Total productivity change of Health Centers in Greece in 2016–2018: a Malmquist index data envelopment analysis application for the primary health system of Greece

Abstract Background This paper attempts to evaluate the primary health care system by evaluating health centres in Greece. Methods Malmquist Index Data Envelopment Analysis is applied to study the total productivity of 155 health centres in Greece during 2016–2018. The data were collected from the M...

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Autores principales:	Anastasios Trakakis, Miltiadis Nektarios, Styliani Tziaferi, Panagiotis Prezerakos
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Health Centre’s Total Productivity Data envelopment analysis Malmquist productivity index Internal and External Validity Primary Health Care Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/43689088edd947d2941576af870db18b
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spelling	oai:doaj.org-article:43689088edd947d2941576af870db18b2021-11-08T11:02:24ZTotal productivity change of Health Centers in Greece in 2016–2018: a Malmquist index data envelopment analysis application for the primary health system of Greece10.1186/s12962-021-00326-z1478-7547https://doaj.org/article/43689088edd947d2941576af870db18b2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12962-021-00326-zhttps://doaj.org/toc/1478-7547Abstract Background This paper attempts to evaluate the primary health care system by evaluating health centres in Greece. Methods Malmquist Index Data Envelopment Analysis is applied to study the total productivity of 155 health centres in Greece during 2016–2018. The data were collected from the Ministry of Health and submitted to quality tests to ensure validity and avoid bias. Results This paper measures the productivity of each of the 155 health centres in Greece and how it shifted during 2016–2018. In addition, the overall productivity change of the 155 health centres over time is calculated and analysed as being due to technical efficiency or technological efficiency. The analysis of the mean values showed a decrease of 0.9% in the overall productivity factor from 2016 to 2017 and a decrease of 5.2% from 2017 to 2018. The overall decrease in the productivity of the 155 health centres was 3.1%. From 2016 to 2018, 59 health centres changed their productivity mainly due to technological change and 91 changed mainly due to technical efficiency change. One health centre showed regression to its total productivity due to equal regression of its technical efficiency and technology. Conclusions The method used is nonparametric data envelopment analysis along with the Malmquist index to include panel data in the analysis. Meaningful results were extracted by indicating the number of health centres that improved their productivity, regressed in productivity, or remained constant through the period 2016–2018. This paper may contribute to improving health centres’ efficiency and productivity. Furthermore, valuable results can be extracted for the National Health Care System to match available resources that correspond to each health centre’s needs, as well as for manager planners and stakeholders in primary health care.Anastasios TrakakisMiltiadis NektariosStyliani TziaferiPanagiotis PrezerakosBMCarticleHealth Centre’s Total ProductivityData envelopment analysisMalmquist productivity indexInternal and External ValidityPrimary Health CareMedicine (General)R5-920ENCost Effectiveness and Resource Allocation, Vol 19, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Health Centre’s Total Productivity Data envelopment analysis Malmquist productivity index Internal and External Validity Primary Health Care Medicine (General) R5-920
spellingShingle	Health Centre’s Total Productivity Data envelopment analysis Malmquist productivity index Internal and External Validity Primary Health Care Medicine (General) R5-920 Anastasios Trakakis Miltiadis Nektarios Styliani Tziaferi Panagiotis Prezerakos Total productivity change of Health Centers in Greece in 2016–2018: a Malmquist index data envelopment analysis application for the primary health system of Greece
description	Abstract Background This paper attempts to evaluate the primary health care system by evaluating health centres in Greece. Methods Malmquist Index Data Envelopment Analysis is applied to study the total productivity of 155 health centres in Greece during 2016–2018. The data were collected from the Ministry of Health and submitted to quality tests to ensure validity and avoid bias. Results This paper measures the productivity of each of the 155 health centres in Greece and how it shifted during 2016–2018. In addition, the overall productivity change of the 155 health centres over time is calculated and analysed as being due to technical efficiency or technological efficiency. The analysis of the mean values showed a decrease of 0.9% in the overall productivity factor from 2016 to 2017 and a decrease of 5.2% from 2017 to 2018. The overall decrease in the productivity of the 155 health centres was 3.1%. From 2016 to 2018, 59 health centres changed their productivity mainly due to technological change and 91 changed mainly due to technical efficiency change. One health centre showed regression to its total productivity due to equal regression of its technical efficiency and technology. Conclusions The method used is nonparametric data envelopment analysis along with the Malmquist index to include panel data in the analysis. Meaningful results were extracted by indicating the number of health centres that improved their productivity, regressed in productivity, or remained constant through the period 2016–2018. This paper may contribute to improving health centres’ efficiency and productivity. Furthermore, valuable results can be extracted for the National Health Care System to match available resources that correspond to each health centre’s needs, as well as for manager planners and stakeholders in primary health care.
format	article
author	Anastasios Trakakis Miltiadis Nektarios Styliani Tziaferi Panagiotis Prezerakos
author_facet	Anastasios Trakakis Miltiadis Nektarios Styliani Tziaferi Panagiotis Prezerakos
author_sort	Anastasios Trakakis
title	Total productivity change of Health Centers in Greece in 2016–2018: a Malmquist index data envelopment analysis application for the primary health system of Greece
title_short	Total productivity change of Health Centers in Greece in 2016–2018: a Malmquist index data envelopment analysis application for the primary health system of Greece
title_full	Total productivity change of Health Centers in Greece in 2016–2018: a Malmquist index data envelopment analysis application for the primary health system of Greece
title_fullStr	Total productivity change of Health Centers in Greece in 2016–2018: a Malmquist index data envelopment analysis application for the primary health system of Greece
title_full_unstemmed	Total productivity change of Health Centers in Greece in 2016–2018: a Malmquist index data envelopment analysis application for the primary health system of Greece
title_sort	total productivity change of health centers in greece in 2016–2018: a malmquist index data envelopment analysis application for the primary health system of greece
publisher	BMC
publishDate	2021
url	https://doaj.org/article/43689088edd947d2941576af870db18b
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Total productivity change of Health Centers in Greece in 2016–2018: a Malmquist index data envelopment analysis application for the primary health system of Greece

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