Annals of Operations Research

, Volume 247, Issue 2, pp 787–806 | Cite as

Operational and economic efficiency analysis of public hospitals in Greece

  • George Fragkiadakis
  • Michael Doumpos
  • Constantin Zopounidis
  • Christophe Germain


The continuous growth of hospital costs has driven governments in many countries to seek ways to improve their efficiency. In Greece, this has consistently been a major issue for almost two decades, as efficiency assessment and monitoring systems are lacking. In response to this need, the evaluation of the National Health System hospitals’ efficiency level is a precondition for planning, implementing and monitoring any promising reform. In this paper, a non-parametric modeling approach is employed to assess and analyze the efficiency of 87 Greek public hospitals over the period 2005–2009, using data envelopment analysis. The operational and economic aspects of the hospitals’ operation are considered on the basis of their service/case mix and cost structure. We also investigate the efficiency trends over time with the Malmquist index and a second stage regression analysis is performed to explain the operational and economic efficiency results in terms of the hospitals’ operating characteristics and the environment in which they operate.


Hospital efficiency Technical efficiency Data envelopment analysis 


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • George Fragkiadakis
    • 1
  • Michael Doumpos
    • 1
  • Constantin Zopounidis
    • 1
    • 2
  • Christophe Germain
    • 2
  1. 1.Financial Engineering Laboratory, School of Production Engineering and ManagementTechnical University of CreteChaniaGreece
  2. 2.Audencia Nantes School of ManagementNantesFrance

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