Efficiency assessment of primary care providers: A conditional nonparametric approach

José Manuel Cordero, Edurne Alonso-Morán, Roberto Nuño-Solinis, Juan F. Orueta and Regina Sauto Arce

European Journal of Operational Research, 2015, vol. 240, issue 1, 235-244

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

Keywords: OR in health services; Efficiency; Data envelopment analysis; Environmental factors; Nonparametric analysis (search for similar items in EconPapers)
Date: 2015
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Citations: View citations in EconPapers (30)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:ejores:v:240:y:2015:i:1:p:235-244

DOI: 10.1016/j.ejor.2014.06.040

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