TY - JOUR
T1 - A performance assessment method for hospitals
T2 - the case of municipal hospitals in Angola
AU - Kirigia, Joses M.
AU - Emrouznejad, Ali
AU - Cassona, Basilio
AU - Asbu, Eyob Z.
AU - Barry, Saidou
PY - 2008
Y1 - 2008
N2 - Over 60% of the recurrent budget of the Ministry of Health (MoH) in Angola is spent on the operations of the fixed health care facilities (health centres plus hospitals). However, to date, no study has been attempted to investigate how efficiently those resources are used to produce health services. Therefore the objectives of this study were to assess the technical efficiency of public municipal hospitals in Angola; assess changes in productivity over time with a view to analyzing changes in efficiency and technology; and demonstrate how the results can be used in the pursuit of the public health objective of promoting efficiency in the use of health resources. The analysis was based on a 3-year panel data from all the 28 public municipal hospitals in Angola. Data Envelopment Analysis (DEA), a non-parametric linear programming approach, was employed to assess the technical and scale efficiency and productivity change over time using Malmquist index.The results show that on average, productivity of municipal hospitals in Angola increased by 4.5% over the period 2000-2002; that growth was due to improvements in efficiency rather than innovation. © 2008 Springer Science+Business Media, LLC.
AB - Over 60% of the recurrent budget of the Ministry of Health (MoH) in Angola is spent on the operations of the fixed health care facilities (health centres plus hospitals). However, to date, no study has been attempted to investigate how efficiently those resources are used to produce health services. Therefore the objectives of this study were to assess the technical efficiency of public municipal hospitals in Angola; assess changes in productivity over time with a view to analyzing changes in efficiency and technology; and demonstrate how the results can be used in the pursuit of the public health objective of promoting efficiency in the use of health resources. The analysis was based on a 3-year panel data from all the 28 public municipal hospitals in Angola. Data Envelopment Analysis (DEA), a non-parametric linear programming approach, was employed to assess the technical and scale efficiency and productivity change over time using Malmquist index.The results show that on average, productivity of municipal hospitals in Angola increased by 4.5% over the period 2000-2002; that growth was due to improvements in efficiency rather than innovation. © 2008 Springer Science+Business Media, LLC.
KW - Angola/Africa
KW - data envelopment analysis
KW - efficiency and productivity
KW - hospital performance comparison
KW - Malmquist indices
UR - http://www.scopus.com/inward/record.url?scp=54949158577&partnerID=8YFLogxK
UR - http://www.springerlink.com/content/r31602854061l377/
U2 - 10.1007/s10916-008-9157-5
DO - 10.1007/s10916-008-9157-5
M3 - Article
C2 - 19058655
SN - 0148-5598
VL - 32
SP - 509
EP - 519
JO - Journal of Medical Systems
JF - Journal of Medical Systems
IS - 6
ER -