In this paper we analyse the efficiency of primary care centres (PCCs) adopting Information and Communication Technology (ICT) devices, using a new database on primary care centres in the Basque Region in Spain. Using a four-stage Data Envelopment Analysis methodology, we are able to explicitly take into account the role of ICT in affecting the efficiency of primary care centres. We understand that this is the first time that ICT enters into the determination of efficiency of the health sector. The role of exogenous factors is explicitly considered in this analysis and shows that including these variables is not neutral to the efficiency evaluation, but leads to an efficiency indicator that only encompasses the effect of managerial skills. The paper provides some useful policy implications regarding the role of ICT in improving the efficiency of primary care units.
|Titolo:||Using Data Envelopment Analysis to Analyse the Efficiency of Primary Care Units|
CODAGNONE, CRISTIANO (Penultimo)
|Parole Chiave:||Data Envelopment Analysis; Efficiency; Electronic health record; Information and Communication Technologies; Primary health care; Ambulatory Care Facilities; Humans; Primary Health Care; Professional Competence; Spain; Statistics as Topic; Computer Communication Networks; Efficiency, Organizational; Medicine (miscellaneous); Information Systems; Health Informatics; Health Information Management|
|Settore Scientifico Disciplinare:||Settore SPS/09 - Sociologia dei Processi economici e del Lavoro|
|Data di pubblicazione:||2014|
|Digital Object Identifier (DOI):||10.1007/s10916-014-0122-1|
|Appare nelle tipologie:||01 - Articolo su periodico|