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Measuring the effect of deprivation on primary health care performance using data envelopment analysis and Malmquist Indices

2025-06-07Artigo científico Acesso aberto
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datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg10:Reduzir as Desigualdades
datacite.subject.sdg11:Cidades e Comunidades Sustentáveis
dc.contributor.authorMerelie, Holly Bea
dc.contributor.authorAmado, Carla
dc.contributor.authorPereira dos Santos, Sérgio
dc.date.accessioned2026-03-27T11:29:49Z
dc.date.available2026-03-27T11:29:49Z
dc.date.issued2025-06-07
dc.description.abstractLife expectancy is typically shorter in areas with higher deprivation, highlighting the need for policymakers and health care managers to focus on reducing health inequalities through efficient and effective care. This study aims to assess the impact of deprivation on primary health care performance using data from the National Health Service (NHS) in England. Two methods are applied: Data Envelopment Analysis (DEA) to evaluate the performance of 188 Clinical Commissioning Groups (CCGs), whose duties were recently taken on by the new Integrated Care Systems (ICSs), and the Malmquist Index (MI) to assess deprivation’s effect on performance. The DEA results reveal significant variation among CCGs in equity, efficiency, and effectiveness, indicating substantial room for improvement. The MI results show that while CCGs in more deprived areas had more resources per capita and higher efficiency, they were generally less effective than those in less deprived areas. This emphasizes the need to enhance health and social policies to address persistent health inequalities due to deprivation, a critical challenge for the new ICSs. This study illustrates how DEA and the MI can support policymakers and managers in this effort.eng
dc.identifier.doi10.1007/s10729-025-09715-9
dc.identifier.eissn1572-9389
dc.identifier.issn1386-9620
dc.identifier.urihttp://hdl.handle.net/10400.1/28557
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSpringer
dc.relationCenter for Advanced Studies in Management and Economics
dc.relation.ispartofHealth Care Management Science
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectData envelopment analysis
dc.subjectMalmquist index
dc.subjectPrimary health care
dc.subjectDeprivation
dc.titleMeasuring the effect of deprivation on primary health care performance using data envelopment analysis and Malmquist Indiceseng
dc.typejournal article
dspace.entity.typePublication
oaire.awardNumberUIDB/04007/2020
oaire.awardTitleCenter for Advanced Studies in Management and Economics
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F04007%2F2020/PT
oaire.citation.endPage477
oaire.citation.issue3
oaire.citation.startPage461
oaire.citation.titleHealth Care Management Science
oaire.citation.volume28
oaire.fundingStream6817 - DCRRNI ID
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameAmado
person.familyNamePereira dos Santos
person.givenNameCarla
person.givenNameSérgio
person.identifier.ciencia-id2919-AB70-B8D8
person.identifier.ciencia-idD81F-2E2A-9046
person.identifier.orcid0000-0001-6944-5129
person.identifier.orcid0000-0001-9811-3799
person.identifier.ridA-9854-2011
person.identifier.scopus-author-id26534002400
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
relation.isAuthorOfPublication8c2831d4-918c-486f-b5da-f41fe3f53eff
relation.isAuthorOfPublicationebe16fd2-b979-4745-a429-026430cc8742
relation.isAuthorOfPublication.latestForDiscovery8c2831d4-918c-486f-b5da-f41fe3f53eff
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