The efficiency of the Community Dental Service in England: a data envelopment analysis

Buck, David

doi:10.1034/j.1600-0528.2000.280405.x

Cited by 20 publications

(24 citation statements)

References 3 publications

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“…These results were then aggregated to the level of the DHAs. 15,9. These discrepancies are even more significant across the DHAs and across the centres.…”

Section: Data Measures and Modelsmentioning

confidence: 72%

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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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“…These results were then aggregated to the level of the DHAs. 15,9. These discrepancies are even more significant across the DHAs and across the centres.…”

Section: Data Measures and Modelsmentioning

confidence: 72%

“…[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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“…Eleven included DEA applications focused on measuring scale (in)efficiency, using both a CRS and a VRS DEA model on the same dataset [23,26,27,29,34,35,44,37,38,46,52].…”

Section: Discussionmentioning

confidence: 99%

“…mix of labour or capital resources; five DEA models considered both single and disaggregated measures of inputs (see additional file 1). Inputs were measured in physical units in either total working hours or working hours by skill level [23,36,38,40,41,47,56], or in absolute number of individuals by skill level [21,22,25,29,32,33,51,53]. Only four studies divided their input mix into two categories (i.e.…”

Section: Discussionmentioning

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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Applications for Other Health Care Organizations

Özcan

2014

International Series in Operations Research &Amp; Management Science

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The efficiency of the Community Dental Service in England: a data envelopment analysis

Cited by 20 publications

References 3 publications

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

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

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

Applications for Other Health Care Organizations

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