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Financial challenges in Portuguese hospitals: debt influences

Maria Elisabete Neves (Coimbra Business School | ISCAC, Polytechnic Institute of Coimbra, Coimbra, Portugal) (Research Center for Natural Resources Environment and Society (CERNAS), Polytechnic Institute of Coimbra, Coimbra, Portugal) (CEOS, ISCAP, Polytechnic of Porto, Porto, Portugal)
Ana Carolina (Coimbra Business School | ISCAC, Polytechnic Institute of Coimbra, Coimbra, Portugal)

International Journal of Health Governance

ISSN: 2059-4631

Article publication date: 21 November 2024

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Abstract

Purpose

This study aims to understand how specific variables of companies, corporate governance and macroeconomic factors influence the indebtedness of Portuguese hospitals, a key sector in the economy.

Design/methodology/approach

To test the hypotheses, data from 256 Portuguese hospitals were used, in the period between 2015 and 2021. The models were estimated using the panel data methodology, specifically using the estimation method generalized method of moments (GMM) system, from Arellano and Bover (1995) and Blundell and Bond (1998).

Findings

Using three measures of indebtedness to assess whether the determinants vary according to debt maturity, the results show differences in the sign and significance of the variables determining total indebtedness across short, medium and long-term debt.

Originality/value

This article appears to be original and significant as it provides detailed awareness of debt levels and their management, particularly in the context of ongoing debates about Portugal’s national health system.

Keywords

Acknowledgements

This work is financed by Portuguese national funds through Foundation for Science and Technology (FCT), under the project UIDP/00681/2020, DOI 10.54499/UIDP/00681/2020 and UIDB/05422/2020.

Citation

Neves, M.E. and Carolina, A. (2024), "Financial challenges in Portuguese hospitals: debt influences", International Journal of Health Governance, Vol. ahead-of-print No. ahead-of-print. https://doi.org/10.1108/IJHG-05-2024-0062

Publisher

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Emerald Publishing Limited

Copyright © 2024, Emerald Publishing Limited

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