Total productivity change of Health Centers in Greece in 2016–2018: a Malmquist index data envelopment analysis application for the primary ... View Full Text


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DATE

2021-11-02

AUTHORS

Anastasios Trakakis, Miltiadis Nektarios, Styliani Tziaferi, Panagiotis Prezerakos

ABSTRACT

BackgroundThis paper attempts to evaluate the primary health care system by evaluating health centres in Greece.MethodsMalmquist Index Data Envelopment Analysis is applied to study the total productivity of 155 health centres in Greece during 2016–2018. The data were collected from the Ministry of Health and submitted to quality tests to ensure validity and avoid bias.ResultsThis paper measures the productivity of each of the 155 health centres in Greece and how it shifted during 2016–2018. In addition, the overall productivity change of the 155 health centres over time is calculated and analysed as being due to technical efficiency or technological efficiency. The analysis of the mean values showed a decrease of 0.9% in the overall productivity factor from 2016 to 2017 and a decrease of 5.2% from 2017 to 2018. The overall decrease in the productivity of the 155 health centres was 3.1%. From 2016 to 2018, 59 health centres changed their productivity mainly due to technological change and 91 changed mainly due to technical efficiency change. One health centre showed regression to its total productivity due to equal regression of its technical efficiency and technology.ConclusionsThe method used is nonparametric data envelopment analysis along with the Malmquist index to include panel data in the analysis. Meaningful results were extracted by indicating the number of health centres that improved their productivity, regressed in productivity, or remained constant through the period 2016–2018. This paper may contribute to improving health centres’ efficiency and productivity. Furthermore, valuable results can be extracted for the National Health Care System to match available resources that correspond to each health centre’s needs, as well as for manager planners and stakeholders in primary health care. More... »

PAGES

72

References to SciGraph publications

  • 2014-09-04. Operational and economic efficiency analysis of public hospitals in Greece in ANNALS OF OPERATIONS RESEARCH
  • 1999-07. Efficiency measurement of health care: a review of non‐parametric methods and applications in HEALTH CARE MANAGEMENT SCIENCE
  • 2021-07-01. The effectiveness of primary health care reforms in Greece towards achieving universal health coverage: a scoping review in BMC HEALTH SERVICES RESEARCH
  • 2003-11. Non-Parametric and Parametric Applications Measuring Efficiency in Health Care in HEALTH CARE MANAGEMENT SCIENCE
  • 2003-11. Some Remarks on Productivity and its Decompositions in JOURNAL OF PRODUCTIVITY ANALYSIS
  • 2010-06-18. Productive performance and its components in Greek public hospitals in OPERATIONAL RESEARCH
  • 2017-04-26. Efficiency and productivity assessment of public hospitals in Greece during the crisis period 2009–2012 in COST EFFECTIVENESS AND RESOURCE ALLOCATION
  • 2007-01-01. Preparing Your Data for DEA in MODELING DATA IRREGULARITIES AND STRUCTURAL COMPLEXITIES IN DATA ENVELOPMENT ANALYSIS
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    http://scigraph.springernature.com/pub.10.1186/s12962-021-00326-z

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    http://dx.doi.org/10.1186/s12962-021-00326-z

    DIMENSIONS

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/34727937


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