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Multidimensional performance assessment using dominance criteria

Author

Listed:
  • Nils Gutacker

    (Centre for Health Economics, University of York, UK)

  • Andrew Street

    (Centre for Health Economics, University of York, UK)

Abstract

Public sector organisations pursue multiple objectives and serve a number of stakeholders. But stakeholders are rarely explicit about the valuations they attach to different objectives, nor are these valuations likely to be identical. This complicates the assessment of their performance because no single set of weights can be legitimately chosen by regulators to aggregate outputs into unidimensional composite scores. We propose the use of dominance criteria in a multidimensional performance assessment framework to identify best practice and poor performance under relatively weak assumptions about stakeholders’ preferences. We estimate multivariate multilevel models to study providers of hip replacement surgery in the English NHS with respect to their performance in terms of length of stay, readmission rates, post-operative patient-reported health status and waiting time. We find substantial correlation between objectives and demonstrate that ignoring the correlation can lead to incorrect assessments of performance.

Suggested Citation

  • Nils Gutacker & Andrew Street, 2015. "Multidimensional performance assessment using dominance criteria," Working Papers 115cherp, Centre for Health Economics, University of York.
  • Handle: RePEc:chy:respap:115cherp
    as

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    File URL: http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP115_Multidimensional_performance_assessment_dominance_criteria.pdf
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    References listed on IDEAS

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    6. Luigi Siciliani & Peter Sivey & Andrew Street, 2013. "Differences In Length Of Stay For Hip Replacement Between Public Hospitals, Specialised Treatment Centres And Private Providers: Selection Or Efficiency?," Health Economics, John Wiley & Sons, Ltd., vol. 22(2), pages 234-242, February.
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    Blog mentions

    As found by EconAcademics.org, the blog aggregator for Economics research:
    1. Sam Watson’s journal round-up for 21st August 2017
      by Sam Watson in The Academic Health Economists' Blog on 2017-08-21 16:00:35

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    1. repec:spr:eujhec:v:19:y:2018:i:5:d:10.1007_s10198-017-0915-5 is not listed on IDEAS

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    Keywords

    Performance assessment; provider classification; multidimensional; multilevel modelling;

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