ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2011
Technical efficiency in primary health care: does quality matter?
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Approaches to Measure Efficiency in Primary Care: A Systematic Literature Review.Applied health economics and health policy · 2022Pooled it
- Efficiency of Primary Health Services in the Greek Public Sector: Evidence from Bootstrapped DEA/FDH Estimators.Healthcare (Basel, Switzerland) · 2024Article
- Successes, weaknesses, and recommendations to strengthen primary health care: a scoping review.Archives of public health = Archives belges de sante publique · 2023Article
- COVID-19 and the efficiency of health systems in Europe.Health economics review · 2022Article
- Tackling maternal mortality by improving technical efficiency in the production of primary health services: longitudinal evidence from the Mexican case.Health care management science · 2020Article
- Cost efficiency of nursing homes: do five-star quality ratings matter?Health care management science · 2017Article
- Efficiency of Ontario primary care physicians across payment models: a stochastic frontier analysis.Health economics review · 2016Article
- Technical efficiency of women's health prevention programs in Bucaramanga, Colombia: a four-stage analysis.BMC health services research · 2016Observational
- Using data envelopment analysis to analyse the efficiency of primary care units.Journal of medical systems · 2014Article
- The effect of quality and socio-demographic variables on efficiency measures in primary health care.The European journal of health economics : HEPAC : health economics in prevention and care · 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
- How much can we gain from improved efficiency? An examination of performance of national HIV/AIDS programs and its determinants in low- and middle-income countries.BMC health services research · 2012Article
- Measuring technical efficiency in primary health care: the effect of exogenous variables on results.Journal of medical systems · 2011Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The accuracy required in the measurement of output is an issue that has as yet still not been satisfactorily addressed in empirical research on efficiency in primary health care. We exploit information retrieved from a newly constructed database (APEX06) for the Spanish region of Extremadura. The richness of our dataset allows us to consider original synthetic measures of output that take into account both the quantity and the quality of services provided by 85 primary care centers (PCCs) in 2006. We provide evidence that neglecting the issue of properly accounting for the quality of health services can lead to misleading results. Our main finding is that adjusting output for quality has a three-fold effect on efficiency analysis. Firstly, inefficiency explains relatively more of the deviation from potential output. Secondly, the average technical efficiency in the sector is lower, while its dispersion among PCCs is significantly higher. Thirdly, the efficiency ranking of the PCCs is affected.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.