Observational studyBMC health services research2016
Technical efficiency of women's health prevention programs in Bucaramanga, Colombia: a four-stage analysis.
Observational study in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Impact of fiscal subsidies of health insurance system and public health programs on the efficiency of primary healthcare institutions in China.BMC health services research · 2026Article
- Analyzing the effect of health reforms on the efficiency of Ecuadorian public hospitals.International journal of health economics and management · 2023Article
- Analysis of factors influencing technical efficiency of public district hospitals in KwaZulu-Natal province, South Africa.Human resources for health · 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
- Technical Efficiency of Maternal Health Services Provision in Public Hospitals of Northwest Ethiopia: A Two-Stage Data Envelopment Analysis.Risk management and healthcare policy · 2020Article
- Potential determinants of health system efficiency: Evidence from Latin America and the Caribbean.PloS one · 2019Article
- Recommendations of physical activity and rest in a Colombian prenatal control program.Revista de saude publica · 2019Observational
- Referral gynecological ambulatory clinic: principal diagnosis and distribution in health services.BMC women's health · 2018Article
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3 authors.
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Abstract
backgroundPrimary Health Care (PHC) is an efficient strategy to improve health outcomes in populations. Nevertheless, studies of technical efficiency in health care have focused on hospitals, with very little on primary health care centers. The objective of the present study was to use the Data Envelopment Analysis to estimate the technical efficiency of three women's health promotion and disease prevention programs offered by primary care centers in Bucaramanga, Colombia.
methodsEfficiency was measured using a four-stage data envelopment analysis with a series of Tobit regressions to account for the effect of quality outcomes and context variables. Input/output information was collected from the institutions' records, chart reviews and personal interviews. Information about contextual variables was obtained from databases from the primary health program in the municipality. A jackknife analysis was used to assess the robustness of the results.
resultsThe analysis was based on data from 21 public primary health care centers. The average efficiency scores, after adjusting for quality and context, were 92.4 %, 97.5 % and 86.2 % for the antenatal care (ANC), early detection of cervical cancer (EDCC) and family planning (FP) programs, respectively. On each program, 12 of the 21 (57.1 %) health centers were found to be technically efficient; having had the best-practice frontiers. Adjusting for context variables changed the scores and reference rankings of the three programs offered by the health centers.
conclusionThe performance of the women's health prevention programs offered by the centers was found to be heterogeneous. Adjusting for context and health care quality variables had a significant effect on the technical efficiency scores and ranking. The results can serve as a guide to strengthen management and organizational and planning processes related to local primary care services operating within a market-based model such as the one in Colombia.
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