Health care in the CIS countries : the case of hospitals in Ukraine.

摘要: The study analyses the technical efficiency of community hospitals in Ukraine during 1997–2001. Hospital cost amount to two-thirds Ukrainian spending on health care. Data are available number beds, physicians and nurses employed, surgical procedures performed, admissions patient days. We employ data envelopment analysis calculate assess productivity changes over time. scores calculated with an output-oriented model assuming constant returns scale range from 150% 110%. Average relative inefficiency is initially above 30% later drops 15% or below. average change positive but below 1%; a Malmquist index decomposition reveals that negative technological progress overcompensated by catching-up.