ArticleCost effectiveness and resource allocation : C/E2021
Total productivity change of Health Centers in Greece in 2016-2018: a Malmquist index data envelopment analysis application for the primary health system of Greece.
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.
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Who cites it
8 citing papers in PubMed.
- Evaluation and dynamic evolution of maternal and child health services in township health centers in ethnic minority areas of Guangxi, China.Primary health care research & development · 2025Article
- Evaluating the Efficiency and Productivity of Opioid Substitution Treatment Units in Greece: A DEA-Malmquist Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Evaluating China's primary healthcare services' efficiency and spatial correlation: a three-stage DEA-Malmquist model.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
- The Application of Data Envelopment Analysis to Emergency Departments and Management of Emergency Conditions: A Narrative Review.Healthcare (Basel, Switzerland) · 2023Review
- Assessing the impact of COVID-19 on the efficiency of Portuguese state-owned enterprise hospitals.Socio-economic planning sciences · 2022Article
- Evaluation of the Efficiency in Public Health Centers in Greece Regarding the Human Resources Occupied: A Bootstrap Data Envelopment Analysis Application.International journal of environmental research and public health · 2022Article
- Total productivity change of Health Centers in Greece in 2016-2018: a Malmquist index data envelopment analysis application for the primary health system of Greece.Cost effectiveness and resource allocation : C/E · 2021Article
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4 authors.
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Abstract
backgroundThis paper attempts to evaluate the primary health care system by evaluating health centres in Greece.
methodsMalmquist Index Data Envelopment Analysis is applied to study the total productivity of 155 health centres in Greece during 2016-2018. The data were collected from the Ministry of Health and submitted to quality tests to ensure validity and avoid bias.
resultsThis paper measures the productivity of each of the 155 health centres in Greece and how it shifted during 2016-2018. In addition, the overall productivity change of the 155 health centres over time is calculated and analysed as being due to technical efficiency or technological efficiency. The analysis of the mean values showed a decrease of 0.9% in the overall productivity factor from 2016 to 2017 and a decrease of 5.2% from 2017 to 2018. The overall decrease in the productivity of the 155 health centres was 3.1%. From 2016 to 2018, 59 health centres changed their productivity mainly due to technological change and 91 changed mainly due to technical efficiency change. One health centre showed regression to its total productivity due to equal regression of its technical efficiency and technology.
conclusionsThe method used is nonparametric data envelopment analysis along with the Malmquist index to include panel data in the analysis. Meaningful results were extracted by indicating the number of health centres that improved their productivity, regressed in productivity, or remained constant through the period 2016-2018. This paper may contribute to improving health centres' efficiency and productivity. Furthermore, valuable results can be extracted for the National Health Care System to match available resources that correspond to each health centre's needs, as well as for manager planners and stakeholders in primary health care.
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