Performance Analysis of Regional French Hospitals Before and During the COVID-19 Pandemic

Estelle Guenifo Garner Coulibali, Frédy Pokou () and Jules Sadefo Kamdem ()
Additional contact information
Estelle Guenifo Garner Coulibali: MRE - Montpellier Recherche en Economie - UM - Université de Montpellier
Frédy Pokou: CRIStAL - Centre de Recherche en Informatique, Signal et Automatique de Lille - UMR 9189 - Centrale Lille - Université de Lille - CNRS - Centre National de la Recherche Scientifique
Jules Sadefo Kamdem: MRE - Montpellier Recherche en Economie - UM - Université de Montpellier

Working Papers from HAL

Abstract: This study assesses the efficiency of French regional hospitals (excluding DOM-TOM and Corsica) from 2018 to 2021, distinguishing the prepandemic (2018-2019) and pandemic (2020-2021) periods using data envelope analysis (DEA). Two models were developed: one minimizing deaths as an adverse outcome, and the other incorporating both deaths and emergency admissions to capture the pressure on hospitals based on data on hospital beds, doctors, and nurses. The results reveal significant regional disparities in healthcare care efficiency. Île-de-France and Centre-Val de Loire consistently performed well, while Provence-Alpes-Côte d'Azur, Auvergne-Rhône-Alpes, and Occitanie showed persistent inefficiencies. Interestingly, Grand Est, despite being heavily impacted, demonstrated high efficiency, suggesting adaptations driven by the crisis. Some resource-rich regions performed poorly due to organizational issues such as low bed turnover and poor hospital occupancy. These findings highlight the need for targeted reforms in resource allocation, interregional coordination, and hospital infrastructure planning. Limitations include data inconsistencies between regions and the lack of differentiation between pandemic waves. Future studies could refine these insights by analyzing temporal variations with more precision.

Keywords: Hospital efficiency Data envelope analysis (DEA) Regional disparities COVID-19 France; Hospital efficiency; Data envelope analysis (DEA); Regional disparities; COVID-19; France (search for similar items in EconPapers)
Date: 2025
Note: View the original document on HAL open archive server: https://hal.science/hal-04977861v1
References: Add references at CitEc
Citations:

Downloads: (external link)
https://hal.science/hal-04977861v1/document (application/pdf)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:hal:wpaper:hal-04977861

Access Statistics for this paper

More papers in Working Papers from HAL
Bibliographic data for series maintained by CCSD ().