Nákladově neefektivní péče ve zdravotnictví přestavuje mimořádně naléhavý problém. V kontextu omezených zdrojů a rostoucích nákladů na zdravotní péči je nezbytné rozdělovat zdroje efektivně a spravedlivě. Metody hodnocení nákladové efektivity mají etické důsledky, zejména vyvolávají otázky spravedlnosti a diskriminace. Problematika nákladově efektivní péče vyžaduje širší společenskou diskusi o pravidlech alokace a prioritizace, která by měla respektovat hodnoty férovosti a efektivity, a o transparentnosti v rozhodovacích procesech.

Cost-inefficient care in health care is an extremely urgent problem. In a context of limited resources and rising healthcare costs, it is essential to allocate resources efficiently and fairly. Cost-effectiveness assessment methods have ethical implications, in particular raising issues of fairness and discrimination. The issue of cost-effective care requires a broader social discussion on the rules of allocation and prioritization, which should respect the values of fairness and efficiency, and on transparency in decision-making processes.

• MeSH
• Algorithms MeSH
• Resource Allocation * methods   trends   MeSH
• Cost-Effectiveness Analysis * economics   ethics   methods   MeSH
• Quality of Life MeSH
• Quality-Adjusted Life Years MeSH
• Humans MeSH
• Life Expectancy MeSH
• Disability-Adjusted Life Years MeSH
• Surveys and Questionnaires statistics & numerical data   MeSH
• Health Services Administration economics   ethics   MeSH
• Decision Making, Organizational MeSH
• Social Discrimination ethics   MeSH
• Age Factors MeSH
• Health Status MeSH
• Check Tag
• Humans MeSH
• Publication type
• Research Support, Non-U.S. Gov't MeSH

In recent years, most countries around the world have struggled with the consequences of budget cuts in health expenditure, obliging them to utilize their resources efficiently. In this context, performance evaluation facilitates the decision-making process in improving the efficiency of the healthcare system. However, the performance evaluation of many sectors, including the healthcare systems, is, on the one hand, a challenging issue and on the other hand a useful tool for decision- making with the aim of optimizing the use of resources. This study proposes a new methodology comprising two well-known analytical approaches: (i) data envelopment analysis (DEA) to measure the efficiencies and (ii) data science to complement the DEA model in providing insightful recommendations for strategic decision making on productivity enhancement. The suggested method is a first attempt to combine two DEA extensions: flexible measure and cross-efficiency. We develop a pair of benevolent and aggressive scenarios aiming at evaluating cross-efficiency in the presence of flexible measures. Next, we perform data mining cluster analysis to create groups of homogeneous countries. Organizing the data in similar groups facilitates identifying a set of benchmarks that perform similarly in terms of operating conditions. Comparing the benchmark set with poorly performing countries we can obtain attainable goals for performance enhancement which will assist policymakers to strategically act upon it. A case study of healthcare systems in 120 countries is taken as an example to illustrate the potential application of our new method.

• MeSH
• Resource Allocation methods   MeSH
• Global Health MeSH
• Efficiency, Organizational * MeSH
• Humans MeSH
• Delivery of Health Care * methods   organization & administration   MeSH
• Decision Making MeSH
• Cluster Analysis MeSH
• Models, Statistical * MeSH
• Check Tag
• Humans MeSH
• Publication type
• Journal Article MeSH

• MeSH
• Resource Allocation * methods   organization & administration   MeSH
• Delivery of Health Care economics   MeSH
• Insurance, Health economics   organization & administration   MeSH

• MeSH
• Resource Allocation methods   MeSH
• Health Care Economics and Organizations MeSH
• Economics, Medical organization & administration   MeSH
• Financing, Organized methods   MeSH
• Cost Control methods   MeSH
• Costs and Cost Analysis MeSH
• Cost Savings methods   MeSH
• Insurance, Health organization & administration   MeSH
• Health Planning methods   MeSH

• Conspectus
• Veřejné zdraví a hygiena
• NML Fields
• ekonomie, ekonomika, ekonomika zdravotnictví
• management, organizace a řízení zdravotnictví
• NML Publication type
• učebnice vysokých škol

• MeSH
• Resource Allocation methods   utilization   MeSH
• Biophysics education   MeSH
• Financial Support MeSH
• Humans MeSH
• Education, Graduate economics   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Congress MeSH