The European Journal of Health Economics

, Volume 14, Issue 6, pp 929–938 | Cite as

Managing for efficiency in health care: the case of Greek public hospitals

  • Panagiotis Mitropoulos
  • Ioannis Mitropoulos
  • Aris Sissouras
Original Paper


This paper evaluates the efficiency of public hospitals with two alternative conceptual models. One model targets resource usage directly to assess production efficiency, while the other model incorporates financial results to assess economic efficiency. Performance analysis of these models was conducted in two stages. In stage one, we utilized data envelopment analysis to obtain the efficiency score of each hospital, while in stage two we took into account the influence of the operational environment on efficiency by regressing those scores on explanatory variables that concern the performance of hospital services. We applied these methods to evaluate 96 general hospitals in the Greek national health system. The results indicate that, although the average efficiency scores in both models have remained relatively stable compared to past assessments, internal changes in hospital performances do exist. This study provides a clear framework for policy implications to increase the overall efficiency of general hospitals.


Hospital Efficiency Bootstrap DEA Truncated regression 

JEL Classification

C14 C51 I12 I18 



This research is implemented within the framework of the Action «Supporting Postdoctoral Researchers» of the Operational Program "Education and Lifelong Learning" (Action’s Beneficiary: General Secretariat for Research and Technology), and is co-financed by the European Social Fund (ESF) and the Greek State.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Panagiotis Mitropoulos
    • 1
  • Ioannis Mitropoulos
    • 1
  • Aris Sissouras
    • 2
  1. 1.Department of Business Planning and Information SystemsTechnological Education Institute of PatrasPatrasGreece
  2. 2.Health Policy and Planning UnitUniversity of PatrasPatrasGreece

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