Visualisation of Data Envelopment Analysis in Primary Health Services
Ripoll-Zarraga, Ane Elixabete (Universitat Autònoma de Barcelona. Departament de Telecomunicació i Enginyeria de Sistemes)
Franco Miguel, José Luis (Universidad Pontificia Comillas. Departamento de Gestión Financiera)
Fullana Belda, Carmen (Universidad Pontificia Comillas. Departamento de Gestión Financiera)

Data:	2025
Resum:	Benchmark efficiency analysis in public health typically focuses on hospitals rather than primary care providers. Data Envelopment Analysis (DEA) is widely used to assess resource efficiency among decision-making units (DMUs). However, traditional DEA struggles to differentiate between efficient units and is sensitive to the selection of inputs and outputs. Methods like super-efficiency and cross-efficiency address some of these limitations but often exclude outliers and may overlook efficiency related to specialisation. DEA Visualisation integrates DEA with multivariate statistical methods allowing for the identification of inefficiency sources and specialisation patterns without losing discriminatory power or removing extreme cases from the sample. This study analyses 82 public primary health centres in Madrid serving senior citizens in 2018. The findings reveal inefficiencies such as a preference for prescribing specific rather than generic drugs, increasing public health costs. Additionally, two extreme cases (outliers or mavericks) were identified as having high infrastructure costs and disproportionate staffing. Redistributing patients from overcrowded centres could enhance efficiency, while centres focused on preventive care showed greater cost-effectiveness, particularly in reducing prescription costs.
Nota:	Altres ajuts: acords transformatius de la UAB
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	DEA Visualisation ; Multivariate Statistical Analysis ; Primary Health Care ; Health Specialisation ; Extreme Cases ; Efficiency ; SDG 3 - Good Health and Well-being ; SDG 12 - Responsible Consumption and Production
Publicat a:	Health Care Management Science, (May 2025) , ISSN 1572-9389

DOI: 10.1007/s10729-025-09702-0
PMID: 40314922

27 p, 2.3 MB

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