Comparative analysis of perception of advantages and disadvantages of integration of hospitals

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dc.contributor.authorStaňková, Pavla
dc.contributor.authorPapadaki, Šárka
dc.contributor.authorDvorský, Ján
dc.contributor.otherEkonomická fakultacs
dc.date.accessioned2018-03-29
dc.date.available2018-03-29
dc.date.issued2018-03-29
dc.description.abstractIntegration and strategic alliances of companies represent a rapidly growing phenomenon in all industries. Also the integration and consolidation of healthcare organizations are not unusual themes in professional resources. The specialists observe especially a vertical and horizontal integration of hospitals and its influence to the increase of an effectiveness of healthcare provision. The results of these studies, however, do not conclusively prove the impact of all kinds of integration of hospitals to their efficiency and effectiveness growth. The present article focuses on horizontal integrated hospitals in the Czech Republic and the perception of advantages and disadvantages of integration of the hospitals by hospital managers themselves. The main aim of the research was to answer following research questions: Does the perception of advantages and disadvantages of participation in integration depend on the length of integration´s lifetime? Does the perception of advantages and disadvantages of participation in integration depend on the kind of integration? Regarding the overall view of the trend of integration, hospital managers see integration as promising. Further, the research results revealed that based on the research sample, we cannot unequivocally confirm a statistically significant difference between the two studied types of integration (holding and mergers). A statistically significant difference in the perception of the overall view of the advantages of integration also cannot be confirmed given a length of involvement in holding or merger. Overall, the hospital sees as disadvantages particularly the reduction of autonomy, the increased difficulty of promotion of changes and communication problems. As for the benefits, 93% of hospitals evaluated that the integration gives them a better negotiating ability with suppliers, 80% of hospitals noticed better negotiating ability with health insurance companies and about 80% report that there has been a reduction in costs.en
dc.formattext
dc.format.extent15 strancs
dc.identifier.doi10.15240/tul/001/2018-1-007
dc.identifier.eissn2336-5604
dc.identifier.issn1212-3609
dc.identifier.urihttps://dspace.tul.cz/handle/15240/22789
dc.language.isoen
dc.publisherTechnická Univerzita v Libercics
dc.publisherTechnical university of Liberec, Czech Republicen
dc.publisher.abbreviationTUL
dc.relation.isbasedonCarey, K. (2003). Hospital cost efficiency and system membership. The Journal of Health Care Organization, Provision, and Financing, 40(1), 25-38. https://dx.doi.org/10.5034/inquiryjrnl_40.1.25.
dc.relation.isbasedonChu, H. L., & Chiang, C. Y. (2013). The effects of strategic hospital alliances on hospital efficiency. The Service Industries Journal, 33(6), 624-635. https://dx.doi.org/10.1080/02642069.2011.622367.
dc.relation.isbasedonConnor, R. A., Feldman, R. D., & Dowd, B. E. (1998). The effects of market concentration and horizontal mergers on hospital costs and prices. International Journal of the Economics of Business, 5(2), 159-180. https://dx.doi.org/10.1080/13571519884495.
dc.relation.isbasedonConnor, R. A., Feldman, R. D., Dowd, B. E., & Radcliff, T. A. (1997). Which types of hospital mergers save consumers money? Health affairs, 16(6), 62-74. https://dx.doi.org/10.1377/hlthaff.16.6.62.
dc.relation.isbasedonDranove, D., & Lindrooth, R. (2003). Hospital consolidation and costs: another look at the evidence. Journal of health economics, 22(6), 983-997. https://dx.doi.org/10.1016/j.jhealeco.2003.05.001.
dc.relation.isbasedonEarl‐Slater, A. (1996). Health‐care reforms in the Czech Republic. Journal of Management in Medicine, 10(2),13-22. https://dx.doi.org/10.1108/02689239610117780.
dc.relation.isbasedonGeorge, G., Zahra, S. A., & Wood, D. R. (2002). The effects of business–university alliances on innovative output and financial performance: a study of publicly traded biotechnology companies. Journal of Business Venturing, 17(6), 577-609. https://dx.doi.org/10.1016/S0883-9026(01)00069-6.
dc.relation.isbasedonHalverson, P. K. et al. (1997) Strategic alliances in healthcare: Opportunities for the veterans affairs healthcare system. Hospital and Health Services Administration, 42(3), 383-410.
dc.relation.isbasedonHarris II, J., Ozgen, H., & Ozcan, Y. (2000). Do mergers enhance the performance of hospital efficiency? Journal of the Operational Research Society, 51(7), 801-811. https://dx.doi.org/10.1057/palgrave.jors.2600869.
dc.relation.isbasedonHerr, A. (2008). Cost and technical efficiency of German hospitals: does ownership matter? Health Economics, 17(9), 1057-1071. https://dx.doi.org/http://dx.doi.org/10.1002/hec.1388.
dc.relation.isbasedonInstitute of Health Information and Statistics of the Czech Republic. (2000-2013). Economic information on health care. Available from http://www.uzis.cz/katalog/zdravotnicka-statistika/ekonomicke-informace-ve-zdravotnictvi.
dc.relation.isbasedonInstitute of Health Information and Statistics of the Czech Republic. (2010). Evolution of health care in the Czech Republic after the year 1989. Available from http://uzis.cz/en/catalogue/evolution-health-care-czech-republic-after-year-1989.
dc.relation.isbasedonLi, H. L., & Tang, M. J. (2010). Vertical integration and innovative performance: The effects of external knowledge sourcing modes. Technovation, 30(7), 401-410. https://dx.doi.org/10.1016/j.technovation.2010.03.004.
dc.relation.isbasedonLiu, X. (2016). Vertical integration and innovation. International Journal of Industrial Organization, 47, 88-120. https://dx.doi.org/10.1016/j.ijindorg.2016.02.002.
dc.relation.isbasedonPan American Health Organization. (2011). Integrated Health Service Delivery Networks: Concepts, Policy Options and a Road Map for Implementation in the Americas. Washington, D.C.: PAHO (SERIES: Renewing Primary Health Care in the Americas No. 4).
dc.relation.isbasedonPapadaki, Š., & Staňková, P. (2016). Horizontal Integration of Hospitals – Does it have an Impact on their Effectiveness? Procedia Economics and Finance, 39, 553-561. https://dx.doi.org/10.1016/S2212-5671(16)30299-4.
dc.relation.isbasedonPlochg, T., Delnoij, D. M. J., & Klazinga, N. S. (2006). Linking up with the community: A fertile strategy for a university hospital? International Journal of Integrated Care, 6(1), 1-19. https://dx.doi.org/10.5334/ijic.147.
dc.relation.isbasedonRobinson, J. C., & Casalino, L. P. (1996). Vertical integration and organizational networks in health care. Health Affairs, 15(1), 7-22. https://dx.doi.org/10.1377/hlthaff.15.1.7.
dc.relation.isbasedonSinay, U. A., & Campbell, C. R. (1995). Scope and scale economies in merging hospitals prior to merger. Journal of Economics and Finance, 19(2), 107-123. https://dx.doi.org/10.1007/BF02920513.
dc.relation.isbasedonSpang, H. R., Arnould, R. J., & Bazzoli, G. J. (2009). The effect of non-rural hospital mergers and acquisitions: An examination of cost and price outcomes. The Quarterly Review of Economics and Finance, 49(2), 323-342. https://dx.doi.org/10.1016/j.qref.2007.01.003.
dc.relation.isbasedonStejskal, J., Mikušová Meričková, B., & Prokop, V. (2016). The cooperation between enterprises: significant part of the innovation process – a case study of the Czech machinery industry. E&M Ekonomie a Management, 19(3), 110-122. https://dx.doi.org/10.15240/tul/001/2016-3-008.
dc.relation.isbasedonTrebuňa, P., & Halčíková, J. (2012). Využitie mier asociácie a korelácie v zhlukovej analýze II. Transfer inovácií, (23), 70-71.
dc.relation.isbasedonWang, B. B., Wan, T. T., Clement, J., & Begun, J. (2001). Managed care, vertical integration strategies and hospital performance. Health Care Management Science, 4(3), 181-191. https://dx.doi.org/10.5334/ijic.316.
dc.relation.isbasedonWalston, S. L., Kimberly, J. R., & Burns, L. R. (1996). Owned vertical integration and health care: Promise and performance. Health Care Management Review, 21(1), 83-92.
dc.relation.isbasedonZeng, S. X., Xie, X. M., & Tam, C. M. (2010). Relationship between cooperation networks and innovation performance of SMEs. Technovation, 30(3), 181-194. https://dx.doi.org/10.1016/j.technovation.2009.08.003.
dc.relation.isbasedonZuckerman, A. M. (2006). Clobber – or collaborate? Taking a fresh look at your competition. Healthcare Financial Management, 60(11), 68-72.
dc.relation.ispartofEkonomie a Managementcs
dc.relation.ispartofEconomics and Managementen
dc.relation.isrefereedtrue
dc.rightsCC BY-NC
dc.subjecthealthcareen
dc.subjecthorizontal integrationen
dc.subjecthospitalen
dc.subjectholdingen
dc.subjectmergeren
dc.subjectbenefitsen
dc.subject.classificationI11
dc.subject.classificationL14
dc.subject.classificationM21
dc.titleComparative analysis of perception of advantages and disadvantages of integration of hospitalsen
dc.typeArticleen
local.accessopen
local.citation.epage115
local.citation.spage101
local.facultyFaculty of Economics
local.filenameEM_1_2018_07
local.fulltextyes
local.relation.abbreviationE+Mcs
local.relation.abbreviationE&Men
local.relation.issue1
local.relation.volume21
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