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Hollingsworth, Bruce; Dawson, P.J.; Maniadakis, Nikos

doi:10.1023/a:1019087828488

Cited by 316 publications

(46 citation statements)

References 24 publications

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“…Another important strength is the extensive scope and all-inclusive approach of this study, bridging the gap between health economists, health services researchers and PC decision makers. Although the DEA literature on efficiency analysis in healthcare has focused mainly on an comparing the efficiency of hospitals and nursing homes rather than PC providers, several of our findings were also confirmed by such studies [5,[10][11][12][13][14].…”

Section: Discussionsupporting

confidence: 82%

“…Although there are several alternative techniques available to carry out efficiency analysis in health care (see box 1), a predominant use of Data Envelopment Analysis (DEA) with a prevalent focus on hospitals, nursing homes and physicians has been highlighted by several reviews on frontier efficiency measurement in health care [10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

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Primary Care Efficiency Measurement Using Data Envelopment Analysis: A Systematic Review

et al. 2014

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There is a gap between the demand and supply of efficiency analyses within primary care (PC), despite the threatening financial sustainability of health care systems. This paper provides a systematic literature review on PC efficiency analysis using Data Envelopment Analysis (DEA). We reviewed 39 DEA applications in PC, to understand how methodological frameworks impact results and influence the information provided to decision makers. Studies were combined using qualitative narrative synthesis. This paper reports data for each efficiency analysis on the: 1) evaluation context; 2) model specifications; 3) application of methods to test the robustness of findings; 4) presentation of results. Even though a consistent number of analyses aim to support policymakers and practice managers in improving the efficiency of their PC organizations, the results indicate that DEA--at least when applied to PC--is a methodology still in progress; it needs to be further advanced to meet the complexity that characterizes the production of PC outcomes. Future studies are needed to fill some gaps in this particular domain of research, such as on the standardization of methodologies and the improvement of outcome research in PC. Most importantly, further studies should include extensive uncertainty analyses and be based on good evidence-based rationales. We suggest a number of considerations to academics and researchers to foster the utility of efficiency measurement for the decision making purposes in PC.

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Primary Care Efficiency Measurement Using Data Envelopment Analysis: A Systematic Review

et al. 2014

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“…Measuring the hospital efficiency plays an important and significant role in the evaluation of the health policy initiatives and comparatives analysis of health systems (Biorn et al, 2003;Gerdtharn et al, 1999). Studies conducted by Hollingsworth et al, (1999;2003) on the systematic review of the studies on hospital efficiency and productivity has given a clear picture of general view of literatures on hospitals efficiency and productivity. Literatures record that most of the studies incorporated in the systematic review were from the developed countries.…”

Section: Introductionmentioning

confidence: 99%

Measuring Technical Efficiency of Faith Based Hospitals in Tanzania: An application of Data Envelopment Analysis (DEA)

Bwana

2015

RAE

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By employing data envelopment analysis (DEA), this study examines efficiency of faith-based (private not for profit-PNFP) hospitals in Tanzania. Using data from 15 hospitals, particularly Volunteering Agency Hospitals (VAHs), our study period covered the year 2009-2012. The objective of this study is to determine technical efficiency of Volunteering Agency Hospitals (VAHs) as well as scale efficiency and hence establish how the inefficiency in these hospitals (VAHs) can be reduced in Tanzania. Significance of this Study premises on equipping the hospitals administrators, governing boards, owners as well as healthcare policy makers with relevant information on how to improve hospitals efficiency. Additionally, through deliberating on the generalization of efficiency of the faith-based hospitals the study will add to the existing literatures on the efficiency of religious hospitals particularly in Tanzania.Based on measures of technical efficiency the average efficiency index (for all hospitals) was 0.769 (76.9%) and total number of technically efficient was 4 (26.6%) hospitals. The result shows that, average annual technical efficiency for the VAHs was 59.79% in the year 2009, 60.01% in the year 2010, 57.49% in the year 2011 and 55.08% in the year 2012, which implies that there was no improvement in the technical efficiency. However, most of the hospitals (73.33%) have increasing returns to scale (IRS) which means therefore that, if more resources will be equally allocated to these hospitals (with IRS) there will be proportionate increase in production of health services hence catching up the production frontier.

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“…From a managerial perspective, understanding the hospitals cost structure and their inefficiency in utilizing resources is crucial for making health care policies and budgeting decisions. The cost of medical services in hospitals is likely control by higher operational efficiency and to provide more affordable care and improved access to the public [3].…”

Section: Introductionmentioning

confidence: 99%