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Efficiency of primary care in rural Burkina Faso. A two-stage DEA analysis

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  • Paul Marschall
  • Steffen Flessa

Abstract

Compared to the findings of existing one-stage DEA analyses of health facilities in Africa, the share of relatively efficient units is slightly higher. The difference might be explained by a rather homogenous structure of the primary care facilities in the Burkina Faso sample. The study also indicates that improving the accessibility of primary care facilities will have a major impact on the efficiency of these institutions. Thus, health decision-makers are called to overcome the demand-side barriers in accessing health care. Copyright Marschall and Flessa; licensee Springer 2011

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  • Paul Marschall & Steffen Flessa, 2011. "Efficiency of primary care in rural Burkina Faso. A two-stage DEA analysis," Health Economics Review, Springer, vol. 1(1), pages 1-15, December.
  • Handle: RePEc:spr:hecrev:v:1:y:2011:i:1:p:1-15:10.1186/2191-1991-1-5
    DOI: 10.1186/2191-1991-1-5
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    1. Sebastian Kohl & Jan Schoenfelder & Andreas Fügener & Jens O. Brunner, 2019. "The use of Data Envelopment Analysis (DEA) in healthcare with a focus on hospitals," Health Care Management Science, Springer, vol. 22(2), pages 245-286, June.
    2. Mustapha D. Ibrahim & Sahand Daneshvar & Mevhibe B. Hocaoğlu & Olasehinde-Williams G. Oluseye, 2019. "An Estimation of the Efficiency and Productivity of Healthcare Systems in Sub-Saharan Africa: Health-Centred Millennium Development Goal-Based Evidence," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 143(1), pages 371-389, May.
    3. Zhensheng Chen & Xueli Chen & Xiaoqing Gan & Kaixuan Bai & Tomas Baležentis & Lixin Cui, 2020. "Technical Efficiency of Regional Public Hospitals in China Based on the Three-Stage DEA," IJERPH, MDPI, vol. 17(24), pages 1-17, December.
    4. Iyad Dhaoui, 2019. "Healthcare system efficiency and its determinants: A two-stage Data Envelopment Analysis (DEA) from MENA countries," Working Papers 1320, Economic Research Forum, revised 21 Aug 2019.
    5. Zhongqi Deng & Qianyu Zhao & Helen X. H. Bao, 2020. "The Impact of Urbanization on Farmland Productivity: Implications for China’s Requisition–Compensation Balance of Farmland Policy," Land, MDPI, vol. 9(9), pages 1-24, September.
    6. Laura Di Giorgio & Abraham D Flaxman & Mark W Moses & Nancy Fullman & Michael Hanlon & Ruben O Conner & Alexandra Wollum & Christopher J L Murray, 2016. "Efficiency of Health Care Production in Low-Resource Settings: A Monte-Carlo Simulation to Compare the Performance of Data Envelopment Analysis, Stochastic Distance Functions, and an Ensemble Model," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-20, January.
    7. Xiaohong Zhuang & Zhuyuan Li & Run Zheng & Sanggyun Na & Yulin Zhou, 2021. "Research on the Efficiency and Improvement of Rural Development in China: Based on Two-Stage Network SBM Model," Sustainability, MDPI, vol. 13(5), pages 1-21, March.
    8. Sayem Ahmed & Guibehi B Koudou & Maïwenn Bagot & François Drabo & Windtaré R Bougma & Caisey Pulford & Moses Bockarie & Robert A Harrison, 2021. "Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 15(6), pages 1-17, June.
    9. Nikolaos Oikonomou & Yannis Tountas & Argiris Mariolis & Kyriakos Souliotis & Kostas Athanasakis & John Kyriopoulos, 2016. "Measuring the efficiency of the Greek rural primary health care using a restricted DEA model; the case of southern and western Greece," Health Care Management Science, Springer, vol. 19(4), pages 313-325, December.
    10. Claudio Pinto, 2014. "Efficiency comparison for directly managed public hospitals for different geographical area in Italy," Working papers 5, Società Italiana di Economia Pubblica.

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