ArticleHealth care management science1999
Productivity and efficiency changes in primary care: a Malmquist index approach.
Article in Health care management science, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Approaches to Measure Efficiency in Primary Care: A Systematic Literature Review.Applied health economics and health policy · 2022Pooled it
- Primary care efficiency measurement using data envelopment analysis: a systematic review.Journal of medical systems · 2015Pooled it
- Variation in the efficiency of English general practices and associated factors: A cross-sectional study of 5069 general practices.The European journal of general practice · 2025Article
- Defining the Optimal Size of Medical Laboratories at the Primary Level of Health Care with Data Envelopment Analysis: Defining the Efficiency of Medical Laboratories.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2019Article
- Measuring individual physician clinical productivity in an era of consolidated group practices.Healthcare (Amsterdam, Netherlands) · 2019Article
- Equity and efficiency of primary health care resource allocation in mainland China.International journal for equity in health · 2018Article
- Does participation in health information exchange improve hospital efficiency?Health care management science · 2018Article
- Cost and technical efficiency of physician practices: a stochastic frontier approach using panel data.Health care management science · 2014Article
- Organisational determinants of production and efficiency in general practice: a population-based study.The European journal of health economics : HEPAC : health economics in prevention and care · 2013Article
- Measuring technical efficiency in primary health care: the effect of exogenous variables on results.Journal of medical systems · 2011Article
- Technical efficiency in primary health care: does quality matter?The European journal of health economics : HEPAC : health economics in prevention and care · 2011Article
- A 12-year analysis of Malmquist total factor productivity in dialysis facilities.Journal of medical systems · 2006Article
- Non-parametric and parametric applications measuring efficiency in health care.Health care management science · 2003Review
- The impact of the Austrian hospital financing reform on hospital productivity: empirical evidence on efficiency and technology changes using a non-parametric input-based Malmquist approach.Health care management science · 2000Article
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Authors and funding
1 author.
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Abstract
The reforms of the National Health System in the UK introduced in 1990 led to substantial changes in the organisation of primary health care. In this paper we analyse the efficiency of primary care provision in the English Family Health Service Authorities (FHSAs) over the period 1990/91-1994/95. We use Data Envelopment Analysis to measure Malmquist indices of productivity changes, which are then decomposed into indices of pure technical efficiency change, scale efficiency change and technological change. The analysis indicates a small improvement in the productivity over the period considered. The increase is attributed to pure technical efficiency improvement and positive change in scale efficiency, while the technology does not show significant change. The analysis suggests that there is very limited scope for productivity gains in this sector.
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