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Efficiency assessment of primary care providers: A conditional nonparametric approach

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  • Cordero Ferrera, Jose Manuel
  • Alonso Morán, Edurne
  • Nuño Solís, Roberto
  • Orueta, Juan F.
  • Souto Arce, Regina

Abstract

This paper uses a fully nonparametric approach to estimate efficiency measures for primary care units incorporating the effect of (exogenous) environmental factors. This methodology allows us to account for different types of variables (continuous and discrete) describing the main characteristics of patients served by those providers. In addition, we use an extension of this nonparametric approach to deal with the presence of undesirable outputs in data, represented by the rates of hospitalization for ambulatory care sensitive condition (ACSC) and of hospital readmissions. The empirical results show that all the exogenous variables considered have a significant and negative effect on efficiency estimates

Suggested Citation

  • Cordero Ferrera, Jose Manuel & Alonso Morán, Edurne & Nuño Solís, Roberto & Orueta, Juan F. & Souto Arce, Regina, 2013. "Efficiency assessment of primary care providers: A conditional nonparametric approach," MPRA Paper 51926, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:51926
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    Keywords

    OR in health services; Efficiency; Data Envelopment Analysis; Environmental factors; Nonparametric analysis;
    All these keywords.

    JEL classification:

    • C14 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Semiparametric and Nonparametric Methods: General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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