Efficiency assessment of primary care providers: A conditional nonparametric approach

Jose Manuel Cordero Ferrera, Edurne Alonso Morán, Roberto Nuño Solís, Juan F. Orueta and Regina Souto Arce

MPRA Paper from University Library of Munich, Germany

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) and of hospital readmissions. 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)
JEL-codes: C14 I12 (search for similar items in EconPapers)
Date: 2013-11-24
New Economics Papers: this item is included in nep-eff and nep-hea
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