Evidence map›Paper›PMID 34380521›Full record

ArticleCost effectiveness and resource allocation : C/E2021

Examination on level of scale efficiency in public hospitals in Tanzania.

Fatuma Fumbwe, Robert Lihawa, Felician Andrew, George Kinyanjui, Eliaza Mkuna

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Article in Cost effectiveness and resource allocation : C/E, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Fatuma FumbweFaculty of Social Sciences, Department of Economics, Mzumbe University, P.O Box 5, Morogoro, Tanzania.
Robert LihawaFaculty of Social Sciences, Department of Economics, Mzumbe University, P.O Box 5, Morogoro, Tanzania. rlihawa@mzumbe.ac.tz.
Felician AndrewFaculty of Social Sciences, Department of Economics, Mzumbe University, P.O Box 5, Morogoro, Tanzania.
George KinyanjuiSenior Researcher, University of Cape Town, Cape town, South Africa.
Eliaza MkunaFaculty of Social Sciences, Department of Economics, Mzumbe University, P.O Box 5, Morogoro, Tanzania.ORCID http://orcid.org/0000-0001-7682-0740

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTanzania has implemented policies that aim at improving health sector performance as well as the general health status of citizens. Establishment of community insurance fund, increase government budget allocation in health sector, establishment of institutions for critical and special diseases like Tanzania Ocean road cancer institute, Muhimbili Orthopaedic Institute and many other that aim at improving sector efficiency. These efforts and policies had a direct impact on improving the health sector and achieving Sustainable Development Goals (SDGs). Despite these improvement efforts, the health sector continues to face enormous challenges. Among the major challenges identified is the level of inefficiencies in healthcare delivery. It is for this reason; this paper examines the scale efficiency level in Tanzania's public hospitals.

methodsUsing data from the Ministry of Health, this paper employs the Input based Data Envelopment Analysis (DEA) to examine Tanzania's public hospital efficiency levels. DEA has been applied because it can handle multiple inputs and output that can have different units simultaneously.

resultsFindings showed that the average scale efficiency was 78.6%.and 72.9%for regional and district hospitals respectively. Additionally, 43.8% of the regional referral hospitals attained the most productive scale size compared to 21.05% in district hospitals.

conclusionThe study concludes that there is dire need for the ministry of health to consider resource reallocation across public hospitals. Periodic re-estimation of efficiency levels coupled with increased health care input injection is of urgent need.

Indexed as

Data envelopment analysisPublic hospitalsScale efficiency

Identifiers

PMID34380521
PMCPMC8359040

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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.