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Determinants of primary healthcare efficiency in the Brazilian Legal Amazon: A hybrid approach using Data Envelopment Analysis and Tobit regression

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  • de Oliveira, Luís Filipe Azevedo
  • Baião, Fernanda Araujo
  • Oliveira, Fernando Luiz Cyrino
  • Peres, Igor Tona

Abstract

•Efficiency was evaluated using bootstrapped DEA with 1000 replications.•Productive, technical, and scale efficiency were assessed for 2019 and 2022.•Tobit regression models explained inefficiency based on Lasso-selected variables.•Urban infrastructure and proximity to capitals shaped municipal inefficiency.•The study provides robust insights for health policy in remote Amazonian areas.

Suggested Citation

  • de Oliveira, Luís Filipe Azevedo & Baião, Fernanda Araujo & Oliveira, Fernando Luiz Cyrino & Peres, Igor Tona, 2025. "Determinants of primary healthcare efficiency in the Brazilian Legal Amazon: A hybrid approach using Data Envelopment Analysis and Tobit regression," Socio-Economic Planning Sciences, Elsevier, vol. 101(C).
    • Handle: RePEc:eee:soceps:v:101:y:2025:i:c:s0038012125001065
    DOI: 10.1016/j.seps.2025.102257
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