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How efficient are New Zealand's District Health Boards at producing life expectancy gains for Māori and Europeans?

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How efficient are New Zealand's District Health Boards at producing life expectancy gains for Māori and Europeans?

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dc.contributor.author Sandiford, Peter es_ES
dc.contributor.author Vivas Consuelo, David José Juan es_ES
dc.contributor.author Rouse, Paul es_ES
dc.date.accessioned 2017-05-10T16:36:26Z
dc.date.available 2017-05-10T16:36:26Z
dc.date.issued 2017-04
dc.identifier.issn 1326-0200
dc.identifier.uri http://hdl.handle.net/10251/80840
dc.description As an open access journal, all articles in ANZJPH will be freely available to read, download and share immediately on publication es_ES
dc.description.abstract [EN] Objective: Use data envelopment analysis (DEA) to measure the efficiency of New Zealand’s District Health Boards (DHBs) at achieving gains in Māori and European life expectancy (LE). Methods: Using life tables for 2006 and 2013, a two-output DEA model established the production possibility frontier for Māori and European LE gain. Confidence limits were generated from a 10,000 replicate Monte Carlo simulation. Results: Results support the use of LE change as an indicator of DHB efficiency. DHB mean income and education were related to initial LE but not to its rate of change. LE gains were unrelated to either the initial level of life expectancy or to the proportion of Māori in the population. DHB efficiency ranged from 79% to 100%. Efficiency was significantly correlated with DHB financial performance. Conclusion: Changes in LE did not depend on the social characteristics of the DHB. The statistically significant association between efficiency and financial performance supports its use as an indicator of managerial effectiveness. Implications for Public Health: Efficient health systems achieve better population health outcomes. DEA can be used to measure the relative efficiency of sub-national health authorities at achieving health gain and equity outcomes. es_ES
dc.language Inglés es_ES
dc.publisher Wiley es_ES
dc.relation.ispartof Australian and New Zealand Journal of Public Health es_ES
dc.rights Reconocimiento - No comercial - Sin obra derivada (by-nc-nd) es_ES
dc.subject Life expectancy es_ES
dc.subject Efficiency es_ES
dc.subject Data envelopment analysis es_ES
dc.subject Maori es_ES
dc.subject New Zealand es_ES
dc.subject.classification ECONOMIA APLICADA es_ES
dc.title How efficient are New Zealand's District Health Boards at producing life expectancy gains for Māori and Europeans? es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.1111/1753-6405.12618
dc.rights.accessRights Abierto es_ES
dc.contributor.affiliation Universitat Politècnica de València. Facultad de Administración y Dirección de Empresas - Facultat d'Administració i Direcció d'Empreses es_ES
dc.description.bibliographicCitation Sandiford, P.; Vivas Consuelo, DJJ.; Rouse, P. (2017). How efficient are New Zealand's District Health Boards at producing life expectancy gains for Māori and Europeans?. Australian and New Zealand Journal of Public Health. 41(2):125-129. doi:10.1111/1753-6405.12618 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion http://dx.doi.org/10.1111/1753-6405.12618 es_ES
dc.description.upvformatpinicio 125 es_ES
dc.description.upvformatpfin 129 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 41 es_ES
dc.description.issue 2 es_ES
dc.relation.senia 316380 es_ES
dc.identifier.eissn 1753-6405


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