Comparative efficiency assessment of primary care service delivery models using data envelopment analysis

Can Public Policy. 2011;37(1):85-109. doi: 10.3138/cpp.37.1.85.

Abstract

This paper compares the relative productive efficiencies of four models of primary care service delivery using the data envelopment analysis method on 130 primary care practices in Ontario, Canada. A quality-controlled measure of output and two input scenarios are employed: one with full-time-equivalent labour inputs and the other with total expenditures. Regression analysis controls for the mix of patients in the practice population. Overall, we find that community health centres fare the worst when it comes to relative efficiency scores.

Publication types

  • Historical Article

MeSH terms

  • Capitation Fee / history
  • Capitation Fee / legislation & jurisprudence
  • Community Health Centers* / economics
  • Community Health Centers* / history
  • Community Health Centers* / legislation & jurisprudence
  • Community Health Services / economics
  • Community Health Services / history
  • Community Health Services / legislation & jurisprudence
  • Delivery of Health Care* / economics
  • Delivery of Health Care* / ethnology
  • Delivery of Health Care* / history
  • Delivery of Health Care* / legislation & jurisprudence
  • Efficiency
  • Fee-for-Service Plans* / economics
  • Fee-for-Service Plans* / history
  • Fee-for-Service Plans* / legislation & jurisprudence
  • History, 20th Century
  • History, 21st Century
  • Ontario / ethnology
  • Physicians, Primary Care* / economics
  • Physicians, Primary Care* / education
  • Physicians, Primary Care* / history
  • Physicians, Primary Care* / legislation & jurisprudence
  • Physicians, Primary Care* / psychology
  • Primary Health Care* / economics
  • Primary Health Care* / history
  • Primary Health Care* / legislation & jurisprudence