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Comparative Efficiency Assessment of Primary Care Models Using Data Envelopment Analysis

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Author Info

  • Olga Milliken

    ()
    (Department of Economics, University of Ottawa)

  • Rose Anne Devlin

    (Department of Economics, University of Ottawa)

  • Vicky Barham

    (Department of Economics, University of Ottawa)

  • William Hogg

    (Department of Family Medicine, University of Ottawa)

  • Simone Dahrouge

    (C.T. Lamont Primary Health Care Research Centre, Élisabeth Bruyère Research Institute, Ottawa)

  • Grant Russell

    (C.T. Lamont Primary Health Care Research Centre, Élisabeth Bruyère Research Institute, Ottawa)

Abstract

This paper compares the productive efficiencies of four models of primary care service delivery in Ontario, Canada, using the data envelopment analysis (DEA) method. Particular care is taken to include quality of service as part of our output measure. The influence of the delivery model on productive efficiency is disentangled from patient characteristics using regression analysis. Significant differences are found in the efficiency scores across models and within each model. In general, the fee-for-service arrangement ranks the highest and the community-health-centre model the lowest in efficiency scoring. The reliance of our input measures on costs and number of patients, clearly favours the fee-for-service model. Patient characteristics contribute little to explaining differences in the efficiency ranking across the models.

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Bibliographic Info

Paper provided by University of Ottawa, Department of Economics in its series Working Papers with number 0802E.

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Length: 30 pages
Date of creation: 2008
Date of revision:
Handle: RePEc:ott:wpaper:0802e

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Keywords: Productive Efficiency; DEA; Primary Health Care;

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