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An application of PCA-DEA with the double-bootstrap approach to estimate the technical efficiency of New Zealand District Health Boards

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  • Andrews, Antony

Abstract

Using yearly panel data from 2011 to 2017 on New Zealand District Health Boards (DHBs), this study combines principal component analysis and data envelopment intertemporal analysis with the double-bootstrap approach to estimate the technical efficiency of health care providers along with the trend of efficiency performances. The results show that although most large DHBs have improved their level of technical efficiency between 2011 and 2017, the majority of medium- and small-sized DHBs have not seen any noticeable improvement in their level of technical efficiency. The results also show that large and tertiary DHBs operate at a high level of technical efficiency. In contrast, most of the medium- and small-sized DHBs posted some of the lowest technical efficiency scores. Furthermore, the results show that medium- and small-sized DHBs have a higher average length of hospital stays which is found to be associated with decreasing levels of technical efficiency scores.

Suggested Citation

  • Andrews, Antony, 2022. "An application of PCA-DEA with the double-bootstrap approach to estimate the technical efficiency of New Zealand District Health Boards," Health Economics, Policy and Law, Cambridge University Press, vol. 17(2), pages 175-199, April.
    • Handle: RePEc:cup:hecopl:v:17:y:2022:i:2:p:175-199_4
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    Cited by:

    1. Yu He & Wenkuan Chen, 2023. "Evaluation of Sustainable Development Policy of Sichuan Citrus Industry in China Based on DEA–Malmquist Index and DID Model," Sustainability, MDPI, vol. 15(5), pages 1-23, February.
    2. Muchen Luo & Yimin Wu, 2022. "Data-Driven Evaluation and Optimisation of Livelihood Improvement Efficiency," Sustainability, MDPI, vol. 14(13), pages 1-24, July.
    3. Zihong Liu & Haitao Xiong & Ying Sun, 2023. "Will Online MOOCs Improve the Efficiency of Chinese Higher Education Institutions? An Empirical Study Based on DEA," Sustainability, MDPI, vol. 15(7), pages 1-21, March.
    4. Yu He, 2024. "Assessment of Climate Adaptability in the Late-Maturing Citrus Industry in Sichuan Province," Agriculture, MDPI, vol. 14(7), pages 1-16, July.

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