Abstract | Monopol predstavlja najekstremniji oblik nesavršene konkurencije gdje prevladava jedan prodavač te za njegove proizvode ne postoji supstitut. Za nesavršenu konkurenciju vrijedi da prodavatelj na takvoj strukturi tržišta može utjecati na cijenu do određene mjere, dok s druge strane za savršenu konkurenciju vrijedi da niti jedno poduzeće nema tržišnu moć utjecanja na cijenu. Ukoliko monopolist želi povećati svoju prodaju mora spustiti cijenu iz razloga što je u monopolu krivulja potražnje opadajuća. Glavni razlozi postojanja monopola jesu barijere pri ulasku na takvo tržište koje ostale potencijalne izazivače i konkurente čine ekonomski neučinkovitima. KBC-i čine tercijarnu razinu zdravstvene zaštite u RH. Najveći izdaci u zdravstvu idu upravo u tercijarnu razinu, točnije u najkompleksniju organizaciju, KBC. Broj pružatelja zdravstvenih usluga raste, no u segmentu bolničkog liječenja i ostalih usluga koje KBC nudi ne postoji konkurencija. Iako KBC-i imaju monopolsku poziciju to ne znači da posluju bez nestabilnosti. Nagomilani dugovi i loše menadžerske odluke iz prošlosti ostavili su svoj trag te se posljedice osjećaju i dan danas na poslovanje ovih složenih sustava. Rad će u prvom dijelu objasniti teorijski dio monopola, točnije obilježja, strukture, vrste i strateško upravljanje u monopolu. U drugom djelu bit će opisani troškovi te njihova važnost u menadžerskom odlučivanju. U trećem djelu će se detaljno dati uvid u poslovanje KBC-a s naglaskom na važnosti troškova koji uvelike utječu na donošenje odluka menadžera u KBC-ima. |
Abstract (english) | Monopoly represents the most extreme form of imperfect competition of market state, where one seller prevails and there is no equivalent substitute for his products. In imperfect competition, the dominant seller in such market structure can influence the price, to a certain extent, contrary to the perfect competition, where it's true that no company has the individual power to affect the price. If the monopolist wants to increase his sales, he has to lower the price because the demand curve in a monopoly is always downward sloping. The main reasons for the existence of monopolies are barriers that are preventing entry to such market, which make other potential challengers and competitors economically insufficient.
UHCs form the tertiary level of health care in the Republic of Croatia. The largest expenditures in healthcare go exactly to the tertiary level, more precisely to the most complex organization, the UHC. Even if the number of healthcare providers grows, there is no competition in the segment of hospital treatment and other services offered by UHC. Although UHCs have a monopoly position, this does not mean that they operate without instability. Accumulated debts and poor management decisions from the past have left their mark on the operation of these complex systems, even to this day.
In the first part, the paper will deal with the theoretical part of monopoly, more precisely the characteristics, structures, types and strategic management in monopoly. The second part will describe costs and their importance in managerial decision-making. And finally, in the third part, a detailed insight into the operations of UHC will be given, with an emphasis on the importance of costs, which greatly influence the decision-making of managers in UHCs. |