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Estimation de l'efficience des dépenses de santé au niveau départemental par la méthode DEA

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  • David Bardey
  • Sylvain Pichetti

Abstract

There are wide discrepancies between French départements as regards health expenditure. Theproblem for the public authorities is to determine whether these gaps represent differences in health and medical needs or are the consequence of inefficient management of health risks by the various participants in the healthcare system in certain départements. We suggest an estimation of the efficiency of health expenditure in individual départements. Thismeasure of marginal efficiency results from a comparison of the levels of health expenditure taking into account indicators of morbidity and of the environment of eachdépartement. WeuseaDEAmodelin order toobtainameasureof managerial efficiencythatallows forexogenousfeaturesof the operatingenvironment. Finally, weshowhowDEAscorescanbeused asayardstick in the interregionalequalisation system.

Suggested Citation

  • David Bardey & Sylvain Pichetti, 2004. "Estimation de l'efficience des dépenses de santé au niveau départemental par la méthode DEA," Economie & Prévision, La Documentation Française, vol. 166(5), pages 59-69.
  • Handle: RePEc:cai:ecoldc:ecop_166_0059
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    References listed on IDEAS

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    1. Pierre‐Yves Crémieux & Pierre Ouellette & Caroline Pilon, 1999. "Health care spending as determinants of health outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 8(7), pages 627-639, November.
    2. Hitiris, Theo & Posnett, John, 1992. "The determinants and effects of health expenditure in developed countries," Journal of Health Economics, Elsevier, vol. 11(2), pages 173-181, August.
    3. Park, Soo-Uk & Lesourd, Jean-Baptiste, 2000. "The efficiency of conventional fuel power plants in South Korea: A comparison of parametric and non-parametric approaches," International Journal of Production Economics, Elsevier, vol. 63(1), pages 59-67, January.
    4. Jayasuriya, Ruwan & Wodon, Quentin, 2003. "Measuring and Explaining Country Efficiency in Improving Health and Education Indicators," MPRA Paper 11183, University Library of Munich, Germany.
    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 435-444, June.
    6. Margherita Giannoni & Theodore Hitiris, 2002. "The regional impact of health care expenditure: the case of Italy," Applied Economics, Taylor & Francis Journals, vol. 34(14), pages 1829-1836.
    7. Peter Bogetoft, 2000. "DEA and Activity Planning under Asymmetric Information," Journal of Productivity Analysis, Springer, vol. 13(1), pages 7-48, January.
    8. R. D. Banker & A. Charnes & W. W. Cooper, 1984. "Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis," Management Science, INFORMS, vol. 30(9), pages 1078-1092, September.
    9. Kristiaan Kerstens & Philippe Vanden Eeckaut, 1999. "A new criterion for technical efficiency measures: non-monotonicity across dimensions axioms," Managerial and Decision Economics, John Wiley & Sons, Ltd., vol. 20(1), pages 45-59.
    10. Agrell, Per J. & Bogetoft, Peter, 2001. "DEA-Based Incentive Regimes in Health-Care Provision," Unit of Economics Working Papers 24182, Royal Veterinary and Agricultural University, Food and Resource Economic Institute.
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