COMPARISON OF EFFICIENCY AND PERFORMANCE OF SELECTED HOSPITALS

Podjetje je uspešno, če dosega dobre poslovne rezultate, zdravstvene ustanove pa so uspešne, če so prebivalci v državi dovolj zdravi. Uspešnost zdravstvenih ustanov zato ni mogoče natančno izmeriti, saj zdravje ljudi ni izmerljivo. Tudi zdravstvene ustanove morajo doseči učinkovitost, saj brez pozitivnega poslovnega rezultata nobena organizacija ne more poslovati. Slovenski zdravstveni sistem je bil v preteklih letih velikokrat izpostavljen kot sistem, potreben prenove. Glede na nekaj let ponavljajoče se sanacije in varčevanja na tem področju smo se v magistrskem delu odločili problematiko podrobneje pogledati z vidika organizacije, ekonomike in upravljanja. Posebej so nas zanimali tudi sanacijski ukrepi in njihova uspešnost. Primerjali smo poslovanje dveh po velikosti primerljivih bolnišnic, ki delujeta v različnih državah. Analizirali smo vpliv navedenih dejavnikov na učinkovitost in uspešnost poslovanja. S kazalniki in primerjalno analizo smo poskusili izmeriti učinkovitost in uspešnost delovanja izbrane slovenske bolnišnice. Ker razen finančnih izkazov, ki govorijo le o ekonomski učinkovitosti, drugih meril v zdravstvu nimamo, smo se odločili za primerjavo med največjo slovensko bolnišnico in primerljivo uspešno dunajsko splošno bolnišnico. Obe bolnišnici sta primerljivi vsaj po skupnem številu zaposlenih in številu bolniških postelj. Učinkovitost poslovanja javnih zdravstvenih zavodov je odvisna od države, v kateri javni zdravstveni zavod deluje in načina financiranja, od organiziranosti poslovanja in procesa dela znotraj organizacije. Enako velja tudi za bolnišnice. Analiza je med drugim pokazala tudi, da poleg vseh pričakovanih razlik iz naslova sanacije in financiranja lahko ugotovimo tudi razlike v kadrovskem sistemu in posledično organizaciji dela v obeh bolnišnicah. Z rezultati in ugotovitvami analize smo poskusili nakazati ključna izhodišča za doseganje boljše učinkovitosti in tako po svojih najboljših močeh prispevati k stroki drugih pristopov v managementu. Vsekakor pa bi bilo za izvedbo izboljšav treba izvesti poglobljeno analizo, ki presega vsebino tega magistrskega dela.A company is successful if it achieves good business results, while health facilities are successful if the country’s population is healthy enough. The performance of health facilities can not be really assessed, because population health cannot be accurately measured. However, it is necessary to be aware that without a positive business result, no organization can operate. It has been pointed out many times in recent years that the Slovenian healthcare system is in need of renovation. Given the several years of repeated rehabilitation and savings in this area, it was decided that this master\u27s thesis would look deeper into the organization, economics and management of Slovenian health facilities. I was also particularly interested in remedial measures and their effectiveness. The financial results of two selected comparable hospitals operating in different countries were compared in order to understand the influence of the above-mentioned factors on the business efficiency and performance of both hospitals. With indicators and a comparative analysis, I tried to measure the efficiency and performance of the selected Slovenian hospital. Since we have no other criteria in health care than financial statements, which speak only of economic efficiency, I decided to compare the largest Slovenian hospital with the comparable successful Vienna General Hospital. Both hospitals are comparable at least in the number of employees and number of hospital beds. The efficiency of the operation of public healthcare institutions depends on the country in which the public healthcare institution operates, the method of financing, and the organization of operations and work processes within the organization. The same goes for hospitals. The analysis showed, among other things, that in addition to all the expected differences in terms of rehabilitation and financing, there are also identifiable differences in the personnel profile system and in the organization of work in both hospitals. With the results and findings of the analysis, I tried to indicate the key starting points for achieving better efficiency and thus do my best to contribute to the field of best approaches in management. But to make improvements, it would be necessary to carry out an in-depth analysis that goes beyond the content of this thesis