Comparative Efficiency Assessment of Primary Care Service Delivery Models Using Data Envelopment Analysis

被引：29

作者：

Milliken, Olga ^{[1
]}

Devlin, Rose Anne ^{[1
]}

Barham, Victoria ^{[1
]}

Hogg, William ^{[2
,3
,4
]}

Dahrouge, Simone ^{[2
]}

Russell, Grant ^{[3
]}

机构：

[1] Univ Ottawa, Dept Econ, Ottawa, ON K1N 6N5, Canada

[2] Elisabeth Bruyere Res Inst, CT Lamont Primary Hlth Care Res Ctr, Ottawa, ON, Canada

[3] Univ Ottawa, Dept Family Med, Ottawa, ON K1N 6N5, Canada

[4] Univ Ottawa, Inst Populat Hlth, Ottawa, ON K1N 6N5, Canada

来源：

CANADIAN PUBLIC POLICY-ANALYSE DE POLITIQUES | 2011年 / 37卷 / 01期

关键词：

primary health care; efficiency; data envelopment analysis (DEA); fee-for-service; capitation; community health centres; PRIMARY HEALTH-CARE; SCALE INEFFICIENCIES; TECHNICAL EFFICIENCY; 2ND-STAGE DEA; CANADA; QUALITY; CAPITATION; PHYSICIANS; PROVIDERS; PROVISION;

D O I：

10.3138/cpp.37.1.85

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

This paper compares the relative productive efficiencies of four models of primary care service delivery using the data envelopment analysis method on 130 primary care practices in Ontario, Canada. A quality-controlled measure of output and two input scenarios are employed: one with full-time-equivalent labour inputs and the other with total expenditures. Regression analysis controls for the mix of patients in the practice population. Overall, we find that community health centres fare the worst when it comes to relative efficiency scores.

引用

页码：85 / 109

页数：25

共 56 条

[1] Recent research on immigrant health form statistics Canada's population surveys [J].

Ali, JS ;

McDermott, S ;

Gravel, RG .

CANADIAN JOURNAL OF PUBLIC HEALTH-REVUE CANADIENNE DE SANTE PUBLIQUE, 2004, 95 (03) :I9-I13

[2] REGULATION AND THE PROVISION OF QUALITY TO HETEROGENOUS CONSUMERS - THE CASE OF PROSPECTIVE PRICING OF MEDICAL-SERVICES [J].

ALLEN, R ;

GERTLER, P .

JOURNAL OF REGULATORY ECONOMICS, 1991, 3 (04) :361-375

[3]

Andes Steven, 2002, Manag Care, V11, P48

[4]

[Anonymous], EUROPEAN J HLTH EC

[5]

[Anonymous], 1986, HDB MATH EC

[6] Evaluating contextual variables affecting productivity using data envelopment analysis [J].

Banker, Rajiv D. ;

Natarajan, Ram .

OPERATIONS RESEARCH, 2008, 56 (01) :48-58

[7] SOME MODELS FOR ESTIMATING TECHNICAL AND SCALE INEFFICIENCIES IN DATA ENVELOPMENT ANALYSIS [J].

BANKER, RD ;

CHARNES, A ;

COOPER, WW .

MANAGEMENT SCIENCE, 1984, 30 (09) :1078-1092

[8]

Bjorkgren M A, 2001, Health Care Manag Sci, V4, P193

[9] Socio-economic influences on the health of older Canadians: Estimates based on two longitudinal surveys [J].

Buckley, NJ ;

Denton, FT ;

Robb, AL ;

Spencer, BG .

CANADIAN PUBLIC POLICY-ANALYSE DE POLITIQUES, 2006, 32 (01) :59-83

[10] Contracting for health services when patient demand does not reflect quality [J].

Chalkley, M ;

Malcomson, JM .

JOURNAL OF HEALTH ECONOMICS, 1998, 17 (01) :1-19

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