Performance assessment of primary health care services using data envelopment analysis and the quality-adjusted malmquist index

De Mattos  Capeletti, Nuno; Amado, Carla; Santos, Sérgio

http://hdl.handle.net/10400.1/19537

Use this identifier to reference this record.

Name:	Description:	Size:	Format:
Performance assessment of primary health care services using data envelopment analysis and the quality adjusted malmquist index.pdf		2.16 MB	Adobe PDF	Download

Send Feedback

Authors

De Mattos Capeletti, Nuno

Amado, Carla

Santos, Sérgio

Abstract(s)

Primary 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.