Using DEA to evaluate efficiency and formulate policy within a greek national primary health care network

Journal of Medical Systems

Volumn 26, Issue 4, 2002, Pages 285-292

  Zavras, Athanasios I ^a,b   Tsakos, Georgios ^b,c   Economou, Charalabos ^b   Kyriopoulos, John ^b  

^a HARVARD SCHOOL OF DENTAL MEDICINE   (United States)

^b NATIONAL SCHOOL OF PUBLIC HEALTH   (Greece)

^c ROYAL FREE AND UNIVERSITY COLLEGE MEDICAL SCHOOL   (United Kingdom)

Author keywords

Data envelopment analysis; Efficiency; Greece; Primary health care

Indexed keywords

AGING; ARTICLE; DATA ANALYSIS; DATA ENVELOPE ANALYSIS; DIAGNOSTIC IMAGING; GREECE; HEALTH CARE FACILITY; HEALTH CARE PERSONNEL; HEALTH CARE POLICY; HEALTH SERVICE; HUMAN; LABORATORY TEST; PRIMARY HEALTH CARE; EVALUATION; HEALTH CARE ORGANIZATION; HEALTH CARE PLANNING; MANAGEMENT; METHODOLOGY; ORGANIZATION AND MANAGEMENT; PUBLIC HEALTH; STATISTICS; UTILIZATION REVIEW;

EFFICIENCY, ORGANIZATIONAL; GREECE; HEALTH CARE RATIONING; HEALTH PLANNING; MANAGEMENT AUDIT; NATIONAL HEALTH PROGRAMS; POLICY MAKING; PRIMARY HEALTH CARE; STATISTICS;

EID: 1842584274     PISSN: 01485598     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1015860318972     Document Type: Article

References (30)

1. Abel-Smith, B., Calltorp, J., Dixon, M., Dunning, A., Evans, R., Holland, W., Jarman, B., and Mosialos, E., Report on the Greek Health Services, Ministry of Health and Welfare, Pharmetrika, Athens, 1994.
2. Tragakes, E., and Polyzos, N., The evolution of health care reforms in Greece: Charting a course of change. Int. J. Health Plann. Manage. 13:107-130, 1998.
3. Kyriopoulos, J., and Levett, J., Health care reform in Greece. In Ritsatakis, A., Kyriopoulos, J., and Levett, J. (eds.), Neighbours in the Balkans. Initiating a Dialogue for Health, WHO EURO, National School of Public Health, Athens, pp. 56-60, 1999.
4. Kyriopoulos, J., Gitona, M., and Karalis, G., Hidden economy, private spending and informal copayment in health care: The role of medical power in Greece. In Beazoglou, T., Heffley, D., and Kyriopoulos, J. (eds.), Human Resources Supply and Cost-Containment in Health Systems, FICOSSER and Exandas, Athens, pp. 269-281. 1998.
5. European Commission. Citizens and Health Systems: Main Results from a Eurobarometer Survey, Eurostat, Luxemburg, 1998.
6. Ministry of Health and Welfare. Health Care in Greece, Athens, p. 73, 1999.
7. Banker, R. D., Conrad, R. F., and Strauss, R. P., A comparative application at data envelopment analysis: An illustrative study of hospital production. Manage. Sci. 32:30-44, 1986.
8. Burgess, J., and Wilson, P. W., Hospital ownership and technical inefficiency. Manage. Sci. 42(1):110-123, 1996.
9. Rosko, M. D., Chilingerian, J. A., Zinn, J. S., and Aaronson, W. E., The effects of ownership, operating environment, and strategic choices on nursing-home efficiency. Med. Care 33:1001-1021, 1993.
10. Ozcan, Y. A., and Luke, R. D., A national study of the efficiency of hospitals in urban markets. Health Serv. Res. 27(6):719-739, 1993.
11. Ersoy, K., Kavunkubasi, S., Ozcan, Y. A., and Harris, J. M., Technical efficiencies of Turkish hospitals: DEA approach, J. Med. Syst. 21(2):67-74, 1997.
12. Hollingsworth, B., Maniadakis, N., and Thanassoulis, E., Efficiency-measured response. Health Serv. J. 25:109(5682):28-29, 1999.
13. Vitaliano, D.F., and Toren M., Cost and efficiency in nursing homes: A stochastic frontier approach. J. Health Econ. 13:281-300, 1994.
14. Kooreman, P., Nursing-home care in the Netherlands - a non parametric efficiency analysis. J. Health Econ. 13:301-316, 1994.
15. Rosenman, R., Siddharthan, K., and Ahern, M., Output efficiency of health maintenance organization in Florida. Health Econ. 6:295-302, 1997.
16. Chilingerian, J., and Sherman, D. H., DEA and primary care physician report cards: Deriving preferred practice cones from managed care service concepts and operating strategies. Ann. Oper. Res. 73:35-66, 1997.
17. Tyler, L. H., Ozcan, Y. A., and Wogen, S. E., Mental health case management and technical efficiency. J. Med. Syst. 19(5):413-423, 1995.
18. Ozcan, Y. A., McCue, M. J., and Okasha, A. A., Measuring the technical efficiency of psychiatric hospitals. J. Med. Syst. 20(3):141-150, 1996.
19. Sissouras, A., Mitropoulos, J., and Gounaris, C., Evaluating the efficiency of health care units: The case of the Greek primary health care centers. In Javor, A., van Eimeren, W., and Duru, G. (eds.), Proc. 7th Int. Conf. Syst. Sci. Health Care Sustain. Struct. Better Health, 29 May-2 June, Budapest, 2000.
20. Mitropoulos, I., Athanassopoulos, A., and Sissouras, A., Productive efficiency of the Social Insurance Health departments in Greece: Data envelopment analysis. Soc. Econ. Health 5(1):5-21, 1996. (In Greek)
21. Athanassopoulos, A., Gounaris, C., and Sissouras, A., A discriptive assessment of the cost and production efficiency of the general hospital in Greece. Health Care Manage. Sci. 2:2, 1999.
22. Athanassopoulos, A., Decision support for target-based resource allocation of public services in multilevel systems. Manage. Sci. 2:173-187, 1998.
23. Farrell, M., The measurement of productive efficiency. J. Royal Stat. Soc. 120:235-281, 1957.
24. Charnes, A., Cooper, W. and Rhodes, E., Measuring the efficiency of decision making units. Eur. J. Oper. Res. 2(6):429-444, 1978.
25. Hollingsworth, B., Dawson, P., and Maniadakis, N. Efficiency measurement of health care: A review of non-parametric methods and applications. Health Care Manage. Sci. 2(3):161-172, 1999.
26. Chilingerian, J. A., Evaluation physician efficiency in hospitals: A multivariate analysis of the best practices. Eur. J. Oper. Res. 80:548-574, 1995.
27. Thanassoulis, E., Boussofiane, A., and Dyson, A., Exploring output quality targets in the provision of peninatal care in England using data envelopment analysis. Eur. J. Oper. Res. 80:588-607, 1995.
28. Zuckerman, S., Hadley, J., and Lezzoni, L., Measuring hospital efficiency with frontier cost function, J. Health Econ. 13:255-280, 1994.
29. Kyriopoulos, J., and Tsalikis, G. Health care reform in Greece. In Kyriopoulos, J., Tsalikis, G., and Levett, J. (eds.), Health Care Reform in the Balkan Region, Exandas, Athens, pp. 59-70, 1999.
30. Kyriopoulos, J., Gitona, M., Economou, Ch., and Karalis, G. Health inequalities and equity policies in Greece. In Javor, A., van Eimeren, W., and Duru, G. (eds.), Proc. 7th Int. Conf. Syst. Sci. Health Care Sustain. Struct. Better Health, 29 May-2 June, Budapest, pp. 239-242, 2000.