Efficiency of Medical Laboratories after Quality Standard Introduction: Trend Analysis of EU Countries and Case Study from Slovenia

The evaluation of efficiency and effectiveness in the public sector has a long tradition in literature. The data envelopment analysis (DEA) method is hereby a commonly applied method for examining the efficiency of individual public sector units. It also applies to healthcare; however, research on...

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Main Authors: Nejc Lamovšek, Maja Klun
Format: Article
Language:English
Published: University of Ljubljana Press (Založba Univerze v Ljubljani) 2020-04-01
Series:Central European Public Administration Review
Subjects:
Online Access:https://journals.uni-lj.si/CEPAR/article/view/20526
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author Nejc Lamovšek
Maja Klun
author_facet Nejc Lamovšek
Maja Klun
author_sort Nejc Lamovšek
collection DOAJ
description The evaluation of efficiency and effectiveness in the public sector has a long tradition in literature. The data envelopment analysis (DEA) method is hereby a commonly applied method for examining the efficiency of individual public sector units. It also applies to healthcare; however, research on individual parts of this activity is rare, particularly as regards the evaluation of laboratory-based activity. In this article, the DEA method is used to evaluate the efficiency of biomedical laboratories and the change upon quality standards introduction. This is the first example of verification of a change in technical efficiency in relation to the accreditation of ISO standards. In the article, the analysis of the efficiency of Slovenian medical laboratories is presented in terms of the obtained quality standard; moreover, a comparison of Slovenian medical laboratories and two laboratories from neighbouring countries, Austria and Italy, is provided. The results show that the use of the DEA method and the Malmquist index do not indicate an improvement in the technical efficiency of accredited laboratories but the quality indicators indicate a higher quality of performed work. The comparison of Slovenian and foreign laboratories indicates high technical efficiency of accredited laboratories, as they are the highest-ranked; however, the knowledge of laboratories indicates that there are also other reasons for such a ranking. These research results can be utilised in comparable areas and countries.
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publisher University of Ljubljana Press (Založba Univerze v Ljubljani)
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spelling doaj-art-80008add6226429ca1978ba5dfe5e46d2025-01-22T10:50:34ZengUniversity of Ljubljana Press (Založba Univerze v Ljubljani)Central European Public Administration Review2591-22402591-22592020-04-0118110.17573/cepar.2020.1.07Efficiency of Medical Laboratories after Quality Standard Introduction: Trend Analysis of EU Countries and Case Study from SloveniaNejc Lamovšek0https://orcid.org/0000-0003-3528-0527Maja Klun1https://orcid.org/0000-0002-1025-9134University Medical Centre LjubljanaUniversity of Ljubljana, Faculty of Public Administration The evaluation of efficiency and effectiveness in the public sector has a long tradition in literature. The data envelopment analysis (DEA) method is hereby a commonly applied method for examining the efficiency of individual public sector units. It also applies to healthcare; however, research on individual parts of this activity is rare, particularly as regards the evaluation of laboratory-based activity. In this article, the DEA method is used to evaluate the efficiency of biomedical laboratories and the change upon quality standards introduction. This is the first example of verification of a change in technical efficiency in relation to the accreditation of ISO standards. In the article, the analysis of the efficiency of Slovenian medical laboratories is presented in terms of the obtained quality standard; moreover, a comparison of Slovenian medical laboratories and two laboratories from neighbouring countries, Austria and Italy, is provided. The results show that the use of the DEA method and the Malmquist index do not indicate an improvement in the technical efficiency of accredited laboratories but the quality indicators indicate a higher quality of performed work. The comparison of Slovenian and foreign laboratories indicates high technical efficiency of accredited laboratories, as they are the highest-ranked; however, the knowledge of laboratories indicates that there are also other reasons for such a ranking. These research results can be utilised in comparable areas and countries. https://journals.uni-lj.si/CEPAR/article/view/20526medical laboratories, quality standards, ISO, public sector efficiency, Slovenia, DEA method
spellingShingle Nejc Lamovšek
Maja Klun
Efficiency of Medical Laboratories after Quality Standard Introduction: Trend Analysis of EU Countries and Case Study from Slovenia
Central European Public Administration Review
medical laboratories, quality standards, ISO, public sector efficiency, Slovenia, DEA method
title Efficiency of Medical Laboratories after Quality Standard Introduction: Trend Analysis of EU Countries and Case Study from Slovenia
title_full Efficiency of Medical Laboratories after Quality Standard Introduction: Trend Analysis of EU Countries and Case Study from Slovenia
title_fullStr Efficiency of Medical Laboratories after Quality Standard Introduction: Trend Analysis of EU Countries and Case Study from Slovenia
title_full_unstemmed Efficiency of Medical Laboratories after Quality Standard Introduction: Trend Analysis of EU Countries and Case Study from Slovenia
title_short Efficiency of Medical Laboratories after Quality Standard Introduction: Trend Analysis of EU Countries and Case Study from Slovenia
title_sort efficiency of medical laboratories after quality standard introduction trend analysis of eu countries and case study from slovenia
topic medical laboratories, quality standards, ISO, public sector efficiency, Slovenia, DEA method
url https://journals.uni-lj.si/CEPAR/article/view/20526
work_keys_str_mv AT nejclamovsek efficiencyofmedicallaboratoriesafterqualitystandardintroductiontrendanalysisofeucountriesandcasestudyfromslovenia
AT majaklun efficiencyofmedicallaboratoriesafterqualitystandardintroductiontrendanalysisofeucountriesandcasestudyfromslovenia