Impact of expenditures with human and non-human resources on medical efficiency indicators

ROTEA, Cătălin Ștefan and PLOSCARU, Claudia Cristina (2020): Impact of expenditures with human and non-human resources on medical efficiency indicators.

Abstract

The most valuable resource of an organization is the human resource, especially in the area of health care. The specific problem of the public medical systems is that some managers of hospital institutions do not have strategies for employees’ compensation. In this paper, we propose to evaluate the impact of significant changes in the levels and the structure of budgetary allocation on the medical efficiency indicators of a public hospital from Romania, as well as the effects of changing reward policies on the hospital efficiency indicators. The paper provides a useful tool for hospital managers, which allows them to assess the impact of budgetary allocations for human and non-human resources (HNHR) on medical efficiency indicators of a public hospital.

• Item Type: MPRA Paper
• Language: English
• Keywords: budget allocations; payments for personnel; payments for goods and services; medical efficiency indicators; case mix index
• Subjects: I - Health, Education, and Welfare > I1 - Health > I10 - General; O - Economic Development, Innovation, Technological Change, and Growth > O1 - Economic Development > O15 - Human Resources ; Human Development ; Income Distribution ; Migration

References

Adzei, F. A., & Atinga, R. A. (2012). Motivation and retention of health workers in Ghana's district hospitals. Journal of Health Organization and Management, 26(6), 467-485. https://doi.org/10.1108/14777261211251535

Anthun, K. S. (2017). Productivity in the Norwegian hospital sector. Financing, quality, coding and comparability. Trondheim: Norwegian University of Science and Technology.

Anthun, K. S., Kittelsen, S.A.C., & Magnussen, J. (2017). Productivity growth, case mix and optimal size of hospitals. A 16-year study of the Norwegian hospital sector. Health Policy, 121(4), 418-425. https://doi.org/10.1016/j.healthpol.2017.01.006

Bocean C.G.; Sitnikov C.S. (2015). Setting international standards in human resources. Management and Marketing Journal. 1(1), pp. 16-22.

Chowdhury, H., Zelenyuk, V., Laporte, A., & Wodchis, W. P. (2014). Analysis of productivity, efficiency and technological changes in hospital services in Ontario: How does case-mix matter? International Journal of Production Economics, 150, 74-82. https://doi.org/10.1016/j.ijpe.2013.12.003

Flynn, W.J., Mathis, R.L., Jackson, J. H., & Valentine, S.R. (2015). Healthcare Human Resource Management (3rd ed.). Boston, MA: Cengage Learning.

Fried, B.J., & Fottler, M.D. (2017). Fundamentals of Human Resources in Healthcare (2nd ed.). Chicago: Health Administration Press.

Hernandez, S.R. (2009). Strategic Human Resources Management in Health Services Organizations (3rd ed.). Boston, MA: Cengage Learning.

Institutul Național de Statistică (National Institute of Statistics - INS). (2019). Consumer Price Index - Annual Data Series. Retrieved from http://www.insse.ro/cms/ro/content/ipc%E2%80%93serie-de-date-anuala

Kittelsen, S., Anthun, K., Hakkinen, U., Kruse, M., & Rehnberg, C. (2018). Scale and quality in Nordic hospitals. Nordic Journal of Health Economics, 6(2), 29-44. https://doi.org/10.5617/njhe.4801

Mills, A. (2014). Health care systems in low-and middle-income countries. New England Journal of Medicine, 370(6), 552-557. https://doi.org/10.1056/NEJMra1110897

Milstein, R., & Schreyoegg, J. (2016). Pay for performance in the inpatient sector: A review of 34 P4P programs in 14 OECD countries. Health Policy, 120(10), 1125-1140. https://doi.org/10.1016/j.healthpol.2016.08.009

Niles, N. (2012). Basic Concepts of Health Care Human Resource Management. Burlignton, MA: Jones & Bartlett Learning.

Sitnikov, C.S.; Bocean, C.G. (2010). New approaches of consumers' protection in terms of management systems' international standards evolution. Amfiteatru Economic, 12(28), pp.360-372.

Sorup, C. M., & Jacobsen, P. (2013). Health care performance turned into decision support. Journal of Health Organization and Management, 27(1), 64-84. https://doi.org/10.1108/14777261311311807

Vărzaru, A.A. (2015) Design and Implementation of a Management Control System. Finance: Challenges of the Future, 17, pp. 195-200.

Vărzaru, D.C.; Vărzaru, A.A. (2016). The contribution of the human resources information system to human capital performance management within the organization. Ovidius University Annals, Economic Sciences Series, 16(1), pp. 429-434.