ArticleHealth care management science2016
Measuring the efficiency of the Greek rural primary health care using a restricted DEA model; the case of southern and western Greece.
Article in Health care management science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Approach in inputs & outputs selection of Data Envelopment Analysis (DEA) efficiency measurement in hospitals: A systematic review.PloS one · 2024Pooled it
- Measuring the effect of deprivation on primary health care performance using data envelopment analysis and Malmquist Indices.Health care management science · 2025Article
- Energy efficiency evaluation of construction projects using data envelopment analysis and Tobit regression.Scientific reports · 2025Article
- Efficiency of Primary Health Services in the Greek Public Sector: Evidence from Bootstrapped DEA/FDH Estimators.Healthcare (Basel, Switzerland) · 2024Article
- Evaluating China's primary healthcare services' efficiency and spatial correlation: a three-stage DEA-Malmquist model.Frontiers in public health · 2024Article
- Technical efficiency and its convergence among village clinics in rural China: evidence from Shanxi Province.Frontiers in public health · 2024Article
- Evaluating the efficiency of primary health care institutions in China: an improved three-stage data envelopment analysis approach.BMC health services research · 2023Article
- Successes, weaknesses, and recommendations to strengthen primary health care: a scoping review.Archives of public health = Archives belges de sante publique · 2023Article
- Assessing the efficiency of health systems in achieving the universal health coverage goal: evidence from Sub-Saharan Africa.Health economics review · 2023Article
- Temporal-Spatial Evolution and Trend Prediction of the Supply Efficiency of Primary Medical Health Service-An Empirical Study Based on Central and Western Regions of China.International journal of environmental research and public health · 2023Article
- Analyzing the efficiency of Chinese primary healthcare institutions using the Malmquist-DEA approach: Evidence from urban and rural areas.Frontiers in public health · 2023Article
- The effectiveness of primary health care reforms in Greece towards achieving universal health coverage: a scoping review.BMC health services research · 2021Article
- Measurement and Evaluation of the Operating Efficiency of China's Basic Pension Insurance: Based on Three-Stage DEA Model.Risk management and healthcare policy · 2021Article
- Factors affecting the technical efficiency of rural primary health care centers in Hamadan, Iran: data envelopment analysis and Tobit regression.Cost effectiveness and resource allocation : C/E · 2020Article
- Technical efficiency and its influencing factors in Malaysian hospital pharmacy services.Health care management science · 2019Article
- The use of Data Envelopment Analysis (DEA) in healthcare with a focus on hospitals.Health care management science · 2019Review
- Measuring the efficiency of Palestinian public hospitals during 2010-2015: an application of a two-stage DEA method.BMC health services research · 2018Article
- Healthcare efficiency assessment using DEA analysis in the Slovak Republic.Health economics review · 2018Article
- Strategies for the quality assessment of the health care service providers in the treatment of Gastric Cancer in Colombia.BMC health services research · 2017Article
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6 authors.
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Abstract
This is a study to measure the efficiency of the rural Health Centres (HCs) and their Regional Surgeries (RSs) of the 6th Health Prefecture (HP) of Greece, which covers Southern and Western Greece. Data Envelopment Analysis (DEA) was applied under Constant and Variable Returns to Scale, using a weight-restricted, output-oriented model, to calculate pure technical efficiency (PΤΕ), scale efficiency (SE) and total technical efficiency (TE). The selection of inputs, outputs and their relative weights in the model was based on two consecutive consensus panels of experts on Primary Health Care (PHC). Medical personnel, nursing personnel and technological equipment were chosen as inputs and were attributed appropriate weight restrictions. Acute, chronic and preventive consultations where chosen as outputs; each output was constructed by smaller subcategories of different relative importance. Data were collected through a questionnaire sent to all HCs of the covered area. From the 42 HCs which provided complete data, the study identified 9 as technical efficient, 5 as scale efficient and 2 as total efficient. The mean TE, PTE and SE scores of the HCs of the 6th Health Prefecture were 0.57, 0.67 and 0.87, respectively. The results demonstrate noteworthy variation in efficiency in the productive process of the HCs of Southern and Western Greece. The dominant form of inefficiency was technical inefficiency. The HCs of the 6th HP can theoretically produce 33 % more output on average, using their current production factors. These results indicated potential for considerable efficiency improvement in most rural health care units. Emphasis on prevention and chronic disease management, as well as wider structural and organisational reforms, are discussed from the viewpoint of how to increase efficiency.
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Registered trials
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