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Évaluation de l’efficience budgétaire des CLSC au Québec à partir de la méthode DEA

Author

Listed:
  • Crémieux, Pierre-Yves

    (Département des sciences économiques, Université du Québec à Montréal)

  • Gadbois, Denis

    (CLSC Jardins du Québec)

  • Jaumard, Brigitte

    (Département de génie électrique, École Polytechnique de Montréal)

  • Ouellette, Pierre

    (Département des sciences économiques, Université du Québec à Montréal)

  • Vovor, Tsévi

    (École Polytechnique de Montréal)

Abstract

In this paper, we present the results of an analysis of Québec local health care clinics (CLSC) based on a DEA method. Our results confirm previous results based on econometric methods: (1) increasing returns to scale and scope economies imply that average cost could be lowered through increased scale and scope of the outputs; (2) there is a strong over capitalisation in buildings, equipments and physicians; and (3) substantial cost savings (around 36 millions) could result from improved management. Dans cet article, nous présentons les résultats d’une analyse de l’efficience des CLSC à l’aide de la méthode DEA. Ces résultats confirment ceux obtenus avec l’approche économétrique publiés dans un précédent article : (1) les CLSC jouissent de forts rendements d’échelle et des économies de diversification pourraient être réalisées en augmentant la taille et l’éventail des services offerts; (2) les CLSC sont surcapitalisés en bâtiments, en équipement et en médecins; et (3) des économies substantielles de l’ordre de 36 millions de dollars auraient pu être réalisées en modifiant la gestion des 39 CLSC étudiés sans réduire le niveau de soins à la population.

Suggested Citation

  • Crémieux, Pierre-Yves & Gadbois, Denis & Jaumard, Brigitte & Ouellette, Pierre & Vovor, Tsévi, 2001. "Évaluation de l’efficience budgétaire des CLSC au Québec à partir de la méthode DEA," L'Actualité Economique, Société Canadienne de Science Economique, vol. 77(3), pages 409-424, septembre.
    • Handle: RePEc:ris:actuec:v:77:y:2001:i:3:p:409-424
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    1. Crémieux, Pierre-Yves & Gadbois, Denis & Ouellette, Pierre, 1998. "Une analyse de la performance des CLSC au Québec," L'Actualité Economique, Société Canadienne de Science Economique, vol. 74(2), pages 157-181, juin.
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