Health care systems need to be resilient deal with disasters like the global spread of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) on top serving changing needs a multi-morbid, ageing and often dispersed population. This paper identifies, discusses augments critical dimensions resilience retrieved from academic literature. It pulls together an integrated concept characterised by organisational capabilities. Our does not focus micro-level most literature in health but addresses...

Abstract Background Healthcare corruption poses a significant threat to individuals, institutions, sectors, and states. Combating is paramount for protecting patients, maintaining the healthcare system's integrity, preserving public trust. As evolves, takes new forms, adapts changing socio-political landscapes, understanding its manifestations critical developing effective anti-corruption strategies at individual institutional levels. Objective The aim was comprehensively collate of...

Soft budget constraints (SBCs) undermine reforms to increase hospital service efficiency when management can count on being bailed out by (subnational) governments in case of deficits. Using cost accounting data publicly financed, non-profit hospitals Austria from 2002 2015, we analyse the association between SBCs and change a setting with negligible risk closure two-stage study design based bias-corrected non-radial input-oriented envelopment analysis ordinary least squares regression. We...

Data envelopment analysis (DEA) has attracted considerable attention during the last few decades as an intuitively clear method for performance assessment. Theoretical developments have taken turns with empirical efficiency studies. In this paper we empirically analyse differences across university libraries from different countries a cross-section and longitudinal perspective. We use Malmquist index approach to disentangle environmental technical (TE) highlight eventually induced by factors...

Institutional corruption in the health care sector has gained considerable attention during recent years, as it acknowledges fact that service providers who are acting accordance with institutional and environmental settings can nevertheless undermine a system's purposes result of (financial) conflicts interest to which exposed. The present analysis aims contribute examination by analyzing whether current payment mechanism separately remunerating salaried hospital physicians for treating...

The safety, tolerability, pharmacokinetics and efficacy of most drugs used in pediatrics have not been studied different age groups are administered "off-label use". Clinical pediatric drug trials require specific stringent compliance with laws, regulations, guidelines, patient/parent/public involvement, which turn increases resource use makes support useful from a medical, qualitative, economic, system perspective. We examined the strengths, weaknesses, opportunities threats implementing...

This study explores scientific evidence on the repercussions of Diagnosis Related Groups (DRG) funding, a large-scale public healthcare intervention implemented in Austria's hospital inpatient sector late 1990s. We investigate past and ongoing adjustments to fix unintended consequences prompted by intervention-induced staff patient behaviour changes. The paper shows that incentives inherent Austrian DRG financing set off cascade adjustments. These seemed necessary as behavioural patterns...

We performed a radial, input-oriented variable returns-to-scale data envelopment analysis to benchmark 52 rescue departments of the Austrian Red Cross from single province. Three inputs (working hours employed personnel/non-employed personnel and number vehicles) two output variables (duration-weighted service transportation categories) were selected. First, we assessed production process obtain an insight into level performance, performance differences among departments. found that average...

During the last four decades Data Envelopment Analysis (DEA) has attracted considerable attention in OR community. Using DEA, efficiency frontier is constructed based on assumptions concerning production possibility set rather than a priori defining functional relationship between inputs and outputs. In this contribution, we propose an algorithm to visualize surface 3D diagram extract isoquants from efficient hull different RTS which might be particularly helpful for presentation purposes....

A major objective of health policy in many countries is to avoid inequality the distribution care resources. Our goal provide initial insight into regional different resources per capita and variation over time Austria starting points for recommendations international comparisons. We also aim examine whether type measure need-adjustment has an impact on results. The findings reveal that GPs with contracts social insurance comparably small, but we observe increase from 2002 2014. In general,...