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Relative Efficiency in the Spatial Distribution of Physicians' Services

Author

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  • Stone, Glenda

    (Michigan Public Health Institute)

  • Simmons, Walter O.

    (John Carroll University)

Abstract

This paper uses health status outputs with Data Envelopment Analysis to assess the relative efficiency of the use of physician labor inputs. The trends in physician population growth are examined to see if there is a link between physician population ratios and the health status of the communities they serve. Input efficiency scores are analyzed for Michigan counties with comparable population densities over a 10-year period. Overall, approximately 47 percent of Michigan counties operated with relative input efficiency during the decade. In addition to assigning an efficiency rating, Data Envelopment Analysis also identifies the efficiency reference set. The efficiency reference set can be used to develop a composite unit that produces the same output level as the inefficient unit, employing the most efficient combination of inputs.

Suggested Citation

  • Stone, Glenda & Simmons, Walter O., 2002. "Relative Efficiency in the Spatial Distribution of Physicians' Services," The Review of Regional Studies, Southern Regional Science Association, vol. 32(2), pages 325-334, Summer/Fa.
  • Handle: RePEc:rre:publsh:v:32:y:2002:i:2:p:325-334
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    References listed on IDEAS

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    1. Robert Rosenman & Kris Siddharthan & Melissa Ahern, 1997. "Output Efficiency of Health Maintenance Organizations in Florida," Health Economics, John Wiley & Sons, Ltd., vol. 6(3), pages 295-302, May.
    2. Ritchie, P. C. & Rowcroft, J. E., 1996. "Choice of metric in the measurement of relative productive efficiency," International Journal of Production Economics, Elsevier, vol. 46(1), pages 433-439, December.
    3. Kooreman, Peter, 1994. "Nursing home care in The Netherlands: a nonparametric efficiency analysis," Journal of Health Economics, Elsevier, vol. 13(3), pages 301-316, October.
    4. R. D. Banker & A. Charnes & W. W. Cooper, 1984. "Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis," Management Science, INFORMS, vol. 30(9), pages 1078-1092, September.
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    Cited by:

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