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Efficiency and management factors: finding the balance in Thalassaemia care centres

Asrul Akmal Shafie (), Noor Syahireen Mohammed (), Kok Fong See (), Hishamshah Mohd Ibrahim (), Jacqueline Hui Yi Wong () and Irwinder Kaur Chhabra ()
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Asrul Akmal Shafie: Universiti Sains Malaysia
Noor Syahireen Mohammed: Universiti Sains Malaysia
Hishamshah Mohd Ibrahim: Ministry of Health Malaysia
Jacqueline Hui Yi Wong: Universiti Sains Malaysia
Irwinder Kaur Chhabra: Universiti Sains Malaysia

Health Economics Review, 2022, vol. 12, issue 1, 1-13

Abstract: Abstract Background Optimizing efficiency has become increasingly critical with the growing demand for finite healthcare resources driven by population growth and an ageing society. Hence, policymakers are urgently finding more efficient ways to deliver health services. Thalassemia is a complex inherited blood disorder with significant prevalence in Malaysia. The high number of patients put substantial strain on the healthcare system. This study aims to evaluate the technical efficiency of thalassaemia care centres throughout Malaysia and the determinants that affect the efficiency. Method Data from 30 public hospitals with thalassaemia care centres were collected. A double bootstrap data envelopment analysis (DEA) approach is used with the assumption of input-oriented and variable-to-scale DEA models to generate technical efficiency scores. Bootstrap truncated regression was later conducted to identify the factors affecting the efficiency scores. Results The mean bias-corrected technical efficiency score has improved to 0.75 in 2017 from 0.71 in 2016. In both years, more than 50% of thalassaemia care centres showed good efficiency scores (0.8-1.0). Management factors that affect the efficiency scores include separation of patient management (β = 0.0653) and budget (β = 0.0843), where they are found to positively affect the efficiency scores. In contrast, having longer operating hours is found to inversely influence the performance levels (β = − 0.4023). Conclusions The study provides a pioneering framework to evaluate the technical efficiency of thalassaemia treatment centres in public healthcare settings and could provide a useful guide for policymaker and thalassaemia care centre managers to improve efficiency in service delivery to thalassaemia patients and their caregivers without compromising quality of care.

Keywords: Thalassaemia treatment; Technical efficiency; Management factors; Data envelopment analysis; Malaysia (search for similar items in EconPapers)
Date: 2022
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DOI: 10.1186/s13561-021-00351-x

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