RT Journal Article
T1 [Analysis of the technical efficiency of hospitals in the Spanish National Health Service].
T2 Análisis de la eficiencia técnica en los hospitales del Sistema Nacional de Salud español.
A1 Pérez-Romero, Carmen
A1 Ortega-Díaz, M Isabel
A1 Ocaña-Riola, Ricardo
A1 Martín-Martín, José Jesús
K1 Análisis envolvente de datos
K1 Análisis multinivel
K1 Data envelopment analysis
K1 Efficiency
K1 Eficiencia
K1 Hospitales
K1 Hospitals
K1 Malmquist index
K1 Multilevel analysis
K1 National Health Service
K1 Sistema Nacional de Salud
K1 Índice de Malmquist
AB To analyse the technical efficiency and productivity of general hospitals in the Spanish National Health Service (NHS) (2010-2012) and identify explanatory hospital and regional variables. 230 NHS hospitals were analysed by data envelopment analysis for overall, technical and scale efficiency, and Malmquist index. The robustness of the analysis is contrasted with alternative input-output models. A fixed effects multilevel cross-sectional linear model was used to analyse the explanatory efficiency variables. The average rate of overall technical efficiency (OTE) was 0.736 in 2012; there was considerable variability by region. Malmquist index (2010-2012) is 1.013. A 23% variability in OTE is attributable to the region in question. Statistically significant exogenous variables (residents per 100 physicians, aging index, average annual income per household, essential public service expenditure and public health expenditure per capita) explain 42% of the OTE variability between hospitals and 64% between regions. The number of residents showed a statistically significant relationship. As regards regions, there is a statistically significant direct linear association between OTE and annual income per capita and essential public service expenditure, and an indirect association with the aging index and annual public health expenditure per capita. The significant room for improvement in the efficiency of hospitals is conditioned by region-specific characteristics, specifically aging, wealth and the public expenditure policies of each one.
YR 2016
FD 2016-12-30
LK http://hdl.handle.net/10668/10731
UL http://hdl.handle.net/10668/10731
LA es
DS RISalud
RD Apr 18, 2025