Technical efficiency in primary health care: Does quality matter?

European Journal of Health Economics

Volumn 12, Issue 2, 2011, Pages 115-125

  Murillo Zamorano, Luis R ^a   Petraglia, Carmelo ^b  

^a UNIVERSITY OF EXTREMADURA   (Spain)

^b UNIVERSITY OF NAPLES FEDERICO II   (Italy)

Author keywords

Primary health care; Quality; Stochastic frontier analysis; Technical efficiency

Indexed keywords

ARTICLE; CLINICAL EFFECTIVENESS; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HUMAN; INTERMETHOD COMPARISON; PRIMARY HEALTH CARE; PRIORITY JOURNAL; QUALITY CONTROL; QUALITY OF LIFE INDEX; THEORETICAL MODEL;

AGE FACTORS; CROSS-SECTIONAL STUDIES; EDUCATION, CONTINUING; EFFICIENCY, ORGANIZATIONAL; HEALTH SERVICES ACCESSIBILITY; HUMANS; OFFICE VISITS; PATIENT SATISFACTION; PRIMARY HEALTH CARE; QUALITY OF HEALTH CARE; SOCIOECONOMIC FACTORS; SPAIN;

EID: 79958177257     PISSN: 16187598     EISSN: 16187601     Source Type: Journal    
DOI: 10.1007/s10198-010-0232-8     Document Type: Article

References (37)

1. Abdi, H.: Multivariate analysis. In: Lewis-Beck, M., Bryman, A., Futing, T. (eds.) Encyclopedia for Research Methods for Social Sciences. Sage, Thousand Oaks, CA (2003)
2. Aigner, D.J., Lovell, C.A.K., Schmidt, P.J.: Formulation and estimation of stochastic frontier production function models. J. Econom 6, 21-37 (1977)
3. Amado, C.A., Dyson, R.G.: Exploring the use of DEA for formative evaluation in primary diabetes care: an application to compare English practices. J. Oper. Res. Soc. 60, 1469-1482 (2009)
4. Amado, C.A., Dyson, R.G.: On comparing the performance of primary care providers. Eur. J. Oper. Res. 185, 915-932 (2008) (Pubitemid 47516564)
5. Amado, C.A., Santos, S.P.: Challenges for performance assessment and improvement in primary health care: the case of the Portuguese health centres. Health Policy 91, 43-56 (2009)
6. Battese, G., Corra, G.: Estimation of a production frontier model with application to the pastoral zone of Eastern Australia. Aust. J. Agric. Resour. Econ. 21, 167-179 (1977)
7. Battese, G.E., Coelli, T.J.: A model for technical inefficiency effects in a stochastic frontier production function for panel data. Empir. Econ. 20, 325-332 (1995) (Pubitemid 26430398)
8. Battese, G.E., Coelli, T.J.: Prediction of firm-level technical efficiencies with a generalized frontier production function and panel data. J. Econom. 38, 387-399 (1988)
9. Cape, J.: Consultation length, patient-estimated consultation length, and satisfaction with the consultation. Br. J. Gen. Pract. 52(485), 1004-1006 (2002) (Pubitemid 35439309)
10. Carr-Hill, R.A., Rice, N., Roland, M.: Socioeconomic determinants of rates of consultation in general practice based on fourth national morbidity survey of general practices. Br. Med. J. 312, 1008-1013 (1996) (Pubitemid 26118096)
11. Charnes, A., Cooper, W.W., Rhodes, E.: Measuring the efficiency of decision -making units. Eur. J. Oper. Res. 2, 429-444 (1978) (Pubitemid 9402758)
12. Chilingerian, J., Sherman, H.: Benchmarking physician practice patterns with DEA: a multi-stage approach for cost containment. Ann. Oper. Res. 67, 83-116 (1996)
13. Chilingerian, J., Sherman, H.: DEA and primary care physicians report cards: Deriving preferred practice cones from managed care service concepts and operating strategies. Ann. Oper. Res. 73, 35-66 (1997)
14. García, F., Marcuello, C., Serrano, D., Urbina, O.: Evaluation of efficiency in primary health care centres: an application of data envelopment analysis. Financ. Account. Manage. 15, 67-83 (1999)
15. Giuffrida, A., Gravelle, H., Sutton, M.: Efficiency and administrative costs in primary care. J. Health Econ. 19, 983-1006 (2000)
16. Giuffrida, A., Gravelle, H.: Measuring performance in primary care: econometric analysis and DEA. Appl. Econ. 33, 163-175 (2001) (Pubitemid 32149046)
17. Giuffrida, A.: Productivity and efficiency changes in primary care: a Malmquist index approach. Health Care Manag. Sci. 2, 11-26 (1999)
18. Goñi, S.: An analysis of the effectiveness of the Spanish primary health care teams. Health Policy 48, 107-117 (1999) (Pubitemid 29324945)
19. Greene, W.M.: The econometric approach to efficiency analysis. In: Fried, H.O., Lovell, C.A.K., Schmidt, S.S. (eds.) The measurement of productive efficiency: techniques and applications. Oxford University Press, Oxford (1993)
20. Grol, R., Wensing, M., Mainz, J., Jung, H.P., Ferreira, P., Hearnshaw, H., Hjortdahl, P., Olesen, F., Reis, S., Ribacke, M., Szecsenyi, J.: Patients in Europe evaluate general practice care: An international comparison. Br. J. Gen. Pract. 50(460), 882-887 (2000)
21. Jobson, J.D.: Applied mulitvariate multivariate analysis. Volume II: Categorical and multivariate methods. Springer, New York (1992)
22. Jondrow, J., Lovell, C.A.K., Materov, I.S., Schmidt, P.: On the estimation of technical inefficiency in the stochastic frontier production function model. J. Econom. 23, 269-274 (1982)
23. Koopmans, T.C.: An analysis of production as efficient combination of activities. In: Koopmans, T.C. (ed.) Activity analysis of production and allocation. Wiley, New York (1951)
24. Leibowitz, R., Day, S., Dunt, D.: A systematic review of the effect of different models of after-hours primary medical care services on clinical outcome, medical workload, and patient and GP satisfaction. Fam. Pract. 20(3), 311-317 (2003) (Pubitemid 36722469)
25. Meeusen, W., van den Broeck, J.: Efficiency estimation from Cobb-Douglas production functions with composed error. Int. Econ. Rev. 18, 435-444 (1977)
26. Miranda, F.J., Chamorro, A., Murillo-Zamorano, L.R., Vega, J.: Adapting the servqual scale to primary health care services in Spain: managers vs. patients perceptions. J. Public Health Manag. Pract. (in press) (2010)
27. Muñiz, M.: Separating managerial inefficiency and external conditions in data. Eur. J. Oper. Res. 143(3), 625-643 (2002)
28. Murillo-Zamorano, L.R., Morillo, J., Sánchez, M., Vega, J.: Equidad en la prestatión de los servicios públicos fundamentales en España. Balanzas de Accesibilidad en Educatión y Sanidad. Servicio de Publicaciones Universidad de Extremadura. ISBN: 978-84-7723-857-7 (2008)
29. Murillo-Zamorano, L.R.: Economic efficiency and frontier techniques. J. Econ. Surv. 18, 33-77 (2004)
30. Nunamaker, T.R.: Measuring routine nursing service efficiency: A comparison of cost per patient day and data envelopment analysis models. Health Serv. Res. 18, 183-205 (1983) (Pubitemid 13016259)
31. Ozcan, Y.A.: Physician benchmarking: measuring variation in practice behavior in treatment of otitis media. Health Care Manag. Sci. 1, 5-17 (1998) (Pubitemid 128692977)
32. Pina, V., Torres, L.: Evaluating the efficiency of non-profit organizations: An application of data envelopment analysis to the public health services. Financ. Account. Manage. 8, 213-225 (1992)
33. Puig-Junoy, J., Ortún, V.: Cost efficiency in primary care contracting: A stochastic frontier cost function approach. Health Econ. 13, 1149-1165 (2004) (Pubitemid 40017238)
34. Rosenman, R., Friesner, D.: Scope and scale efficiencies in physician practices. Health Econ. 13, 1091-1116 (2004) (Pubitemid 39496945)
35. Salinas-Jiménez, J., Smith, P.C.: Data envelopment analysis applied to quality in primary health care. Ann. Oper. Res. 67, 141-161 (1996) (Pubitemid 126729299)
36. Szczepura, A., Davies, A., Fletcher, C., Boussofiane, A.: Efficiency and effectiveness in general practice. J. Manag. Med. 7, 36-47 (1993)
37. Vega, J., Murillo-Zamorano, L., De Miguel, F., Morillo, J., Sánchez, M.M.: Un sistema integrado de informatión para la atención primaria en Extremadura, APEX06. Consejería de Sanidad y Consumo, Junta de Extremadura (2007)