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Data Envelopment Analysis Applications on Primary Health Care Using Exogenous Variables and Health Outcomes

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Data Envelopment Analysis Applications on Primary Health Care Using Exogenous Variables and Health Outcomes

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dc.contributor.author González-De Julián, Silvia es_ES
dc.contributor.author Barrachina Martínez, Isabel es_ES
dc.contributor.author Vivas-Consuelo, David es_ES
dc.contributor.author Bonet-Pla, Álvaro es_ES
dc.contributor.author Usó-Talamantes, Ruth es_ES
dc.date.accessioned 2022-06-01T18:07:08Z
dc.date.available 2022-06-01T18:07:08Z
dc.date.issued 2021-02 es_ES
dc.identifier.uri http://hdl.handle.net/10251/183033
dc.description.abstract [EN] A data envelopment analysis was used to evaluate the efficiency of 18 primary healthcare centres in a health district of the Valencian Community, Spain. Factor analysis was used as a first step in order to identify the most explanatory variables to be incorporated in the models. Included as variable inputs were the ratios of general practitioners, nurses, and costs; as output variables, those included were consultations, emergencies, avoidable hospitalisations, and prescription efficiency; as exogenous variables, those included were the percentage of population over 65 and a multimorbidity index. Confidence intervals were calculated using bootstrapping to correct possible biases. Efficient organisations within the set were identified, although the results depend on the models used and the introduction of exogenous variables. Pharmaceutical expenditure showed the greatest slack and room for improvement in its management. Data envelopment analysis allows an evaluation of efficiency that is focussed on achieving better results and a proper distribution and use of healthcare resources, although it needs the desired goals of the healthcare managers to be clearly identified, as the perspective of the analysis influences the results, as does including variables that measure the achievements and outcomes of the healthcare services. es_ES
dc.description.sponsorship This research was funded by "Conselleria de Hacienda y Modelo Economico de la Comunitat Valenciana (Spain)", file number HIECPU/2019/1, in the context of the Project "Desarrollo de un Modelo para el analisis de la eficiencia en las Unidades Basicas de Salud de atencion primaria en un departamento de Salud perteneciente al mapa sanitario de la Comunidad Valenciana". es_ES
dc.language Inglés es_ES
dc.publisher MDPI AG es_ES
dc.relation.ispartof Sustainability es_ES
dc.rights Reconocimiento (by) es_ES
dc.subject Health economics es_ES
dc.subject Primary care es_ES
dc.subject Efficiency es_ES
dc.subject DEA es_ES
dc.subject Factor analysis es_ES
dc.subject Exogenous variables es_ES
dc.subject Bootstrap es_ES
dc.subject Confidence intervals es_ES
dc.subject.classification ECONOMIA APLICADA es_ES
dc.subject.classification ECONOMIA, SOCIOLOGIA Y POLITICA AGRARIA es_ES
dc.subject.classification ECONOMIA FINANCIERA Y CONTABILIDAD es_ES
dc.title Data Envelopment Analysis Applications on Primary Health Care Using Exogenous Variables and Health Outcomes es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.3390/su13031337 es_ES
dc.relation.projectID info:eu-repo/grantAgreement/GV HACIENDA MOD.ECON//HIECPU%2F2019%2F1//DESARROLLO DE UN MODELO PARA EL ANALISIS DE LA EFICIENCIA EN LAS UNIDADES BASICAS DE SALUD DE ATENCION PRIMARIA EN UN DEPARTAMENTO DE SALUD PERTENECIENTE AL MAPA SANITARIO DE LA COMUNIDAD VALENCIANA/ es_ES
dc.rights.accessRights Abierto es_ES
dc.contributor.affiliation Universitat Politècnica de València. Departamento de Economía y Ciencias Sociales - Departament d'Economia i Ciències Socials es_ES
dc.description.bibliographicCitation González-De Julián, S.; Barrachina Martínez, I.; Vivas-Consuelo, D.; Bonet-Pla, Á.; Usó-Talamantes, R. (2021). Data Envelopment Analysis Applications on Primary Health Care Using Exogenous Variables and Health Outcomes. Sustainability. 13(3):1-18. https://doi.org/10.3390/su13031337 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion https://doi.org/10.3390/su13031337 es_ES
dc.description.upvformatpinicio 1 es_ES
dc.description.upvformatpfin 18 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 13 es_ES
dc.description.issue 3 es_ES
dc.identifier.eissn 2071-1050 es_ES
dc.relation.pasarela S\426615 es_ES
dc.contributor.funder GENERALITAT VALENCIANA es_ES
upv.costeAPC 1819,54 es_ES


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