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Measuring Performance in Primary Care: Econometric Analysis and DEA

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Author Info
Giuffrida, Antonio
Gravelle, Hugh

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Abstract

We use data from the Health Service Indicators database to compare different methods of measuring the performance of English Family Health Services Authorities (FHSAs) in providing primary care. A variety of regression and data envelopment analysis methods are compared as summary efficiency measures of individual FHSA performance. The correlation of the rankings of FHSAs across DEA and regression methods, across two years of data and across three different specifications of the technology of primary care are examined. Efficiency scores are highly correlated within variants of the two methods, and across years for a given method. Inter method correlations are smaller and correlations across different specifications of the primary care production process are negligible and sometime negative. Copyright 2001 by Taylor and Francis Group

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Publisher Info
Article provided by Taylor and Francis Journals in its journal Applied Economics.

Volume (Year): 33 (2001)
Issue (Month): 2 (February)
Pages: 163-75
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Handle: RePEc:taf:applec:v:33:y:2001:i:2:p:163-75

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References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Antonio Giuffrida & Hugh Gravelle & Matthew Sutton, . "Efficiency and Administrative Costs in Primary Care," Discussion Papers 99/27, Department of Economics, University of York. [Downloadable!]
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  2. Whynes, David K & Baines, Darrin L & Tolley, Keith H, 1997. "Prescribing Costs in UK General Practice: The Impact of Hard Budget Constraints," Applied Economics, Taylor and Francis Journals, vol. 29(3), pages 393-99, March. [Downloadable!] (restricted)
  3. Yasar Ozcan, 1998. "Physician benchmarking: measuring variation in practice behavior in treatment of otitis media," Health Care Management Science, Springer, vol. 1(1), pages 5-17, September. [Downloadable!] (restricted)
  4. Tulkens, Henry & Eeckaut, Philippe van den, 1993. "Non Parametric Efficiency, Progress and Regress Measures for Panel Data: Methodological Aspects," CESifo Working Paper Series CESifo Working Paper No. , CESifo Group Munich.
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  5. Meeusen, Wim & van den Broeck, Julien, 1977. "Efficiency Estimation from Cobb-Douglas Production Functions with Composed Error," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 18(2), pages 435-44, June. [Downloadable!] (restricted)
  6. Antonio Giuffrida & Hugh Gravelle & Martin Rowland, 1998. "Performance indicators for primary care management in the NHS," Working Papers 160chedp, Centre for Health Economics, University of York. [Downloadable!]
  7. Bruce Hollingsworth & P.J. Dawson & N. Maniadakis, 1999. "Efficiency measurement of health care: a review of non‐parametric methods and applications," Health Care Management Science, Springer, vol. 2(3), pages 161-172, July. [Downloadable!] (restricted)
  8. Charnes, A. & Cooper, W. W. & Rhodes, E., 1978. "Measuring the efficiency of decision making units," European Journal of Operational Research, Elsevier, vol. 2(6), pages 429-444, November. [Downloadable!] (restricted)
  9. Vinod, H. D., 1976. "Canonical ridge and econometrics of joint production," Journal of Econometrics, Elsevier, vol. 4(2), pages 147-166, May. [Downloadable!] (restricted)
  10. Miika Linna, 1998. "Measuring hospital cost efficiency with panel data models," Health Economics, John Wiley & Sons, Ltd., vol. 7(5), pages 415-427.
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Cited by:
(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. Patrick Bernet & Michael Rosko & Vivian Valdmanis & Anatoly Pilyavsky & William Aaronson, 2008. "Productivity efficiencies in Ukrainian polyclinics: lessons for health system transitions from differential responses to market changes," Journal of Productivity Analysis, Springer, vol. 29(2), pages 103-111, April. [Downloadable!] (restricted)
  2. Jaume Puig-Junoy & Vicente Ortún, 2004. "Cost efficiency in primary care contracting: a stochastic frontier cost function approach," Health Economics, John Wiley & Sons, Ltd., vol. 13(12), pages 1149-1165. [Downloadable!]
  3. Jaume Puig & Vicente Ortún, 2003. "Cost Efficiency in Primary Care Contracting: A Stochastic Frontier Cost Function Approach," Economics Working Papers 719, Department of Economics and Business, Universitat Pompeu Fabra. [Downloadable!]
    Other versions:
  4. D. Fabbri, 1998. "Efficienza tecnica e produzione ospedaliera: una valutazione con Data Envelopment Analysis delle prestazioni ospedaliere nel periodo della riforma," Working Papers 318, Dipartimento Scienze Economiche, Universita' di Bologna. [Downloadable!]
  5. Antonio Giuffrida & Hugh Gravelle & Martin Rowland, 1998. "Performance indicators for primary care management in the NHS," Working Papers 160chedp, Centre for Health Economics, University of York. [Downloadable!]
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