comparison with other V4 countries. en
dc.format text
dc.format.extent 14 s. cs
dc.language.iso en
dc.publisher Technical university of Liberec, Czech Republic en
dc.publisher Technická Univerzita v Liberci cs
dc.relation.ispartof Ekonomie a Management cs
dc.relation.ispartof Economics and Management en
dc.relation.isbasedon Barták, M. (2010). Výzkum public health – 1. část: využití v praxi zdravotní politiky. Zdravotnictví v České republice, 13(3), 92-94.
dc.relation.isbasedon Barták, M. (2012). Mezinárodní srovnávání zdravotnických systémů. Praha: Wolters Kluwer Česká republika.
dc.relation.isbasedon Beaglehole, R., & Bonita, R. (1997). Public Health at the Crossroads. Cambridge: Cambridge University Press.
dc.relation.isbasedon Booysen, F. (2002). An overview and evaluation of composite indices of development. Social Indicators Research, 59(2), 115-151. doi:10.1023/A:1016275505152.
dc.relation.isbasedon Costa-Font, J., & Greer, S. (Eds.). (2016). Federalism and decentralization in European health and social care. Springer.
dc.relation.isbasedon Dlouhý, M. (2009). Efficiency and productivity analysis in health services. Prague Economic Paper, 18(2), 176-184. doi:10.18267/j.pep.348.
dc.relation.isbasedon Dlouhý, M. (2016a). Analysis and Evaluation of Health System Performance: Visegrad Group Countries. Public Health Forum, 2(2), 66-69.
dc.relation.isbasedon Dlouhý, M. (2016b). Performance of the Czech Health System: An International Comparison with Health Systems of Four Neighboring Countries. In Proceedings of the 21th International Conference „Theoretical and Practical Aspects of Public Finance 2016“ (pp. 212-218). Praha: Vysoká škola ekonomická v Praze, Katedra veřejných financí.
dc.relation.isbasedon Donabenian, A. (1982). Exploration in Quality Assesment and Monitoring. Vol II. The Criteria and Standards of Quality. University of Michigan: Health Administration Press.
dc.relation.isbasedon European Observatory on Health Systems and Policies (2011). Hungary: Health System Review 2011. Health Care Systems in Transition, 13(5).
dc.relation.isbasedon Gulliksen, H. (1950). Theory of mental tests. Hoboken, John Wiley & Sons Inc.
dc.relation.isbasedon Hadad, S., Hadad, Y., & Simon-Tuval, T. (2013). Determinants of healthcare system’s efficiency in OECD countries. European Journal of Health Economics, 14(2), 253-265. doi:10.1007/s10198-011-0366-3.
dc.relation.isbasedon Háva, P., & Mašková-Hanušová, P. (2009a). Zdravotní politika visegrádských zemí (1). Zdravotnictví v ČR, 12(1), 12-20.
dc.relation.isbasedon Háva, P., & Mašková-Hanušová, P. (2009b). Zdravotní politika visegrádských zemí (II). Zdravotnictví v ČR, 12(2), 70-79.
dc.relation.isbasedon Hejduková, P., & Kureková, L. (2016a). Performance of health systems – the evaluation of selected indicators at the level states of the Visegrad Group In Proceedings of the 21th International Conference „Theoretical and Practical Aspects of Public Finance 2016“ (pp. 212-218). Praha: Vysoká škola ekonomická v Praze, Katedra veřejných financí.
dc.relation.isbasedon Hejduková, P. (2015). Globalization and Health Markets. In Globalization and its socio-economic consequences (pp. 199-206). Žilina: Žilinská univerzita v Žilině, Katedra ekonomiky.
dc.relation.isbasedon Hejduková, P., & Kureková, L. (2016b). National health systems’ performance: evaluation WHO indicators. Proceedia – Social and Behavioral Sciences, 230, 240-248. doi:10.1016/j.sbspro.2016.09.031.
dc.relation.isbasedon Hood, C. (1991). A public management for all seasons? Public administration, 69(1), 3-19. doi:10.1111/j.1467-9299.1991.tb00779.x.
dc.relation.isbasedon Hopkins, M. (1991). Human development revisited: A new UNDP report. World Development, 19(10), 1469-1473. doi:10.1016/0305-750X(91)90089-Z.
dc.relation.isbasedon Jencks, S. F., Huff, E. D., & Cuerdon, T. (2003). Change in the quality of care delivered to Medicare beneficiaries, 1998-1999 to 2000-2001. JAMA: The journal of the American Medical Association, 289(3), 305-312. doi:10.1001/jama.289.3.305.
dc.relation.isbasedon Kacíř, P. (2010). Proč potřebujeme ve zdravotnictví měřit kvalitu? Pharm Business Magazine, Management, 2010(4), 14-15.
dc.relation.isbasedon Kelley, E., & Hurst, J. (2006a). Health Care Quality Indicators Project: Conceptual Framework Paper [OECD Health Working Papers, No. 23].
dc.relation.isbasedon Kelley, E., & Hurst, J. (2006b). Health Working Paper. Health Care Quality Project Initial Indicators Report [OECD Health Working Papers, No. 22].
dc.relation.isbasedon Krechovská, M. (2014). Business Performance Management Considering Intellectual Capital. In Proceedings of the 6th European Conference on Intellectual Capital (pp. 100-105). Reading: Academic Conferences and Publishing International Limited.
dc.relation.isbasedon Kuszewski, K., & Gericke, C. (2005). Health Systems in Transition: Poland. Copenhagen, WHO Regional Office for Europe on Behalf of the European Observatory on health Systems and Policies.
dc.relation.isbasedon Lawson, C., Nemec, J., & Šagát, V. (2012). Health Care Reforms in the Slovak and Czech Republics 1989-2011: The same or different tracks? E&M Ekonomie a Management, 15(4), 19-33.
dc.relation.isbasedon Martin, E. (2016). Financing Healthy Living in the Czech Republic. In Perspectives on Business and Economics, 34 - Post-Communist Reform in the Czech Republic: Progress and Problems (pp. 57-67).
dc.relation.isbasedon OECD. (2002). Developing Composite Indicators for Assessing Health System Efficiency. Measuring Up: Improving Health System Performance in OECD Countries. Paris: OECD.
dc.relation.isbasedon OECD. (2004). Health Project. Towards High – Peforming Health Systems. Paris: OECD.
dc.relation.isbasedon OECD. (2008a). Growing Unequal? Income distribution and poverty in OECD countries. Paris: OECD.
dc.relation.isbasedon OECD. (2008b). Economic Review – The Czech Republic. Paris: OECD.
dc.relation.isbasedon OECD. (2008c). Reforms for Stability and Sustainable Growth. An OECD perspective on Hungary. Paris: OECD.
dc.relation.isbasedon OECD. (2015). Health at a Glance 2015: OECD Indicators. Paris: OECD Publishing. doi:10.1787/health_glance-2015-en.
dc.relation.isbasedon OECD. (2016a). OECD Health Statistics. Retrieved August 5, 2016, from
dc.relation.isbasedon OECD. (2016b). Health at a Glance: Europe 2016: State of Health in the EU Cycle. Paris: OECD Publishing. doi:10.1787/9789264265592-en.
dc.relation.isbasedon Pavolini, E., & Guillén, A. (Eds.). (2013). Health Care Systems in Europe Under Austerity: Institutional Reforms and Performance. Springer. doi:10.1057/9780230369627.
dc.relation.isbasedon Piotrowicz, W. (2015). Information technology and systems in the Visegrád group of countries (Czech Republic, Hungary, Poland, and Slovakia): a literature review. Journal of Global Information Technology Management, 18(2), 77-93. doi:10.1080/1097198X.2015.1052684.
dc.relation.isbasedon Plsek, P. E., & Greenhalgh, T. (2001). The challenge of complexity in health care. BMJ: British Medical Journal, 323(7313), 625-628. doi:10.1136/bmj.323.7313.625.
dc.relation.isbasedon Preker, A. S., & Harding, A. (2004). The economics of hospital reform from hierarchical to market-based incentives. World hospitals and health services. The Official Journal of the International Hospital Federation, 41(2), 25-29.
dc.relation.isbasedon Preker, A. S., Harding, A., & Travis, P. (2000). Make or buy decisions in the production of health care goods and services: new insights from institutional economics and organizational theory. Bulletin of the World Health Organization, 78(6), 779-790.
dc.relation.isbasedon Preker, A. S., & Harding, A. (2007). Innovations in health service delivery. The corporatization of public hospitals. Washington, DC: The World Bank.
dc.relation.isbasedon Raju, N. S., Bilgic, R., Edwards, J. E., & Fleer, P. F. (1999). Accuracy of population validity and cross-validity estimation: An empirical comparison of formula-based, traditional empirical, and equal weights procedures. Applied Psychological Measurement, 23(2), 99-115. doi:10.1177/01466219922031220.
dc.relation.isbasedon Roberts, M., Hsiao, W., Berman, P., & Reich, M. (2003). Getting health reform right: a guide to improving performance and equity. Oxford: Oxford university Press.
dc.relation.isbasedon Roemer, M. I. (2002). National Health Systems. Encyclopedia of Public Health. Retrieved May 5, 2016, from
dc.relation.isbasedon Sassi, F., Archard, L., & McDaid, D. (2002). Searching literature databases for health care economic evaluations: how systematic can we afford to be? Medical care, 40(5), 387-394.
dc.relation.isbasedon Smith, P. C., Mossialos, E., & Papanicolas, I. (2008). Performance measurement for health system improvement: experiences, challenges and prospects. Background document WHO European Ministerial Conference on Health Systems: Health Systems. Tallin: Health and Wealth.
dc.relation.isbasedon Son, H. (2016). Trust, economic growth and importance of the institution. International Journal of Economic Sciences, 5(4), 32-50. doi:10.20472/ES.2016.5.4.003.
dc.relation.isbasedon Stroukal, D. (2016). A longitual analysis of the effect of unemployment on health. International Journal of Economoc Sciences, 5(2), 55-68. doi:10.20472/ES.2016.5.2.004.
dc.relation.isbasedon University of Ljubljana. Medicinska fakulta. (2015). Measuring the Burden of Disease. Retrieved November 23, 2015, from
dc.relation.isbasedon Van Dooren, W., Bouckaert, G., & Halligan, J. (2010). Performance management in the Public Sector. New York: Routledge.
dc.relation.isbasedon Verhoeven, M., Gunnarsson, V., & Lugaresi, S. (2007). The Health Sector in the Slovak Republic: Efficiency and Reform [IMF Working Paper WP/07/226].
dc.relation.isbasedon Watson, P. (2006). Unequalizing Citiezenship: The Politics of Poland’s Health Care Change. Sociology, 2006(40), 1079-1096.
dc.relation.isbasedon WHO. (2000). World health report 2000 – Health systems: improving performance. Retrieved November 23, 2015, from
dc.relation.isbasedon WHO. (2006). Engaging for health. Eleventh General Programme of Work 2006-2015. Retrieved October 10, 2016, from
dc.relation.isbasedon World Bank. (2007). Healthy Development. The World Bank Strategy for Health. Nutrition & Population Results. Washington DC: World Bank.
dc.relation.isbasedon Wóycicka, I., & Grabowski, M. (2007). Poland, redefining social policies. In Kvist, J., & Saari, J. (Eds.), The Europeization of Social Protection (pp. 99-116). Bristol: The Policy Press.
dc.relation.isbasedon Zdravotnický deník. (2016, July 28). Slovensko podle analýzy zaostává ve zdravotnictví. Zdravotnický deník. Retrieved November 11, 2016, from
dc.rights CC BY-NC
dc.subject healthcare system en
dc.subject health care en
dc.subject performance en
dc.subject evaluation en
dc.subject comparison en
dc.subject indicators en
dc.subject.classification H75
dc.subject.classification H83
dc.subject.classification I10
dc.subject.classification I150
dc.subject.classification I180
dc.subject.classification 057
dc.title Healthcare systems and performance evaluation: comparison of performance indicators in v4 countries using models of composite indicators en
dc.type Article en
dc.publisher.abbreviation TUL
dc.relation.isrefereed true
dc.identifier.doi 10.15240/tul/001/2017-3-009
dc.identifier.eissn 2336-5604
local.relation.volume 20
local.relation.issue 3
local.relation.abbreviation E+M cs
local.relation.abbreviation E&M en
local.faculty Faculty of Economics
local.citation.spage 133
local.citation.epage 146
local.access open
local.fulltext yes

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