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An application of value-based DEA to identify the best practices in primary health care

Author

Listed:
  • M. C. Gouveia

    (IPC-ISCAC, Quinta Agrícola
    INESC Coimbra)

  • L. C. Dias

    (INESC Coimbra
    Universidade de Coimbra)

  • C. H. Antunes

    (INESC Coimbra
    DEEC-FCT Universidade de Coimbra, Polo II)

  • M. A. Mota

    (ACES Baixo Mondego I)

  • E. M. Duarte

    (ACES Baixo Mondego I)

  • E. M. Tenreiro

    (ACES Baixo Mondego I)

Abstract

In 2005, a new phase for primary health care (PHC) in Portugal began, leading to the voluntary and independent creation of Family Health Units. The impact of this reform is now being witnessed, which justifies the need to evaluate its results as far as best practices in PHC are concerned. This work uses a value-based data envelopment analysis (DEA) method, which combines an additive DEA model with multi-criteria decision analysis concepts, to allow incorporating managerial preferences in the performance assessment of 12 health centres in a Portuguese region. Two models are presented for evaluating access to PHC, which resulted from discussions with a group of decision makers. This analysis helped the decision makers in the identification of best practices, sources of inefficiency and gaps relatively to the best practices, thus leading to shape opportunities for improvement.

Suggested Citation

  • 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.
    • Handle: RePEc:spr:orspec:v:38:y:2016:i:3:d:10.1007_s00291-015-0407-x
    DOI: 10.1007/s00291-015-0407-x
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    7. Qingxian An & Ping Wang & Honglin Yang & Zongrun Wang, 2021. "Fixed cost allocation in two-stage system using DEA from a noncooperative view," OR Spectrum: Quantitative Approaches in Management, Springer;Gesellschaft für Operations Research e.V., vol. 43(4), pages 1077-1102, December.
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