An analysis of the effectiveness of Spanish primary health care teams

Goñi, Salomé

doi:10.1016/s0168-8510(99)00036-6

Cited by 59 publications

(52 citation statements)

References 13 publications

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“…Since the pioneer work of Nunamaker (1983) on nursing service efficiency, multiple applications used this technique to estimate efficiency measures of primary care units (Huang and McLaughlin, 1989;Pina and Torres, 1992;Szczepura et al, 1993). Later, it was also employed to assess the performance of general practitioners (Bates et al, 1996), physicians (Chilingerian andSherman, 1996, 1997) and primary care teams (Goñi, 1999).…”

Section: Literature Reviewmentioning

confidence: 99%

Efficiency assessment of primary care providers: A conditional nonparametric approach

Ferrera

Alonso-Morán

Nuño-Solinís

et al. 2015

European Journal of Operational Research

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This paper uses a fully nonparametric approach to estimate efficiency measures for primary care units incorporating the effect of environmental factors. This methodology allows us to account for different types of variables (continuous and discrete) regarding 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 number of readmissions and hospitalization rates of ambulatory care sensitive condition (ASCS). The empirical results of our application show that all the exogenous variables considered have a significant and negative effect on efficiency estimates.

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Section: Literature Reviewmentioning

confidence: 99%

Efficiency assessment of primary care providers: A conditional nonparametric approach

Ferrera

Alonso-Morán

Nuño-Solinís

et al. 2015

European Journal of Operational Research

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“…Examples of this approach can be found in Pina and Torres (1992), Sherman (1996, 1997), Ozcan (1998), and Goñi (1999).…”

Section: Introductionmentioning

confidence: 99%

Technical efficiency in primary health care: does quality matter?

Zamorano

Petraglia

2010

Eur J Health Econ

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The accuracy required in the measurement of output is an issue that has as yet still not been satisfactorily addressed in empirical research on efficiency in primary health care. We exploit information retrieved from a newly constructed database (APEX06) for the Spanish region of Extremadura. The richness of our dataset allows us to consider original synthetic measures of output that take into account both the quantity and the quality of services provided by 85 primary care centres (PCCs) in 2006. We provide evidence that neglecting the issue of properly accounting for the quality of health services can lead to misleading results. Our main finding is that adjusting output for quality influences efficiency analysis in three senses. First, inefficiency now explains relatively more of the deviation from the potential output. Second, the average technical efficiency in the sector is lower, while its dispersion among PCCs is significantly higher. And third, the efficiency ranking of the PCCs is also affected.

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“…[9], Luoma et al [10], Salinas-Jiménez and Smith [11], Garcia et al [12], Giuffrida [13], Goñi [14], Buck [15], Giuffrida and Gravelle [16], Zavras et al [17], and Rosenman and Friesner [18].…”

Section: Introductionmentioning

confidence: 99%

Challenges for performance assessment and improvement in primary health care: The case of the Portuguese health centres

Amado

Santos

2009

Health Policy

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Primary care is currently at the heart of health service policy, both in Portugal and internationally. At the same time, interest in the measurement of efficiency of health care delivery has increased considerably. However, very few studies have focused specifically on performance assessment in primary health care provision. In this paper we aim to contribute to a discussion regarding appropriate ways to compare the performance of primary health care providers. Following a review of the literature, a conceptual framework for performance assessment of health centres is developed and tested using the Portuguese case. Our empirical analysis uses data from 2004 and 2005 for all the Portuguese health centres and compares the geographical equity of access to services, technical efficiency and quality of services across District Health Authorities. Data Envelopment Analysis is the technique used to measure technical efficiency. From our empirical analysis, we conclude that there is evidence of large variation in equity of access to services, in technical efficiency and quality of services across District Health Authorities. Our findings suggest that a better use of resources could lead to more and improved services. Whilst formative evaluation could contribute to this, the challenge is to engage health care professionals in the evaluation exercise.

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An analysis of the effectiveness of Spanish primary health care teams

Cited by 59 publications

References 13 publications

Efficiency assessment of primary care providers: A conditional nonparametric approach

Efficiency assessment of primary care providers: A conditional nonparametric approach

Technical efficiency in primary health care: does quality matter?

Challenges for performance assessment and improvement in primary health care: The case of the Portuguese health centres

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