The functionality comparison of the health care systems by the analytical hierarchy process method

dc.contributor.authorŠoltés, Vincent
dc.contributor.authorGavurová, Beáta
dc.contributor.otherEkonomická fakultacs
dc.description.abstractDay surgery is one of the areas that are still not implemented in Slovakia in the intentions of finding significant economic savings in the health care system. The primary objective to use day surgery was to separate the patients with lighter chirurgical procedure, to less traumatize the patients with hospitalization, to protect the patient from nosocomial infections and to make recovery easier in greater comfort of the own home. The primary impulse for dealing with the effectiveness of health care systems, with an emphasis on day surgery, were conflicting responses regarding the efficiency and effectiveness of deployment and use of day surgery performance. On the one hand, we find the direct and indirect evidence of functional application of day surgery performance in health facilities in Slovakia and its potential benefits in achieving the aims of health policy of the SR. On the other hand there are critical responses on lack of the effects of the day surgery use, which are associated with low valuation of stated procedures which are inadequate to the real costs. It hinders its development in comparison with the development abroad. The main aim of this article is to compare the functionality of day surgery care in comparison with the system orientated on traditional hospitalization, using the opinion of the experts who represent the system of health care in Slovakia. For orientation in criteria characterizing the functionality of health care systems in Slovakia, we started from the premise that the functionality of health care system is a basis of its effectiveness. Given the considerable heterogeneity of compared criteria of health care systems we have chosen the method of Analytical Hierarchy Process as the optimal method, supported by the expert group method.en
dc.format.extent100-117 s.cs
dc.publisherTechnická Univerzita v Libercics
dc.publisherTechnical university of Liberec, Czech Republicen
dc.relation.isbasedonŽIŽKA, M. Services in the Context of Entrepreneurial Environment of the Czech Republic. E+M Ekonomie a Management. 2012, Vol. 15, Iss. 4, pp. 97-109. ISSN 1212-3609.
dc.relation.isbasedonZÁVADSKÁ, Z., ZÁVADSKÝ, J., SIROTIAKOVÁ, M. Process model and its real application in the selected management areas. E+M Ekonomie a Management. 2013, Vol. 16, Iss. 1, pp. 113-127. ISSN 1212-3609.
dc.relation.isbasedonZACHAR, D. O rozpočtovaných prostriedkoch pre zdravotníctvo v roku 2013 a o výške platieb štátu za svojich poistencov [online]. Bratislava: INEKO, i-Health, c2013 [cit. 27.08.2013] Available from: poistencov.
dc.relation.isbasedonZACHAR, D. O plánovanej ďalšej redukcii lôžok v nemocniciach [online]. Bratislava: INEKO, i-Health, c2013 [cit. 2013-07-08]. Available from:
dc.relation.isbasedonWASOWICZ-KEMPS, D.K. Trends in day surgery in the Netherlands.Thesis, university of Utrecht, with summary in Dutch. Enschede: Gildeprint B.V., 2008. ISBN 9789071382314.
dc.relation.isbasedonTOFTGAARD, C., PARMENTIER, G. International terminology in ambulatory surgery and its worldwide practice. In: LEMOS, P., JARRETT, P., PHILIP, B. (Eds.). Day Surgery Development and Practice. London: International Association for Ambulatory Surgery (IAAS) 2006, pp. 35-59. ISBN 978-989-20-0234-7.
dc.relation.isbasedonŠOLTÉS, M., PAŽINKA, P., RADOŇAK, J. Termické lézie v laparoskopickej chirurgii. Endoskopie. 2011, Vol. 20, No. 1, pp. 14-16. ISSN 1211-1074.
dc.relation.isbasedonŠOLTÉS, M., PAŽINKA, P., RADOŇAK, J. Laparoskopická hernioplastika TAPP v liečbe slabinovej prietrže – 10-ročné skúsenosti. Rozhledy v chirurgii. 2010, Vol. 89, No. 6, pp. 384-389. ISSN 0035-9351.
dc.relation.isbasedonSZABO, Z.K., ŠOLTÉS, M., HERMAN, E. Innovative Capacity and Performance of Transition Economies: Comparative Study at the Level of Enterprises. E+M Ekonomie a Management. 2013, Vol. 16, Iss. 1, pp. 52-68. ISSN 1212-3609.
dc.relation.isbasedonSMITH, I., McWHINNIE, D., JACKSON, I. Day Case Surgery. British Association of Day Surgery. Oxford Specialist Handbooks, 2012. ISBN 978-0-19-958433-8.
dc.relation.isbasedonSEGERDAHL, M. WARREN-STOMBERG, M., RAWAL, N., BRATTWALL, M., JAKOBSSON, J. Clinical practice and routines for day surgery in Sweden: results from a nation-wide survey. Acta Anaesthesiologica Scandinavica. 2008, Vol. 52, Iss. 1, pp. 117-124. ISSN 1399-6576.
dc.relation.isbasedonSAATY, T.L., KEAMS, K.P. Analytical Planning. 1st ed. Great Britain: Pergamon Press, 1985. 208 p. ISBN 0-08-032599-8.
dc.relation.isbasedonSAATY, T.L. Multicriteria decision making - the analytic hierarchy process. Planning, priority setting, resource allocation. 2nd ed. RWS Publ, 1990. 287 p. ISBN 978-0962031724.
dc.relation.isbasedonSAATY, T.L., JOYCE, A.M. Thinking with models. 1st ed. Great Britain: Pergamon Press, 1981. 181 p. ISBN 0-08-026475-1.
dc.relation.isbasedonRAMÍK, J. Analytický hierarchický proces (AHP) a jeho využití v malém a středním podnikání. Slezská univerzita v Opavě. Obchodně podnikatelská fakulta v Karviné, 2000. 217 s. ISBN 80-7248-088-X
dc.relation.isbasedonPAVLIKOVÁ, Ľ., SINIČÁKOVÁ, M. Labor Market Indicators and Their Causalities: the Case of the New European Union Member States. In Procedia Economics and Finance: Emerging Markets Queries in Finance and Business: EMFB 2012: 24.27 October 2012. Tîrgu-Mureş, România, 2012. Vol. 3, pp. 1229-1237. ISSN 2212-5671.
dc.relation.isbasedonMATTILA, K. Day Surgery in Finland. Randomized and cross-sectional studies on treatment, quality, and outcome. Doctoral dissertation. University of Helsinki, Faculty of Medicine, Institute of Clinical Medicine, Department of Anaesthesiology and Intensive Care Medicine. Helsinki, 2010. ISBN 978-952-92-7350-8.
dc.relation.isbasedonLAFORTUNE, G., BALESTAT, G., DURAND, A. Comparing activities and performance of the hospital sector in Europe: how many surgical procedures performed as inpatient and day cases? OECD Health Division, Directorate for Employment, Labour and Social Affairs, 2012. 80 p. Available also from:
dc.relation.isbasedonJARRETT, P., STANISZEWSKI, A. The development of ambulatory surgery and future challenges. In: LEMOS, P., JARRETT, P., PHILIP, B. (eds.). Day Surgery Development and Practice. London: International Association for Ambulatory Surgery (IAAS) 2006, pp. 21-34. ISBN 978-989-20-0234-7.
dc.relation.isbasedonJANKE, F., PACKOVÁ, M. Impact of ICT investments on performance of companies in transitioneconomies: Evidence from Czech Republic, Hungary and Slovakia. Quality Innovation Prosperity. 2013, Vol. 17, No. 2, pp. 9-21. ISSN 1335-1745.
dc.relation.isbasedonJANKE, F., PRÍDAVOK, M. B2B network performance: practical aspects of network supply adequacy indicator. In: DOUCEK, P., CHROUST, G., OŠKRDAL, V. (eds.). IDIMT-2012: ICT Support for Complex Systems: 20th Interdisciplinary Information Management Talks: Sept. 12-14, 2012, Jindřichův Hradec, Česká republika. Linz: Trauner Verlag, 2012. pp. 337-346. ISBN 978-3-99033-022-7.
dc.relation.isbasedonIAAS. Clinical indicators for ambulatory surgery [online]. International Association for Ambulatory Surgery, 2003 [cit. 2010-05-15]. Available from:
dc.relation.isbasedonHOLLINGTON, P., TOOGOOD, G.J., PADBURY, R.T. A prospective randomized trial of day-stay only versus overnight-stay laparoscopic cholecystectomy. Australian and New Zealand Journal of Surgery. 1999, Vol. 69, Iss. 12, pp. 841-843. ISSN 0004-8682.
dc.relation.isbasedonHOFER, R.E., KAI, T., DECKER, P.A., WARNER, D.O. Obesity as a risk factor for unanticipated admissions after ambulatory surgery. Mayo Clinic Proceedings. 2008, Vol. 83, Iss. 8, pp. 908-916. ISSN 0025-6196.
dc.relation.isbasedonGURUSAMY, K., JUNNARKAR, S., FAROUK, M., DAVIDSON, B.R. Meta-analysis of randomized controlled trials on the safety and effectiveness of day-case laparoscopic cholecystectomy. British Journal of Surgery. 2008, Vol. 95, Iss. 2, pp. 161-168. ISSN 1365-2168.
dc.relation.isbasedonGAVUROVÁ, B., ŠOLTÉS, V., KAFKOVÁ, K., ČERNÝ, Ľ. Vybrané aspekty efektívnosti slovenského zdravotníctva. Jednodňová zdravotná starostlivosť a jej rozvoj v podmienkach Slovenskej republiky. Košice: Technická univerzita, 2013. 275 p. ISBN 978-80-553-1438-9.
dc.relation.isbasedonGAVUROVÁ, B., ŠOLTÉS, V. Efektívnosť slovenského zdravotníctva – analýza komparačných aspektov a identifikácia rozvojových možností. 1. vyd. Košice: TU, 2013. 116 p. ISBN 978-80-553-1451-8.
dc.relation.isbasedonFLEISHER, L.A., PASTERNAK, L.R., HERBERT, R., ANDERSON, G.F. Inpatient hospital admission and death after outpatient surgery in elderly patients: importance of patient and system characteristics and location of care. Archives of Surgery. 2004, Vol. 139, Iss. 1, pp. 67-72. ISSN 0004-0010.
dc.relation.isbasedonFEDOROWICZ, Z., LAWRENCE, D., GUTIERREZ, P. Day care versus inpatient surgery for age-related cataract. The Cochrane Database of Systematic Reviews, 2005. Art. No. CD004242.
dc.relation.isbasedonDLOUHÝ, M., BARTÁK, M. Mental Health Financing in Six Eastern European Countries. E+M Ekonomie a Management. 2013, Vol. 16, Iss. 4, pp. 4-13. ISSN 1212-3609.
dc.relation.isbasedonDIRKSEN, C.D., SMITZ, R.F., HANS, K.M. et al. Ambulatory laparoscopic cholecystectomy is as effective as hospitalization and from a social perspective less expensive: a randomized study. Nederlands tijdschrift voor geneeskunde. 2001, Vol. 145, No. 50, pp. 2434-2439. ISSN 0028-2162.
dc.relation.isbasedonDEDIVITIS, R.A., PFUETZENREITER, E.G., CASTRO, M.A.F., DENARDIN, O.V.P. Analysis of safety of short-stay thyroid surgery. Acta Otorhinolaryngologica Italica. 2009, Vol. 29, No. 6, pp. 326-330. ISSN 0392-100X.
dc.relation.isbasedonCULLEN, K. A., HALL, M.J., GOLOSINSKIY, A. Ambulatory Surgery in the United States, 2006. National health statistics reports. 2009-01-28, no 11. Revised. Hyattsville, MD: National Center for Health Statistics. 2009. 28 p. Available also from:
dc.relation.isbasedonCORVERA, G., GESPEDES, B., YSUNZA, A. et. al. Ambulatory vs. in-patient stapedectomy: a randomized twenty-patient pilot study. Otolaryngology – Head and Neck Surgery. 1996, Vol. 114, No. 3, pp. 355-359. ISSN 0194-5998.
dc.relation.isbasedonCASTORO, C., BERTINATO, L., BACCAGLINI, U., et al. With the collaboration of IAAS Executive Committee Members. Policy Brief. Day surgery: making it happen. WHO European Centre for Health Policy 2007.
dc.relation.isbasedonBUZINK, S., ŠOLTÉS, M., RADOŇAK, J., et al. Laparoscopic Surgical Skills Programme: Preliminary Evaluation of Grade I Level 1 Courses by Trainees. Videosurgery and other Miniinvasive Techniques. 2012, Vol. 7, No. 3, pp. 188-192. ISSN 1895-4588.
dc.relation.isbasedonBERGLAND, A, GISLASON, H., RAEDER, J. Fast-track surgery for bariatric laparoscopic gastric bypass with focus on anaesthesia and peri-operative care. Experience with 500 cases. Acta Anaesthesiologica Scandinavica. 2008, Vol. 52, Iss. 10, pp. 1394-1399. ISSN 1399-6576.
dc.relation.isbasedonBARTÁK, M. Ekonomika zdraví. Sociální, ekonomické a právní aspekty péče o zdraví. 1. vyd. Praha: Wolters Kluver ČR, 2010. 224 p. ISBN 978-80-7357-503-8.
dc.relation.isbasedonBADS. BADS directory of procedures [online]. London: British Association of Day Surgery, c2009 [cit. 2012-07-08]. Available from:
dc.relation.ispartofEkonomie a Managementcs
dc.relation.ispartofEconomics and Managementen
dc.rightsCC BY-NC
dc.subjectforeign and domestic ownershipen
dc.subjectforeign direct investmentsen
dc.subjectpanel regressionen
dc.titleThe functionality comparison of the health care systems by the analytical hierarchy process methoden
local.facultyFaculty of Economics
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
1.24 MB
Adobe Portable Document Format
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
1.71 KB
Item-specific license agreed upon to submission