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

dc.contributor.authorDe Mattos Capeletti, Nuno
dc.contributor.authorAmado, Carla
dc.contributor.authorSantos, Sérgio
dc.date.accessioned2023-05-10T09:25:11Z
dc.date.available2023-05-10T09:25:11Z
dc.date.issued2023
dc.description.abstractPrimary 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1080/01605682.2023.2197928pt_PT
dc.identifier.issn0160-5682
dc.identifier.urihttp://hdl.handle.net/10400.1/19537
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherTaylor and Francispt_PT
dc.relationCenter for Advanced Studies in Management and Economics
dc.subjectHealth servicespt_PT
dc.subjectData envelopment analysispt_PT
dc.subjectPerformance measurementpt_PT
dc.subjectQualitypt_PT
dc.titlePerformance assessment of primary health care services using data envelopment analysis and the quality-adjusted malmquist indexpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleCenter for Advanced Studies in Management and Economics
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F04007%2F2020/PT
oaire.citation.endPage17pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleJournal of the Operational Research Societypt_PT
oaire.fundingStream6817 - DCRRNI ID
person.familyNamede Mattos Capeletti
person.familyNameAmado
person.familyNamePereira dos Santos
person.givenNameNuno
person.givenNameCarla
person.givenNameSérgio
person.identifier.ciencia-id2919-AB70-B8D8
person.identifier.ciencia-idD81F-2E2A-9046
person.identifier.orcid0000-0003-1329-3503
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
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
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