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An application of value-based DEA to identify the best practices in primary health care

Author

Listed:
  • M. C. Gouveia

    (IPC-ISCAC, Quinta Agrícola
    INESC Coimbra)

  • L. C. Dias

    (INESC Coimbra
    Universidade de Coimbra)

  • C. H. Antunes

    (INESC Coimbra
    DEEC-FCT Universidade de Coimbra, Polo II)

  • M. A. Mota

    (ACES Baixo Mondego I)

  • E. M. Duarte

    (ACES Baixo Mondego I)

  • E. M. Tenreiro

    (ACES Baixo Mondego I)

Abstract

In 2005, a new phase for primary health care (PHC) in Portugal began, leading to the voluntary and independent creation of Family Health Units. The impact of this reform is now being witnessed, which justifies the need to evaluate its results as far as best practices in PHC are concerned. This work uses a value-based data envelopment analysis (DEA) method, which combines an additive DEA model with multi-criteria decision analysis concepts, to allow incorporating managerial preferences in the performance assessment of 12 health centres in a Portuguese region. Two models are presented for evaluating access to PHC, which resulted from discussions with a group of decision makers. This analysis helped the decision makers in the identification of best practices, sources of inefficiency and gaps relatively to the best practices, thus leading to shape opportunities for improvement.

Suggested Citation

  • M. C. Gouveia & L. C. Dias & C. H. Antunes & M. A. Mota & E. M. Duarte & E. M. Tenreiro, 2016. "An application of value-based DEA to identify the best practices in primary health care," OR Spectrum: Quantitative Approaches in Management, Springer;Gesellschaft für Operations Research e.V., vol. 38(3), pages 743-767, July.
    • Handle: RePEc:spr:orspec:v:38:y:2016:i:3:d:10.1007_s00291-015-0407-x
    DOI: 10.1007/s00291-015-0407-x
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    Cited by:

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    2. Henriques, C.O. & Gouveia, M.C., 2022. "Assessing the impact of COVID-19 on the efficiency of Portuguese state-owned enterprise hospitals," Socio-Economic Planning Sciences, Elsevier, vol. 84(C).
    3. Henriques, C.O. & Chavez, J.M. & Gouveia, M.C. & Marcenaro-Gutierrez, O.D., 2022. "Efficiency of secondary schools in Ecuador: A value based DEA approach," Socio-Economic Planning Sciences, Elsevier, vol. 82(PA).
    4. Agovino, Massimiliano & Musella, Gaetano & Scaletti, Alessandro, 2022. "Equilibrium and efficiency in the first aid services market: The case of the emergency department of Sorrento," Socio-Economic Planning Sciences, Elsevier, vol. 82(PB).
    5. Gouveia, M.C. & Henriques, C.O. & Dias, L.C., 2023. "Eco-efficiency changes of the electricity and gas sectors across 28 European countries: A value-based data envelopment analysis productivity approach," Socio-Economic Planning Sciences, Elsevier, vol. 87(PB).
    6. Qingxian An & Ping Wang & Honglin Yang & Zongrun Wang, 2021. "Fixed cost allocation in two-stage system using DEA from a noncooperative view," OR Spectrum: Quantitative Approaches in Management, Springer;Gesellschaft für Operations Research e.V., vol. 43(4), pages 1077-1102, December.
    7. Gouveia, M.C. & Henriques, C.O. & Costa, P., 2021. "Evaluating the efficiency of structural funds: An application in the competitiveness of SMEs across different EU beneficiary regions," Omega, Elsevier, vol. 101(C).
    8. Nurhafiza Md Hamzah & Kok Fong See, 2019. "Technical efficiency and its influencing factors in Malaysian hospital pharmacy services," Health Care Management Science, Springer, vol. 22(3), pages 462-474, September.
    9. Youchao Tan & Yang Zhang & Roohollah Khodaverdi, 2017. "Service performance evaluation using data envelopment analysis and balance scorecard approach: an application to automotive industry," Annals of Operations Research, Springer, vol. 248(1), pages 449-470, January.

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