scholarly journals The efficiency of the healthcare systems in EU countries – A DEA analysis

2020 ◽  
Vol 70 (1) ◽  
pp. 19-36 ◽  
Author(s):  
GheorghiŢa Dincă ◽  
Marius Sorin Dincă ◽  
Maria LetiŢia Andronic

AbstractThe objective of this paper is to identify the most efficient healthcare systems in a sample of 17 EU Member States. According to the health system financing schemes, the selected countries belong to two main groups, Beveridge and Bismarck. The research includes five input variables describing the financial and human resources, the level of health infrastructure, the medical technology and the healthcare utilization. On the output side we analysed four measures that reflect the overall health status of the population and the effectiveness of prevention and emergency care. Using the Data Envelopment Analysis (DEA) method, the most efficient healthcare systems are found in Sweden, the UK and Romania. The constraints applied for all the indicators and scenarios lead to higher or lower inefficiency scores, the Beveridge group being on average more efficient than the Bismarck one.

2020 ◽  
Vol 1 (1) ◽  
pp. 18-24
Author(s):  
Annisa Nur Hakim ◽  
A Jajang W Mahri ◽  
Aas Nurasyiah

Abstract.     Baitul Maal Wat Tamwil has experienced development in recent years. However, based on BMT performance data in West Bandung regency is less optimal. It is known that there are one efficient BMTs in West Bandung Regency and three BMTs that are inefficient. The cause of BMT's less optimal performance is inefficiency in operational activities. This study aims to determine the level of efficiency of BMT in West Bandung 2011-2017 period and find out the causes of inefficiency. This study uses secondary data from four BMTs in West Bandung District which are sampled. The research method used is descriptive method with Data Envelopment Analysis (DEA) analysis technique which is to measure the level of efficiency of a company. Input variables used are operating expenses, total assets, and TPF. Furthermore, the output variables used are SHU, income, and financing. Based on the results of research conducted, the conditions of the BMT in West Bandung Regency have not been perfectly efficient. There are three BMTs that have experienced inefficiencies including BMT Dana Ukhuwah, BMT Mustama, and BMT Rabbani. Keywords.          Efficiency, Baitul Maal Wat Tamwil, Data Envelopment Analysis


2017 ◽  
Vol 4 (9) ◽  
pp. 757
Author(s):  
Yulia Wahyu Ningsih ◽  
Noven Suprayogi

This study aims to analyze the efficiency of sharia general insurance companies in Indonesia. The input variables used are total assets, expenses, and payment of claims, while the output variable is the income and tabarru’ funds. The method were used to measure the level of efficiency is the Data Envelopment Analysis (DEA) with the assumption of Variable Return to Scale (VRS) with input and output orientation. The samples are 12 sharia general insurance companies during 2013-2015. The results of the study indicate that the average result of DEA analysis for the entire DMU (Decision Making Unit) has not been efficient. The average value of economic efficiency (CRS) by 0.978, technically efficiency (VRS) for 0.925, and scale efficiency for 0.945. Source of inefficiency sharia insurance company is the scale of operations and management of input to output is not optimal.


2020 ◽  
Vol 15 (4) ◽  
pp. 108-120
Author(s):  
Sangeetha R

This study examines the efficiency of Public Sector Banks (PSBs) in India using Data Envelopment Analysis (DEA). Analysis is carried out on a sample of 19 PSBs that are existed during the study period from 2005 to 2018. There are two different aspects deliberated, namely technical efficiency of PSBs and the growth in their productivity. Input variables envisaged for the study are deposits, borrowings, fixed assets, and the number of employees. Loans and advances along with investments act as output variables to measure technical efficiency and productivity. The results indicate that the technical efficiency of PSBs ranges between 97% and 100%. Corporation Bank, Indian Bank, and Oriental Bank of Commerce outperformed their peers with 100% technical efficiency. Productivity growth among the sampled banks during the study period stood between 0.8% and 20%. However, Corporation Bank, Indian Bank, and Oriental Bank of Commerce registered 9.1%, 5.4% and 6.4% productivity growth, respectively. The results reveal that PSBs are working hard to optimize resource utilization. Researchers around the world can use DEA as a tool to measure the efficiency of banks with different input and output variables related to financial, marketing and managerial performance. AcknowledgmentI like to express my profound thanks to Dr Kishore Selva Babu for rendering his language expertise. I also thank all the anonymous reviewers for their valuable comments and feedback that greatly improved the manuscript.


2019 ◽  
Vol 8 (3) ◽  
pp. 2695-2705

In this paper, we present formulations to improve operational efficiency with optimum utilization of working capital management. A case of manufacturing firm is conducted to discuss the stages of analysis. This paper discussing the method to establish the target values for the firms to optimize the working capital and perform as an efficient firm. The concept is explained with the help of Data Envelopment Analysis (DEA) and Goal Programming (GP) techniques. By using the principles of DEA, the firms are able to identify their slacks in inputs and outputs variables to perform as efficient firms. GP model is formulated in which input and output variables are set as goals and then target values are calculated. GP model solution provides the values of each variable with the efficiency in attaining the goals. Here the analysis is explained with the help of a published dataset obtained from the firm Wheel India Limited. The output of the GP model provides the values to be maintained by input variables. These outputs from GP model are validated using output oriented DEA analysis, by replacing the variables value of Wheels India Ltd. by model value.


2021 ◽  
Vol 4 (4) ◽  
pp. 503-521
Author(s):  
Foza Hadyu Hasanatina ◽  
Risanda Alirastra Budiantoro ◽  
Vicky Oktavia

This study aims to anlyze and comparing the efficiency of Islamic Life Insurance and Conventional Life Insurance in Indonesia. This study uses a quantitative non-parametric approach with Data Envelopment Analysis (DEA) with the assumption of Constant Return to Scale (CRS) and Variable Return to Scale (VRS) with input and output orientation. The samples are 3 Islamic Life Insurance (full fledge) and 3 Conventional Life Insurance that comply with the specified sample criteria during 2012-2019. The input variables used ared cost of commissive, operational cost, total equity, while the output variables is the premi income, and investment revenue. The results of the study indicate that the average result of DEA analysis for the entire DMU (Decision Making Unit) has not been efficient. In Conventional Life Insurance, the value of economic efficiency by 64,82 percent, technically efficiency for72,22 percent, and scale efficiency 81,4 percent, while in Islamic Life Insurance, the value of economic efficiency by 17,26 percent, technically efficiency for 53,71 persen, and scale efficiency 47,41 percent. Source of inefficiency Conventional and Islamic Life Insurance company is the sacle of operations and management of input to output is not optimal.


2014 ◽  
Vol 10 (3) ◽  
pp. 249-261 ◽  
Author(s):  
Tessa Sanderson ◽  
Jo Angouri

The active involvement of patients in decision-making and the focus on patient expertise in managing chronic illness constitutes a priority in many healthcare systems including the NHS in the UK. With easier access to health information, patients are almost expected to be (or present self) as an ‘expert patient’ (Ziebland 2004). This paper draws on the meta-analysis of interview data collected for identifying treatment outcomes important to patients with rheumatoid arthritis (RA). Taking a discourse approach to identity, the discussion focuses on the resources used in the negotiation and co-construction of expert identities, including domain-specific knowledge, access to institutional resources, and ability to self-manage. The analysis shows that expertise is both projected (institutionally sanctioned) and claimed by the patient (self-defined). We close the paper by highlighting the limitations of our pilot study and suggest avenues for further research.


2016 ◽  
Vol 16 (2) ◽  
pp. 103-118 ◽  
Author(s):  
Agata Żółtaszek ◽  
Renata Pisarek

Abstract National airlines operate in a highly competitive environment. EU airlines face a challenge to compete with low cost carriers, as a result of the liberalization process in the sector. European flag airlines of non-EU member states, not benefiting from liberalization, are forced to compete internationally. This research is focused on national carriers, as they provide the majority of service to and from central and regional airports. Therefore, to establish the most efficient entities on the passenger air transport market, DEA (Data Envelopment Analysis) methodology, has been utilized. The purpose of this paper is to evaluate the effectiveness of 29 chosen national airlines in Europe in the year 2013, using the DEA approach, to pinpoint the subset of fully-efficient market leaders, as well as potential sources of inefficiency, among less effective carriers. The analysis incorporates information on inputs (e.g. fleet, number of employees, number of countries and airports served) and outputs (revenue, annual passengers carried, load factor). The results show that more than 40% (12 of 29) researched airlines are effective and the other 34% are near-efficient. Moreover, outcomes suggest that “going big” may not increase effectiveness. It is harder to achieve full efficiency for big carriers than small ones.


2018 ◽  
Vol 81 (6-8) ◽  
pp. 602-622
Author(s):  
Dennis Lichtenstein ◽  
Christiane Eilders

The Euro crisis has revealed severe conflicts between EU member states and challenged a shared European identity. This article investigates how the crisis was reflected in identity constructions in media discourses in EU key countries. European identity construction is conceptualized as framing of the EU in favour or against belonging to the EU and togetherness with other members. Conducting a systematic content analysis of two weekly newspapers and magazines in Germany, France and the UK, we compare identity constructions between 2011 and 2014. Findings show that while support of belonging to the EU is low in general, the countries differ remarkably in terms of their sense of togetherness. This particularly applies to strong or weak political integration, market regulation or market freedom and financial stability or impulses for economic growth. The positions reflect long-term political conflicts between the countries but are also flexible enough to adapt to the particular event context.


Author(s):  
Paola Dalla Valle ◽  
Nick Thom

Abstract This paper presents the results of a review on variability of key pavement design input variables (asphalt modulus and thickness, subgrade modulus) and assesses effects on pavement performance (fatigue and deformation life). Variability is described by statistical terms such as mean and standard deviation and by its probability density distribution. The subject of reliability in pavement design has pushed many highway organisations around the world to review their design methodologies, mainly empirical, to move towards mechanistic-empirical analysis and design which provide the tools for the designer to evaluate the effect of variations in materials on pavement performance. This research has reinforced this need for understanding how the variability of design parameters affects the pavement performance. This study has only considered flexible pavements. The sites considered for the analysis, all in the UK (including Northern Ireland), were mainly motorways or major trunk roads. Pavement survey data analysed were for Lane 1, the most heavily trafficked lane. Sections 1km long were considered wherever possible. Statistical characterisation of the variation of layer thickness, asphalt stiffness and subgrade stiffness is addressed. A sensitivity analysis is then carried out to assess which parameter(s) have the greater influence on the pavement life. The research shows that, combining the effect of all the parameters considered, the maximum range of 15th and 85th percentiles (as percentages of the mean) was found to be 64% to 558% for the fatigue life and 94% to 808% for the deformation life.


2000 ◽  
Vol 6 (2) ◽  
pp. 159-167 ◽  
Author(s):  
Rodney Cartwright

All travel has associated health risks that need to be recognized not only by travellers, but also by tour operators and governments. In this context, the author considers some of the infections that have been contracted by package holiday tourists from the UK. With 15 million package holidays sold in the UK each year and increasing consumer concern about health risks, health is now a major factor in customer satisfaction. Media exposure and possible legal action when expectations are not met mean that the need to reduce the health risks associated with travel is crucial for the tourism industry as well as for travellers themselves. This paper sets out the main hazards and risks and examines what actions can and should be taken by tour operators, destination countries, and tourists. The author stresses the importance of ensuring a proper health infrastructure in the development of tourist areas; the need for operators to stipulate minimum hotel standards, backed up by regular auditing; the responsibility of tourists to ensure that they do not expose themselves to unnecessary risks; and the significance of surveillance systems in the control of travel-related diseases.


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