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Efficiency and productivity of public hospital establishments in Algeria
[Efficience et productivité des établissements publics hospitaliers en Algérie]

Author

Listed:
  • Ahcene Ouali

    (UMMTO - Université Mouloud Mammeri [Tizi Ouzou] = Mouloud Mammeri University of Tizi-Ouzou)

  • Martine Audibert

    (CERDI - Centre d'Études et de Recherches sur le Développement International - UCA [2017-2020] - Université Clermont Auvergne [2017-2020] - CNRS - Centre National de la Recherche Scientifique, CERDI - Centre d'Études et de Recherches sur le Développement International - IRD - Institut de Recherche pour le Développement - CNRS - Centre National de la Recherche Scientifique - UCA - Université Clermont Auvergne)

  • Ahcène Zehnati

    (LED - Laboratoire d'Economie Dionysien - UP8 - Université Paris 8 Vincennes-Saint-Denis, Centre de Recherche en Economie Appliquée pour le Développement - Partenaires INRAE)

Abstract

Objective: This study aims to evaluate technical efficiency and the evolution of productivity in 120 public hospital establishments (PHE) in Algeria over the period 2011-2020, as well as the factors which influence this efficiency. Methods: To measure efficiency scores, we used the output-oriented DEA (Data Envelopment Analysis) method, considering the variable return to scale hypothesis. At the same time, we used the Malmquist index to measure changes in efficiency and productivity over the years and the Simar Wilson models to assess the determinants of efficiency. Results: The average efficiency scores for the study period are 0.788 and 0.710 in the classic DEA and Bootstrap DEA models, respectively. Regarding the Malmquist index, we observed a 3% decline in total factor productivity during the study period, but an improvement in technical efficiency of 0.3% was noted. As for the determinants of efficiency, six variables werefound to besignificant: bedoccupancy rate, average length of stay, number of beds per doctor, number of beds per thousand inhabitants, number of doctors per thousand inhabitants, and budget. Conclusion: The results indicate an overall improvement in the technical performance of public hospitals during the study period. However, a decline in total factor productivity was observed, mainly due to technological change.

Suggested Citation

  • Ahcene Ouali & Martine Audibert & Ahcène Zehnati, 2025. "Efficiency and productivity of public hospital establishments in Algeria [Efficience et productivité des établissements publics hospitaliers en Algérie]," Post-Print hal-05021744, HAL.
    • Handle: RePEc:hal:journl:hal-05021744
    DOI: 10.3917/spub.pr2.0056
    Note: View the original document on HAL open archive server: https://uca.hal.science/hal-05021744v1
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