Efficiency and productivity of public hospital establishments in Algeria

Efficience et productivité des établissements publics hospitaliers en Algérie

Ahcene Ouali, Martine Audibert () and Ahcène Zehnati
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Ahcene Ouali: UMMTO - Université Mouloud Mammeri [Tizi Ouzou] = Mouloud Mammeri University of Tizi-Ouzou
Martine Audibert: CERDI - Centre d'Études et de Recherches sur le Développement International - UCA [2017-2020] - Université Clermont Auvergne [2017-2020] - CNRS - Centre National de la Recherche Scientifique, CERDI - Centre d'Études et de Recherches sur le Développement International - IRD - Institut de Recherche pour le Développement - CNRS - Centre National de la Recherche Scientifique - UCA - Université Clermont Auvergne
Ahcène Zehnati: LED - Laboratoire d'Economie Dionysien - UP8 - Université Paris 8 Vincennes-Saint-Denis, Centre de Recherche en Economie Appliquée pour le Développement - Partenaires INRAE

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Abstract: Objective: This study aims to evaluate technical efficiency and the evolution of productivity in 120 public hospital establishments (PHE) in Algeria over the period 2011-2020, as well as the factors which influence this efficiency. Methods: To measure efficiency scores, we used the output-oriented DEA (Data Envelopment Analysis) method, considering the variable return to scale hypothesis. At the same time, we used the Malmquist index to measure changes in efficiency and productivity over the years and the Simar Wilson models to assess the determinants of efficiency. Results: The average efficiency scores for the study period are 0.788 and 0.710 in the classic DEA and Bootstrap DEA models, respectively. Regarding the Malmquist index, we observed a 3% decline in total factor productivity during the study period, but an improvement in technical efficiency of 0.3% was noted. As for the determinants of efficiency, six variables werefound to besignificant: bedoccupancy rate, average length of stay, number of beds per doctor, number of beds per thousand inhabitants, number of doctors per thousand inhabitants, and budget. Conclusion: The results indicate an overall improvement in the technical performance of public hospitals during the study period. However, a decline in total factor productivity was observed, mainly due to technological change.

Keywords: Data Envelopment Analysis (DEA); Efficience; Double Bootstrap; Indice de Malmquist; efficiency; amp; hospitals; Productivity; Malmquist index (search for similar items in EconPapers)
Date: 2025-02-15
New Economics Papers: this item is included in nep-ara and nep-eff
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Published in Santé Publique, 2025, Prépublications (2), pp.I56-XI. ⟨10.3917/spub.pr2.0056⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-05021744

DOI: 10.3917/spub.pr2.0056

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