Background This study can be an initial effort to look at the dynamics of efficiency and productivity in Greek public hospitals through the first phase from the crisis 2009C2012. indicated by the common MPI rating which fluctuates to at least one 1.52. Furthermore, technology change obtained a lot more than unity in a lot more than 75% of private hospitals. The final period (2011C2012) shows stabilization within the expansionary procedure for efficiency. The main elements contributing to general efficiency gains are boosts in occupancy prices, size and kind of the medical center. Conclusions This paper efforts to provide insights in efficiency and effectiveness development for open public private hospitals in Greece. The results claim that the average medical center experienced substantial efficiency development between 2009 and 2012 as indicated by variants in MPI. The vast majority of the efficiency increase was because of technology change that could become described by the concurrent managerial and funding health care reforms. Hospitals working under decreasing comes back to size could attain higher effectiveness prices by reducing their capability. However, particular social objectives is highly 515-03-7 supplier recommended also. Emphasis perhaps ought to be placed in making use of and improving managerial and organizational reforms, so the great things about technological improvements shall possess an ongoing positive impact in the foreseeable future. Electronic supplementary materials The online edition of this content (doi:10.1186/s12962-017-0068-5) contains supplementary materials, which is open to authorized users. the following: and individually of vi. The observed data yit* represents censored versions of yit possibly. The approximated empirical model can be specified in the next formula: Tobit(ineff) =?+?iZi +???? +?vi +?we 8 where ineff may be the inefficiency rating and Zi will be the subsequent contextual factors: (we) average amount of stay (ALS), (ii) bed occupancy rate (OCP), (iii) amount of diagnostic procedures (DIAG), (iv) amount of individuals adjusted from the Roemer index (PAT), (v) kind of hospital (1?=?Teaching, 0?=?nonteaching) (TYPE), (vi) 3 dummy variables regarding medical center size predicated on the amount of mattresses. Large private hospitals will be the types with an increase of than 400 mattresses (L), medium medical center will be the types that contains between 100 and 400 mattresses (M) and little private hospitals are all the others, having significantly less than 100 mattresses (S), (vii) seven dummy factors representing each one of the seven Regional Wellness 515-03-7 supplier Authorities (RHA) where Greece can be divided (YPE1CYPE7). The RHAs are in charge of 515-03-7 supplier planning, coordinating supervising and inspecting all 515-03-7 supplier ongoing wellness Solutions inside the limitations of the region. Their aim would be to disperse medical sector to be able to address complications linked to inefficiency within the delivery of health care. (viii) four dummy factors signifying the entire year (Season09CSeason12). The common amount of stay (ALS) may be the quantity of days an inpatient occupies a bed in a healthcare facility. Positive ALS coefficient would reveal a negative effect on effectiveness, since medical center resources remain dedicated on a single individual. Bed occupancy price has the reverse impact, because private hospitals operate making use of all available assets. Diagnostic methods consist of diagnostic and specialized methods, such as bloodstream testing, MRIs, 515-03-7 supplier CTs and biochemical examinations. If diagnostics are appointed a poor coefficient, it could indicate an optimistic effect on effectiveness. Teaching private hospitals are expected to truly have a positive coefficient, contributing to efficiency negatively. This occurs because healthcare isn’t their only aim Robo3 plus some resources are allocated to the teaching procedure therefore. Sampling On the bottom of reforms initiated from the memorandum procedures, the Ministry of Wellness is rolling out a web-based data repository known as ESY-net. All Greek is roofed by The bottom private hospitals, within the period 2009C2012 and many variables.