The effect of quality and socio-demographic variables on efficiency measures in primary health care

被引：38

作者：

Cordero Ferrera, Jose Manuel ^{[1
]}

Crespo Cebada, Eva ^{[1
]}

Murillo Zamorano, Luis R. ^{[1
]}

机构：

[1] Univ Extremadura, Dept Econ, E-06071 Badajoz, Spain

来源：

EUROPEAN JOURNAL OF HEALTH ECONOMICS | 2014年 / 15卷 / 03期

关键词：

Primary health care; Data envelopment analysis; Efficiency; Quality management; DATA ENVELOPMENT ANALYSIS; SEPARATING MANAGERIAL INEFFICIENCY; OPERATING ENVIRONMENT; HOSPITAL PERFORMANCE; SCALE INEFFICIENCIES; TECHNICAL EFFICIENCY; DEA; 2-STAGE; MODELS;

D O I：

10.1007/s10198-013-0476-1

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

This paper aims to extend the literature on measuring efficiency in primary health care by considering the influence of quality indicators and environmental variables conjointly in a case study. In particular, environmental variables are represented by patients' characteristics and quality indicators are based on technical aspects. In order to deal with both aspects, different extensions of data envelopment analysis (DEA) methodology are applied. Specifically, we use weight restrictions to ensure that the efficiency scores assigned to the evaluated units take quality data into account, and a four-stage model to identify which exogenous variables have impact on performance as well as to compute efficiency scores that incorporate this information explicitly. The results provide evidence in support of the importance of including information about both aspects in the analysis so that the efficiency measures obtained can be interpreted as an accurate reflection of performance.

引用

页码：289 / 302

页数：14

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