Efficient management of health centres human resources in Zambia

Journal of Medical Systems

Volumn 30, Issue 6, 2006, Pages 473-481

  Masiye, Felix ^a   Kirigia, Joses M ^b   Emrouznejad, Ali ^c   Sambo, Luis G ^b   Mounkaila, Abdou ^d   Chimfwembe, Davis ^e   Okello, David ^b  

^a UNIVERSITY OF ZAMBIA   (Zambia)

^b WORLD HEALTH ORGANIZATION   (Switzerland)

^c ASTON UNIVERSITY   (United Kingdom)

^d JSI/MEASURE/Evalution   (United States)

^e MINISTRY OF HEALTH   (Zambia)

Author keywords

Data envelopment analysis; Health centers mangement; Technical efficiency; Zambia health

Indexed keywords

ARTICLE; COST CONTROL; COST EFFECTIVENESS ANALYSIS; HEALTH CARE DELIVERY; HEALTH CARE FACILITY; HEALTH CARE MANAGEMENT; HEALTH CENTER; HEALTH STATUS; HUMAN; MEDICAL STAFF; ZAMBIA;

AMBULATORY CARE FACILITIES; EFFICIENCY, ORGANIZATIONAL; HEALTH MANPOWER; HUMANS; ZAMBIA;

EID: 33845416400     PISSN: 01485598     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10916-006-9032-1     Document Type: Article

References (48)

1. WHO, The World Health Report 2000: Improving Health Systems Peformance, WHO, Geneva, 2000a.
2. WHO, The Bulletin of the World Health Organization, WHO, Geneva, 2000b.
3. Murray, C. J. L., and Frenk, J., A framework for assessing the performance of health systems. Bull. WHO. 78(6):717-731, 2000.
4. Williams, A., Science or Marketing at WHO? A commentary on 'World Health 2000'. Health Econ. 10(93):93-100, 2000.
5. Wagstaff, A., Measuring equity in health care financing: reflections on and alternatives to the World Health Organizations fairness of financing index. Development Research Group and Human Development Network, World Bank, 2001.
6. Shaw, R. P., World Health Report 2000 "Financial Fairness Indicator". Useful compass or crystal ball? Int. J. Health Serv. 32(1):195-203, 2002.
7. Pedersen, K. M., The World Health Report 2000: dialogue of the deaf. Health Econ. 11:93-101, 2002.
8. UNDP, The Human Development Report 2002, Oxford University Press, Oxford, 2002.
9. Masiye, F., Ndulo, M., Roos, P., and Odegaard, K., A comparative analysis of hospitals in Zambia: a pilot study on efficiency measurement and monitoring. In: Seshamani, V., Mwikisa, C. N., and Odegaard, K. (eds.), Zambias Health Reforms Selected Papers 1995-2000 Chapter 7, Sweden, Lund, pp. 95-107, 2002.
10. WHO, World Health Report 2001, WHO, Geneva, 2001a.
11. UNDP, The Human Development Report 2001, Oxford University, Oxford, 2001.
12. United Nations, The millenium international development goals, United Nations, New York, 2000.
13. st century in the African Region: agenda 2020, WHO, Harare, 2000.
14. WHO, Macroeconomics and Health: Investing in Health for Economic Development, World Health Organization, Geneva, 2001b.
15. New Partnership for Africas Development, Human Development Programme: Health. Republic of South Africa, Pretoria, 2000.
16. Mooney, G. H., Economics, medicine and health care, Harvester Wheatsheaf, New York, 1986.
17. Culyer, A. J., The morality of efficiency in health care: some uncomfortable implications. Health Econ. 1(1):7-18, 1992.
18. Saltman, R. B., and Ferrousier-Davis, O., The concept of stewardship in health policy. Bulletin World Health Organ. 78(6):732-739, 2001.
19. Chattopadhy, S., and Ray, C. S., Technical, Scale, and Size efficiency in Nursing home care: a nonparametric analysis of Connecticut homes. Health Econ. 5:363-373, 1996.
20. Shroff, H. F. E., Gulledge, T. R., Haynes, K. E., and Oneill, M. K., Siting efficiency of long-term health care facilities. Socioecon. Plann. Sci. 32(1):25-43, 1998.
21. Hollingsworth, B., and Parkin, D., The efficiency of the delivery of neonatal care in the UK. J. Public Health Med. 23(1):47-50, 2001.
22. Jacobs, R., Alternative methods to examine hospital efficiency: data envelopment analysis and stochastic frontier analysis. Health Care Manag. Sci. 4:103-115, 2001.
23. Ersoy, K., Kavuncubasi, S., Ozcan, Y. A., and Harris, I. I. J. M., Technical efficiencies of Turkish hospitals:DEA Approach. J. Med. Syst. 21(2):67-74, 1997.
24. Linna, M., Nordblad, and Koivu, M., Technical and cost efficiency of oral health care provision in Finnish health centres. Soc. Sci. Med., 2002.
25. Chang, H., Determinants of hospital efficiency: the case of central government-owned hospitals in Taiwan. Omega Int. J. Manag. Sci. 26(2):307-317, 1998.
26. Wan, T. T. H., Hsu, N., Feng, R., Ma, A., Pan, S., and Chou, M., Technical efficiency of Nursing Units in a tertiary care hospital in Taiwan. J. Med. Sys. 26(1):21-27, 2002.
27. Kirigia, J. M., Lambo, E., and Sambo, L. G., Are public hospitals in Kwazulu-Natal Province of South Africa technically efficient? African J. Health Sci. 7(3-4):25-32, 2000.
28. Kirigia, J. M., Sambo, L. G., and Scheel, H., Technical efficiency of public clinics in Kwazulu-Natal province of South Africa. East African Med. J. 78(3):S1-S13, 2001.
29. Zere, E. A., Addison, T., and McIntyre, D., Hospital efficiency in Sub-Saharan Africa: Evidence from South Africa. South African J. Econ. 2000.
30. Kirigia, J. M., Emrouznejad, A., and Sambo, L. G., Measurement of technical efficiency of public hospitals in Kenya: using Data Envelopment Analysis. J. Med. Sys. 26(1):39-45, 2002a.
31. Emrouznejad, A., An alternative DEA measure: A case of OCED countries. Appl. Econ. Lett. 10:779-782, 2003.
32. Emrouznejad, A., Measurement efficiency and productivity in SAS/OR. J. Comput. Oper. Res. 32(7) 1665-1683, July 2005, 2004.
33. Emrouznejad, A., and Thanassoulis, E., A mathematical model for dynamic efficiency using data envelopment analysis. J. Appl. Math. Comput. 160(2):363-378, 14 January, 2005, 2004.
34. Emrouznejad, Ali, and Victor, Podinovski, Data Envelopment Analysis and Performance management, Warwick Print, Coventry, UK, ISBN: 0 90268373 X, 2004.
35. Coelli, T. J., A guide to DEAP Version 2.1: A Data Envelopment Analysis (Computer) Program. Working Paper No. 8/96. Centre for Efficiency and Productivity Analysis (CEPA), Department of Econometrics, University of New England, Armidale, Australia, 1996.
36. Farrell, M. J., The measurement of productive efficiency. J. Royal Stat. Soc. Series A 120(III):253-281, 1957.
37. Charnes, A., Cooper, W. W., and Rhodes, E., Measuring efficiency of decision making units. Eur. J. Oper. Res. 2-6:429-444, 1978.
38. Emrouznejad, A., Ali Emrouznejad's DEA HomePage, Warwick Business School, Coventry CV4 7AL, UK, 1995-2003.
39. Morey, R. C., Fine, D. J., and Loree, S. W., Comparing the allocative efficiencies of hospitals. OMEGA Int. J. Manag. Sci. 18(1):71-83, 1990.
40. Ozcan, A., and Luke, R. D., A national study of the efficiency of hospitals in Urban Markets. Health Serv. Res. 27(6):719-739, 1993.
41. Lynch, J. R., and Ozcan, Y., Hospital closure: an efficiency analysis. Hospital Health Serv. Admin. 39(2):205-220, 1994.
42. Ozcan, Y., and Cotter, J. J., As assessment of efficiency of area agencies on aging in Virginia through data envelopment analysis. The Gerontologist 34(3):363-370, 1994.
43. Laura, H. T., Ozcan, Y. A., and Wogan, S. E., Mental health case management and technical efficiency. J. Med. Syst. 19(5):413-423, 1995.
44. Ozcan, Y., Efficiency of hospital service production in local markets: the balance sheet of U.S. medical armament. Socioecon Plann. Sci. 29(2):139-150, 1995.
45. White, K. R., Fache, R. N., and Ozcan, Y., Church ownership and hospital efficiency. Hospital Health Serv. Admin. 41(3):297-310, 1996.
46. Pai, C., Ozcan, Y. A., and Jiang, H. J., Regional variation in physician practice pattern: an examination of technical and cost efficiency for treating sinusitis. J. Med. Sys. 24(2):103-117, 2000.
47. Harris, II J., Ozgen, H., and Ozcan, Y., Do mergers enhance the performance of hospital efficiency? J. Oper. Res. Soc. 51:801-811, 2000.
48. Rollins, J., Lee, K., Xu, Y., and Ozcan, Y., Longitudinal study of health maintenance organization efficiency. Health Serv. Manage. Res. 14:249-262, 2001.