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Efficiency and quality in health services: a crucial link

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  • José Luis Navarro-Espigares
  • Elisa Hernández Torres

Abstract

The relationship between quality and efficiency in the health sector is influenced by various conditions. The objective of this paper is to analyse the evolution of efficiency and quality in the Andalusian Hospitals during the years 1997--2004 and to study the association between efficiency and quality indicators. Hospital performance is analysed using data envelopment analysis and the Malmquist productivity index. Technical efficiency as well as healthcare quality increased during the analysed period. A weak association between efficiency and quality indicators exists. The results obtained rule out the existence of an efficiency--quality trade-off.

Suggested Citation

  • José Luis Navarro-Espigares & Elisa Hernández Torres, 2008. "Efficiency and quality in health services: a crucial link," The Service Industries Journal, Taylor & Francis Journals, vol. 31(3), pages 385-403, December.
    • Handle: RePEc:taf:servic:v:31:y:2008:i:3:p:385-403
    DOI: 10.1080/02642060802712798
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    Cited by:

    1. : Álvaro Almeida & José Pedro Fique, 2011. "Evaluating Hospital Efficiency Adjusting for Quality Indicators: an Application to Portuguese NHS Hospitals," FEP Working Papers 435, Universidade do Porto, Faculdade de Economia do Porto.
    2. Yauheniya Varabyova & Jonas Schreyögg, 2018. "Integrating quality into the nonparametric analysis of efficiency: a simulation comparison of popular methods," Annals of Operations Research, Springer, vol. 261(1), pages 365-392, February.
    3. Seijas Díaz , Amparo & Iglesias Gómez , Guillermo, 2013. "Evolution of productivity and relation with satisfaction in hospital care and specialized care of Autonomous Communities Health Systems," INVESTIGACIONES REGIONALES - Journal of REGIONAL RESEARCH, Asociación Española de Ciencia Regional, issue 27, pages 7-32.
    4. Tomasz Jedynak & Krzysztof Wąsowicz, 2021. "The Relationship between Efficiency and Quality of Municipally Owned Corporations: Evidence from Local Public Transport and Waste Management in Poland," Sustainability, MDPI, vol. 13(17), pages 1-30, August.

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