Efficiency assessment of primary care providersA conditional nonparametric approach

  1. Cordero Ferrera, José Manuel
  2. Alonso Morán, E.
  3. Sauto Arce, Regina
  4. Nuño Solinís, Roberto
  5. Fernández Orueta, Jorge
Book:
XXI Encuentro Economía Pública

Publisher: Universitat de Girona = Universidad de Gerona

Year of publication: 2014

Pages: 16

Congress: Encuentro de Economía Pública (21. 2014. Girona)

Type: Conference paper

Abstract

This paper uses a fully nonparametric approach to estimate efficiency measures for primary care units incorporating the effect of environmental factors. This methodology allows us to account for different types of variables (continuous and discrete) regarding the main characteristics of patients served by those providers. In addition, we use an extension of this nonparametric approach to deal with the presence of undesirable outputs in data, represented by the number of readmissions and hospitalization rates of ambulatory care sensitive condition (ASCS). The empirical results of our application show that all the exogenous variables considered have a significant and negative effect on efficiency estimates.