Influence of Non-financial Factors on Cost-efficiency of a General Hospital in Slovenia

Sabina Krsnik; Karmen Erjavec

doi:10.3889/oamjms.2023.11597

Authors

Sabina Krsnik Department for Communication, Faculty of Economics and Informatics, University of Novo Mesto, Novo Mesto, Slovenia https://orcid.org/0000-0002-9897-7623
Karmen Erjavec Department for Communication, Faculty of Economics and Informatics, University of Novo Mesto, Novo Mesto, Slovenia https://orcid.org/0000-0003-4971-0292

DOI:

https://doi.org/10.3889/oamjms.2023.11597

Keywords:

Cost-efficiency, Non-economic factors, Communication, Leadership, Healthcare

Abstract

Introduction: Hospitals account for the largest share of health care expenditures, which are mainly financed by public funds. In healthcare, it is of paramount importance that the management focus not on reducing costs at the expense of patient health, but on improving the value and thus the healthcare outcomes. In addition to the economic factors used to determine a hospital's cost efficiency, non-economic or soft factors should be considered. The aim of this study was to elucidate the influence of non-financial factors on a hospital's cost-efficiency.

Method: An online survey was conducted among the staff of a typical Slovenian general hospital (N = 150).

Results: Self-assessment of cost-efficiency was influenced by communication in the hospital, satisfaction and cooperation within the multidisciplinary team, willingness of employees to innovate, cooperation with external providers and evaluation of the quality of healthcare. Communication with the patient had the greatest impact, followed by communication with external providers and communication with the management.

Conclusion: In order to reduce costs while maintaining or even improving the healthcare outcomes, communication with patients is extremely important.

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References

Stadhouders N, Kruse F, Tanke M, Koolman X, Jeurissen P. Effective healthcare cost-containment policies: A systematic review. Health Policy. 2019;123(1):71-9. https://doi.org/10.1016/j.healthpol.2018.10.015 PMid:30429060 DOI: https://doi.org/10.1016/j.healthpol.2018.10.015

OECD/European Union. Health at a Glance: Europe 2022: State of Health in the EU Cycle. Paris: OECD Publishing; 2022. https://doi.org/10.1787/507433b0-en DOI: https://doi.org/10.1787/507433b0-en

Nistor CS, Ștefănescu CA, Sȋntejudeanu MA, Crișan AR. Performance through efficiency in the public healthcare system-a DEA approach in an emergent country. Stud Univ Babeș Bolyai Oeconomica. 2017;62(1):31-49. https://doi.org/10.1515/subboec-2017-0003 DOI: https://doi.org/10.1515/subboec-2017-0003

Erjavec K. Team members and patients’ views on costeffectiveness of (integrated) clinical pathway. Open Access Macedonian J Healthc Sci. 2022;10(E):219-24. https://doi.org/10.3889/oamjms.2022.8049 DOI: https://doi.org/10.3889/oamjms.2022.8049

Olanrewaju OI, Okorie VN. Exploring the qualities of a good leader using principal component analysis. J Eng Proj Prod Manag. 2019;9(2):142-50. https://doi.org/10.2478/jeppm-2019-0016 DOI: https://doi.org/10.2478/jeppm-2019-0016

Zajac S, Woods A, Tannenbaum S, Salas E, Holladay CL. Overcoming challenges to teamwork in healthcare: A team effectiveness framework and evidence-based guidance. Front Commun. 2021;6:606445. https://doi.org/10.3389/fcomm.2021.606445 DOI: https://doi.org/10.3389/fcomm.2021.606445

Dasborough MT, Ashkanasy NM, Tee EY, Tse HH. What goes around comes around: How meso-level negative emotional contagion can ultimately determine organizational attitudes toward leaders. Leaders Q. 2009;20(4):571-85. https://doi.org/10.1016/j.leaqua.2009.04.009 DOI: https://doi.org/10.1016/j.leaqua.2009.04.009

James L. Improving Leadership Communication in Nurse-Physician Dyad Teams. ProQuest Central (Alumni). Columbia: University of South Carolina Location; 2017.

Agarwal R, Sands DZ, Schneider JD. Quantifying the economic impact of communication inefficiencies in U.S. hospitals. J Healthc Manag. 2010;55(4):265-81; discussion 281-2. https://doi.org/10.1097/00115514-201007000-00007 PMid:20812527 DOI: https://doi.org/10.1097/00115514-201007000-00007

Vermeir P, Vandijck D, Degroote S, Peleman R, Verhaeghe R, Mortier E, et al. Communication in healthcare: A narrative review of the literature and practical recommendations. Int J Clin Pract. 2015;69(11):1257-67. https://doi.org/10.1111/ijcp.12686 DOI: https://doi.org/10.1111/ijcp.12686

Durbin J, Barnsley J, Finlayson B, Jaakkimainen L, Lin E, Berta W, et al. Quality of communication between primary health care and mental health care: An examination of referral and discharge letters. J Behav Health Serv Res. 2012;39(4):445-61. https://doi.org/10.1007/s11414-012-9288-9 PMid:22855384 DOI: https://doi.org/10.1007/s11414-012-9288-9

Kaelber DC, Bates DW. Health information exchange and patient safety. J Biomed Informat. 2007;40 (6 Suppl):S40-5. https://doi.org/10.1016/j.jbi.2007.08.011 PMid:17950041 DOI: https://doi.org/10.1016/j.jbi.2007.08.011

Garåsen H, Johnsen R. The quality of communication about older patients between hospital physicians and general practitioners: A panel study assessment. BMC Health Serv Res. 2007;7(1):133. https://doi.org/10.1016/j.jbi.2007.08.011 PMid:17718921 DOI: https://doi.org/10.1186/1472-6963-7-133

Peikes D, Chen A, Schore J, Brown R. Effects of care coordination on hospitalization, quality of care, and health care expenditures among Medicare beneficiaries 15 randomized trials. JAMA . 2009;301(6):603-18. https://doi.org/10.1001/jama.2009.126 PMid:19211468 DOI: https://doi.org/10.1001/jama.2009.126

Wasson J, Pearce L, Alun-Jones T. Improving correspondence to general practitioners regarding patients attending the ENT emergency clinic: A regional general practitioner survey and audit. J Laryngol Otol. 2007;121(12):1189-93. https://doi.org/10.1017/S0022215107000746 PMid:17908346 DOI: https://doi.org/10.1017/S0022215107000746

Fleissig A, Jenkins V, Catt S, Fallowfield L. Multidisciplinary teams in cancer care: Are they effective in the UK? Lancet Oncol. 2006;7(11):935-43. https://doi.org/10.1016/S1470-2045(06)70940-8 PMid:17081919 DOI: https://doi.org/10.1016/S1470-2045(06)70940-8

Hall P. Interprofessional teamwork: Professional cultures as barriers. J Interprof Care. 2005;19 (Suppl 1):188-96. https://doi.org/10.1080/13561820500081745 PMid:16096155 DOI: https://doi.org/10.1080/13561820500081745

Bell SK, Delbanco T, Anderson-Shaw L, McDonald TB, Gallagher TH. Accountability for medical error: Moving beyond blame to advocacy. Chest. 2011;140(2):519-26. https://doi.org/10.1378/chest.10-2533 PMid:21813531 DOI: https://doi.org/10.1378/chest.10-2533

Kelly CJ, Young AJ. Promoting innovation in healthcare. Future Healthc J. 2017;4(2):121-5. https://doi.org/10.7861/futurehosp.4-2-121 PMid:31098448 DOI: https://doi.org/10.7861/futurehosp.4-2-121

Dautremont JF, Rudmik LR, Yeung J, Asante T, Nakoneshny SC, Hoy M, et al. Cost-effectiveness analysis of a postoperative clinical care pathway in head and neck surgery with microvascular reconstruction. J Otolaryngol Head Neck Surg. 2013;42(1):59. https://doi.org/10.1186/1916-0216-42-59 PMid:24351020 DOI: https://doi.org/10.1186/1916-0216-42-59

Lankhorst NE, Damen J, Oei EH, Verhaar JA, Kloppenburg M, Bierma-Zeinstra SM. Incidence, prevalence, natural course and prognosis of patellofemoral osteoarthritis: The Cohort Hip and Cohort Knee study. Osteoarthritis Cartilage. 2017:25(5):647-53. https://doi.org/10.1016/j.joca.2016.12.006 PMid:27940216 DOI: https://doi.org/10.1016/j.joca.2016.12.006

Hustoft M, Hetlevik Ø, Aßmus J, Størkson S, Gjesdal S, Biringer E. Communication and relational ties in interprofessional teams in Norwegian specialized health care: A multicentre study of relational coordination. Int J Integr Care. 2018;18(2):9. https://doi.org/10.5334/ijic.3432 PMid:30127693 DOI: https://doi.org/10.5334/ijic.3432

Gao L, Lu Q, Hou X, Ou J, Wang M. Effectiveness of a nursing innovation workshop at enhancing nurses’ innovation abilities: A quasi experimental study. Nurs Open. 2021;9(1):418-27. https://doi.org/10.1002/nop2.1080 PMid:34687153 DOI: https://doi.org/10.1002/nop2.1080

Šimec M, Krsnik S, Erjavec K. Integrated clinical pathways: Communication and participation in a multidisciplinary team. Open Access Maced J Healthc Sci. 2021;9(B):1549-55. https://doi.org/10.3889/oamjms.2021.7205 DOI: https://doi.org/10.3889/oamjms.2021.7205

Arriaga AF, Gawande AA, Raemer DB, Jones DB, Smink DS, Weinstock P, et al. Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams. Ann Surg. 2014;259(3):403-10. https://doi.org/10.1097/SLA.0000000000000342 DOI: https://doi.org/10.1097/SLA.0000000000000342

Chichirez CM, Purcărea VL. Interpersonal communication in healthcare. J Med Life. 2018;11(2):119-22. PMid:30140317