Journal of Productivity Analysis

, Volume 29, Issue 2, pp 143–154 | Cite as

Efficiency and productivity change in Ukrainian health care

  • Anatoly PilyavskyEmail author
  • Matthias Staat


The study analyses technical efficiency and efficiency change of 193 community hospitals and polyclinics across Ukraine, for the years 1997–2001. These facilities are a subset of the medical institutions in rural Ukraine; they are identical w.r.t. their function in the health system and share the same departmental structure. The data comprise the number of beds in the hospitals, the number of staff employed in the hospitals as well as the polyclinics connected to the hospitals, the number of inpatient and outpatient admissions as well as the number of surgical procedures, lab tests, X-rays performed and the number of deaths and deaths after surgery. Because of the known sensitivity of traditional nonparametric frontier estimators to outlier observations, we employ an order-m estimator, a robust technique, to assess the efficiency of these health care providers as well as changes of their productivity time. The efficiency scores are calculated with an output-oriented model; they are close to unity for hospitals whereas polyclinics seem somewhat less efficient. The Malmquist-indices averaged over all observations are close to unity indicating that productivity does not change over during our observation period. But, depending on the period and the region, substantial deviations from unity can be observed.


Hospitals Efficiency Order-m Malmquist Index 

JEL Classifications

D24 I18 



The authors both would like to thank Adriana Abello whose dedicated work regarding the preparation of the data set made this research possible. The comments from three anonymous referees and the editor helped us considerably in improving upon earlier versions of this paper. We also acknowledge financial support for the data preparation provided by the DFG.


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Lviv Academy of CommerceLvivUkraine
  2. 2.Warsaw School of Information Technology and ManagementWarsawPoland
  3. 3.University of MannheimMannheimGermany

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