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- Performance evaluation in Portuguese electricity distribution utilitiesPublication . Santos, Sérgio Pereira dos; Amado, Carla; Rosado, Joaquim; Rodrigues, Paulo M. M.; Santos, Sérgio Pereira dos; Ferreira, F. A. F.The Portuguese electricity system has undergone a major transformation in recent years due to its integration in the liberalised Iberian market. The group responsible for the electricity generation and distribution in Portugal (EDP) has been consistently focusing in service quality and efficiency. In the last 3 years, a stringent cost cutting and efficiency improvement program was implemented. This paper conducted a Data Envelopment Analysis (DEA) study to measure the relative efficiency of the 14 electricity distribution units belonging to EDP. A dynamic analysis using Malmquist Indices was also conducted in order to evaluate the changes in productivity from 2002 to 2005. Our results show that, on average, we can find evidence of 2% productivity gains in the Portuguese electricity distribution sector. Furthermore, we found evidence of significant discrimination among regional areas, suggesting that a benchmarking exercise based on the DEA results could be valuable for performance improvement in some regions.
- Performance assessment of primary health care services using data envelopment analysis and the quality-adjusted malmquist indexPublication . De Mattos Capeletti, Nuno; Amado, Carla; Santos, SérgioPrimary Health Care (PHC) is intended to provide a comprehensive response to the patients' health needs. Considering the increasing demand to optimise the use of the available resources while keeping a high-quality standard, it is essential to investigate the health services' performance. We propose a methodology based on the Data Envelopment Analysis (DEA) technique, examining the volume of activities performed and considering the impact of these activities by using a quality indicator directly related to care outcomes. To perform a longitudinal analysis and observe the changes in quality separately, a Quality-Adjusted Malmquist Productivity Index is implemented. The methodology is illustrated by analysing the performance and the evolution in productivity and quality of the primary care services delivered by the municipalities of the Brazilian state of Santa Catarina from 2008 to 2014. Our findings reinforce the view that adequate planning and structuring of PHC services must consider not only the volume of activity but also the impact of the services delivered.
- Formative evaluation of electricity distribution utilities using data envelopment analysisPublication . Santos, Sérgio Pereira dos; Amado, Carla; Rosado, JoaquimThe use of Data Envelopment Analysis (DEA) in the electricity distribution sector has been prolific in the number of papers published in research journals. However, while numerous studies have been documented, they have mostly been summative. Their aim has been predominantly descriptive and classificatory. This paper argues that evaluations of a formative nature are more effective than summative studies in promoting a better understanding of the structures and processes of electricity distribution utilities and, consequently, are more appropriate to contribute to performance improvement. To illustrate the use of DEA for formative evaluation, and highlight some of the difficulties of using DEA in practice, this paper compares the cost-efficiency of the Portuguese electricity distribution companies from 2002 to 2006. A dynamic analysis using Malmquist Indices is also conducted in order to evaluate the changes in productivity over this period. Our analysis shows that the application of DEA for formative purposes meets some difficulties. In particular it shows that while the modelling of productivity/efficiency scores using DEA is relatively straightforward, it is comparatively more difficult to develop models that are economically valid and that produce results with face validity. On the basis of the insights derived from this analysis, the paper provides some recommendations regarding the successful application of DEA for performance improvement.
- Using data envelopment analysis for formative evaluation of radiotherapy services: an exploratory studyPublication . Santos, Sérgio Pereira dos; Amado, Carla; Tànfani, E.; Testi, A.Radiotherapy is an important element in cancer treatment, both for cure and for palliation. Whilst performance measurement and performance improvement are major concerns of most radiotherapy departments, measuring and managing the performance of these departments is particularly challenging. This article critically explores the use of Data Envelopment Analysis (DEA) for formative evaluation of radiotherapy services. Following a review of the literature, a conceptual framework for performance assessment of radiotherapy departments is developed and its use illustrated. Our empirical analysis uses mostly data from 2007 and compares the fairness of access to services, technical efficiency, and clinical effectiveness across the English strategic health authorities. The analysis shows that whilst the application of DEA in this context meets some difficulties, it also has great potential by providing valuable information to improve services, especially if used in a formative mode.
- Exploring the use of data envelopment analysis for formative evaluation in oncology: an application to radiotherapy servicesPublication . Santos, Sérgio Pereira dos; Amado, CarlaRadiotherapy is an important element in cancer treatment, both for cure and for palliation. Whilst performance measurement and performance improvement are a major concern of most radiotherapy departments, measuring and managing the performance of these departments is particularly challenging. This paper critically evaluates the use of Data Envelopment Analysis (DEA) for formative evaluation of radiotherapy departments. The paper begins by providing the theoretical background of the research. The applicability of DEA to assess the performance of radiotherapy departments is then analysed. The paper concludes with some closing remarks.