ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2013
Organisational determinants of production and efficiency in general practice: a population-based study.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2013. 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
- Scale, Skill-Mix, and Access Implications of the Production of Appointments by Primary Care Practices in England.Health economics · 2026Article
- Physicians' assessment of the Bavarian drug-expenditure control system: a qualitative study.BMC health services research · 2023Article
- Production function for modeling hospital activities. The case of Polish county hospitals.PloS one · 2022Article
- The Efficiency of self-employed general practitioners and factors affecting it: a study in Iran.BMC research notes · 2020Article
- A labor requirements function for sizing the health workforce.Human resources for health · 2018Article
- Efficiency of physician specialist groups.Health care management science · 2018Article
- Profit efficiency of physician practices: a stochastic frontier approach using panel data.Health care management science · 2018Article
- Resource allocation and the burden of co-morbidities among patients diagnosed with chronic obstructive pulmonary disease: an observational cohort study from Danish general practice.BMC health services research · 2016Observational
- Cost and technical efficiency of physician practices: a stochastic frontier approach using panel data.Health care management science · 2014Article
- Could the patient have been seen by a nurse; a questionnaire based survey of GP and patient views in Danish general practice.BMC family practice · 2013Article
- The accuracy of general practitioner workforce projections.Human resources for health · 2013Article
- Measuring Cost-Revenue Technical Efficiency in Fragmented Outpatient Care: A Comparative DEA and SFA Analysis.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveShortage of general practitioners (GPs) and an increased political focus on primary care have enforced the interest in efficiency analysis in the Danish primary care sector. This paper assesses the association between organisational factors of general practices and production and efficiency.
methodsWe assume that production and efficiency can be modelled using a behavioural production function. We apply the Battese and Coelli (Empir Econ 20:325-332, 1995) estimator to accomplish a decomposition of exogenous variables to determine the production frontier and variables determining the individual GPs distance to this frontier. Two different measures of practice outputs (number of office visits and total production) were applied and the results compared.
resultsThe results indicate that nurses do not substitute GPs in the production. The production function exhibited constant returns to scale. The mean level of efficiency was between 0.79 and 0.84, and list size was the most important determinant of variation in efficiency levels.
conclusionsNurses are currently undertaking other tasks than GPs, and larger practices do not lead to increased production per GP. However, a relative increase in list size increased the efficiency. This indicates that organisational changes aiming to increase capacity in general practice should be carefully designed and tested.
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