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Economic efficiency of saving human lives for developing economies : comparison of Ukraine and Russia
Stakhovych, Lyudmyla ; Bryndová, Lucie (advisor) ; Maďarová, Henrieta (referee)
Human capital is known to have an important contribution to economic growth; however most of the empirical studies determine human capital as number of years of schooling. In this thesis human capital is analyzed in terms of health. General demographic situation with its problems, including low life expectancy, premature mortality, negative population growth, and economic performance of Ukraine and Russia are discussed. Extra-high mortality in these countries resulted roughly in yearly losses of 5.9 billion US Dollars for Russia, and 1.5 billion US Dollars for Ukraine. Economic and political measures can prevent the countries from demographic catastrophe and economic losses.
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Quality and performance assessment of healthcare providers in Slovakia on the basis of administrative data
Vraždová, Tamara ; Maďarová, Henrieta (advisor) ; Bryndová, Lucie (referee)
The aim of this thesis was to explore options for hospital profiling in the Slovak republic. Sacrificing breadth of the study in favor of depth, the scope of the analysis was narrowed down to one quality indicator only - mortality. In the first step a mortality prediction model was constructed in order to predict expected probability of death on the basis of a set of risk factors in order to filter away variation in hospital outcomes that is caused by other factors than quality of care. Validation of the model was performed on a validation sample of 25% of data. Discriminative ability of the final model is very high - c-statistics over 0.9. Furthermore, we verified that hospitals differ in the risk structure of their patient populations significantly - mean predicted probability of dying for hospitals differed from 0.02% to 33%. In the second step hospital profiling was performed. Standardized mortality ratios were calculated for each hospital as a difference between observed and expected number of deaths. After introduction of risk-adjustment and calculation of confidence intervals 43% of hospitals were re-classified. 30-day mortality was selected as the best indicator for hospital profiling.
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Quality and performance assessment of healthcare providers in Slovakia on the basis of administrative data
Vraždová, Tamara ; Maďarová, Henrieta (advisor) ; Bryndová, Lucie (referee)
The aim of this thesis was to explore options for hospital profiling in the Slovak republic. Sacrificing breadth of the study in favor of depth, the scope of the analysis was narrowed down to one quality indicator only - mortality. In the first step a mortality prediction model was constructed in order to predict expected probability of death on the basis of a set of risk factors in order to filter away variation in hospital outcomes that is caused by other factors than quality of care. Validation of the model was performed on a validation sample of 25% of data. Discriminative ability of the final model is very high - c-statistics over 0.9. Furthermore, we verified that hospitals differ in the risk structure of their patient populations significantly - mean predicted probability of dying for hospitals differed from 0.02% to 33%. In the second step hospital profiling was performed. Standardized mortality ratios were calculated for each hospital as a difference between observed and expected number of deaths. After introduction of risk-adjustment and calculation of confidence intervals 43% of hospitals were re-classified. 30-day mortality was selected as the best indicator for hospital profiling.
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Changes in Hospital Financial Performance after Legal Form Conversion
Jankura, Adam ; Votápková, Jana (advisor) ; Maďarová, Henrieta (referee)
This thesis examines the effect of corporatization, i.e. pure legal form conversion of contributory organizations into joint-stock companies, on financial performance of 77 Czech non-privatized general hospitals during 2001-2011. Using differences-in-differences estimation the effect on overall financial performance was not confirmed. Regarding individual performance components different changes in revenues and costs per inpatient day (relative to non-corporatized hospitals) were recognized after different corporatizations periods. Both revenues and costs measures either increased or decreased after 2003 & 2004 and 2005 corporatization respectively; and were maintained after 2006 & 2007 period. Ambiguous effect of corporatization on financial performance is consistent with the principal-agent theory developed in this thesis. JEL Classification C51, G32, I11, I18, L20, L32 Keywords financial performance, hospitals, panel data analy- sis, Czech Republic Author's e-mail adam.jankura@gmail.com Supervisor's e-mail jana.votapkova@gmail.com 1
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Economic efficiency of saving human lives for developing economies : comparison of Ukraine and Russia
Stakhovych, Lyudmyla ; Bryndová, Lucie (advisor) ; Maďarová, Henrieta (referee)
Human capital is known to have an important contribution to economic growth; however most of the empirical studies determine human capital as number of years of schooling. In this thesis human capital is analyzed in terms of health. General demographic situation with its problems, including low life expectancy, premature mortality, negative population growth, and economic performance of Ukraine and Russia are discussed. Extra-high mortality in these countries resulted roughly in yearly losses of 5.9 billion US Dollars for Russia, and 1.5 billion US Dollars for Ukraine. Economic and political measures can prevent the countries from demographic catastrophe and economic losses.
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Poor health and early exit from labour force: an analysis using data from Survey of Health, Aging and Retirement in Europe
Hausenblas, Václav ; Pertold, Filip (advisor) ; Maďarová, Henrieta (referee)
Poor health and early exit from labour force: an analysis using data from Survey of Health, Ageing and Retirement in Europe Václav Hausenblas May 12, 2011 Abstract Health is considered to be one the main determinants of retirement decision. A majority of empirical studies implements health using self- perceived health status measures. According to the justification hypoth- esis such a method may introduce a bias into estimation, and moreover, this bias may vary from country to country. The aim of this thesis is to make use of a dataset rich in objective measures of health from the second wave of Survey of Health, Aging and Retirement in Europe and to put side by side the estimates based on subjective measures as well as IV estimates using more objective variables and thereby to assess the mag- nitude of possible endogeneity and measurement error. It applies these identification methods on the model of early exit from labour force and discusses gender differences and specifics of given EU countries. 1
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