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Comparative Efficiency Assessment of Primary Care Service Delivery Models Using Data Envelopment Analysis

Author

Listed:
  • Olga Milliken
  • Rose Anne Devlin
  • Victoria Barham
  • William Hogg
  • Simone Dahrouge

Abstract

This paper compares the relative productive efficiencies of four models of primary care service delivery using the data envelopment analysis method on 130 primary care practices in Ontario, Canada. A quality-controlled measure of output and two input scenarios are employed: one with full-time-equivalent labour inputs and the other with total expenditures. Regression analysis controls for the mix of patients in the practice population. Overall, we find that community health centres fare the worst when it comes to relative efficiency scores.

Suggested Citation

  • Olga Milliken & Rose Anne Devlin & Victoria Barham & William Hogg & Simone Dahrouge, 2011. "Comparative Efficiency Assessment of Primary Care Service Delivery Models Using Data Envelopment Analysis," Canadian Public Policy, University of Toronto Press, vol. 37(1), pages 85-109, March.
    • Handle: RePEc:cpp:issued:v:37:y:2011:i:1:p:85-109
    DOI: 10.3138/cpp.37.1.85
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    Cited by:

    1. Matthieu Cassou & Julien Mousquès & Carine Franc, 2020. "General practitioners’ income and activity: the impact of multi-professional group practice in France," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(9), pages 1295-1315, December.
    2. Cassou, Matthieu & Mousquès, Julien & Franc, Carine, 2023. "General Practitioners activity patterns: the medium-term impacts of Primary Care Teams in France," Health Policy, Elsevier, vol. 136(C).
    3. David Gray & William Hogg & Michael E. Green & Yan Zhang, 2015. "Did Family Physicians Who Opted into a New Payment Model Receive an Offer They Should Not Refuse? Experimental Evidence from Ontario," Canadian Public Policy, University of Toronto Press, vol. 41(2), pages 151-165, June.
    4. Zhengnan Lu & Yuting Zhang & Lan Xu, 2022. "Quality control decision of government procurement of elderly care service based on multi‐index fusion of Pythagoras TOPSIS: Perspective of complex network," Managerial and Decision Economics, John Wiley & Sons, Ltd., vol. 43(6), pages 1773-1791, September.
    5. Abdel-Razik, Madiha Said Mohamed & Rizk, Hoda Ibrahim & Zein, Marwa M. & Abdel-Megeid, Soad Mohammed El Sayed & Abd El Fatah, Shaimaa A.M., 2023. "Promoting the culture of key performance indicators (KPIs) among primary health care staff at health district level: An intervention study," Evaluation and Program Planning, Elsevier, vol. 96(C).
    6. Zhichao Wang & Valentin Zelenyuk, 2021. "Performance Analysis of Hospitals in Australia and its Peers: A Systematic Review," CEPA Working Papers Series WP012021, School of Economics, University of Queensland, Australia.
    7. 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.
    8. Pelone, Ferruccio & Kringos, Dionne Sofia & Valerio, Luca & Romaniello, Alessandro & Lazzari, Agnese & Ricciardi, Walter & de Belvis, Antonio Giulio, 2012. "The measurement of relative efficiency of general practice and the implications for policy makers," Health Policy, Elsevier, vol. 107(2), pages 258-268.
    9. Zhichao Wang & Bao Hoang Nguyen & Valentin Zelenyuk, 2024. "Performance analysis of hospitals in Australia and its peers: a systematic and critical review," Journal of Productivity Analysis, Springer, vol. 62(2), pages 139-173, October.

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