Efficiency assessment of primary care providers: A conditional nonparametric approach |
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Authors: | José Manuel Cordero,Edurne Alonso-Morá n,Roberto Nuñ o-Solinis,Juan F. Orueta,Regina Sauto Arce |
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Affiliation: | 1. Universidad de Extremadura, Av. Elvas s/n, 06006 Badajoz, Spain;2. O+berri, Basque Institute for Healthcare Innovation, Plaza Asua 1, 48150 Sondika, Spain;3. Osakidetza, Basque Health Service, Centro de Salud de Astrabudua, Mezo 35, 48950 Erandio, Spain |
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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). The empirical results show that all the exogenous variables considered have a significant and negative effect on efficiency estimates. |
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Keywords: | OR in health services Efficiency Data envelopment analysis Environmental factors Nonparametric analysis |
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