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Efficiency assessment of primary care providers: a conditional nonparametric approach

Published: June 16, 2014
Category: Reports
Authors: Alonso-Maran E, Arce RS, Cordero JM, Nuno-Solinis R, Orueta JF
Country: Spain
Language: null
Type: Performance Analysis
Settings: Academic, Hospital

Eur J Operational Res 240:235-244.

Universidad de Extremadura, Badajoz, Spain; Basque Institute for Healthcare Innovation, Sondika, Spain; Osakidetza, Basque Health Service, Erandio, Spain

This paper uses a fully nonparametric approach to estimate efficiency measures for primary care units incorporating the effect of (exogenous) environmental factors. This methodology allows us to account for different types of variables (continuous and discrete) describing the main characteristics of patients served by those providers. In addition, we use an extension of this nonparametric approach to deal with the presence of undesirable outputs in data, represented by the rates of hospitalization for ambulatory care sensitive condition (ACSC). The empirical results show that all the exogenous variables considered have a significant and negative effect on efficiency estimates.

Outcome Measures,Performance Analysis,Practice Patterns Comparison,Spain,OR in health services,Efficiency,Data envelopment analysis,Environmental factors,Nonparametric analysis

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