Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Journal of Medical Systems
Erschienen in: Journal of Medical Systems 6/2006

01.12.2006 | Original Paper

Efficient Management of Health Centres Human Resources in Zambia

verfasst von: Felix Masiye, Joses M. Kirigia, Ali Emrouznejad, Luis G. Sambo, Abdou Mounkaila, Davis Chimfwembe, David Okello

Erschienen in: Journal of Medical Systems | Ausgabe 6/2006

Einloggen, um Zugang zu erhalten

Abstract

This study uses Data Envelopment Analysis (DEA) to estimate the degree of technical, allocative and cost efficiency in individual public and private health centres in Zambia; and to identify the relative inefficiencies in the use of various inputs among individual health centers. About 83% of the 40 health centres were technically inefficient; and 88% of them were both allocatively and cost inefficient. The privately owned health centers were found to be more efficient than public facilities.
Literatur
1.
WHO, The World Health Report 2000: Improving Health Systems Peformance, WHO, Geneva, 2000a.
2.
WHO, The Bulletin of the World Health Organization, WHO, Geneva, 2000b.
3.
Murray, C. J. L., and Frenk, J., A framework for assessing the performance of health systems. Bull. WHO. 78(6):717–731, 2000.
4.
Williams, A., Science or Marketing at WHO? A commentary on ‘World Health 2000’. Health Econ. 10(93):93–100, 2000.
5.
Wagstaff, A., Measuring equity in health care financing: reflections on and alternatives to the World Health Organizations fairness of financing index. Development Research Group and Human Development Network, World Bank, 2001.
6.
Shaw, R. P., World Health Report 2000 “Financial Fairness Indicator”. Useful compass or crystal ball? Int. J. Health Serv. 32(1):195–203, 2002.CrossRef
7.
Pedersen, K. M., The World Health Report 2000: dialogue of the deaf. Health Econ. 11:93–101, 2002.CrossRef
8.
UNDP, The Human Development Report 2002, Oxford University Press, Oxford, 2002.
9.
Masiye, F., Ndulo, M., Roos, P., and Odegaard, K., A comparative analysis of hospitals in Zambia: a pilot study on efficiency measurement and monitoring. In: Seshamani, V., Mwikisa, C. N., and Odegaard, K. (eds.), Zambias Health Reforms Selected Papers 1995–2000 Chapter 7, Sweden, Lund, pp. 95–107, 2002.
10.
WHO, World Health Report 2001, WHO, Geneva, 2001a.
11.
UNDP, The Human Development Report 2001, Oxford University, Oxford, 2001.
12.
United Nations, The millenium international development goals, United Nations, New York, 2000.
13.
WHO, Regional Office for Africa, Health-for-all policy for the 21st century in the African Region: agenda 2020, WHO, Harare, 2000.
14.
WHO, Macroeconomics and Health: Investing in Health for Economic Development, World Health Organization, Geneva, 2001b.
15.
New Partnership for Africas Development, Human Development Programme: Health. Republic of South Africa, Pretoria, 2000.
16.
Mooney, G. H., Economics, medicine and health care, Harvester Wheatsheaf, New York, 1986.
17.
Culyer, A. J., The morality of efficiency in health care: some uncomfortable implications. Health Econ. 1(1):7–18, 1992.
18.
Saltman, R. B., and Ferrousier-Davis, O., The concept of stewardship in health policy. Bulletin World Health Organ. 78(6):732–739, 2001.
19.
Chattopadhy, S., and Ray, C. S., Technical, Scale, and Size efficiency in Nursing home care: a nonparametric analysis of Connecticut homes. Health Econ. 5:363–373, 1996.CrossRef
20.
Shroff, H. F. E., Gulledge, T. R., Haynes, K. E., and Oneill, M. K., Siting efficiency of long-term health care facilities. Socioecon. Plann. Sci. 32(1):25–43, 1998.CrossRef
21.
Hollingsworth, B., and Parkin, D., The efficiency of the delivery of neonatal care in the UK. J. Public Health Med. 23(1):47–50, 2001.CrossRef
22.
Jacobs, R., Alternative methods to examine hospital efficiency: data envelopment analysis and stochastic frontier analysis. Health Care Manag. Sci. 4:103–115, 2001.CrossRef
23.
Ersoy, K., Kavuncubasi, S., Ozcan, Y. A., and Harris, I. I. J. M., Technical efficiencies of Turkish hospitals: DEA Approach. J. Med. Syst. 21(2):67–74, 1997.CrossRef
24.
Linna, M., Nordblad, and Koivu, M., Technical and cost efficiency of oral health care provision in Finnish health centres. Soc. Sci. Med., 2002.
25.
Chang, H., Determinants of hospital efficiency: the case of central government-owned hospitals in Taiwan. Omega Int. J. Manag. Sci. 26(2):307–317, 1998.CrossRef
26.
Wan, T. T. H., Hsu, N., Feng, R., Ma, A., Pan, S., and Chou, M., Technical efficiency of Nursing Units in a tertiary care hospital in Taiwan. J. Med. Sys. 26(1):21–27, 2002.CrossRef
27.
Kirigia, J. M., Lambo, E., and Sambo, L. G., Are public hospitals in Kwazulu-Natal Province of South Africa technically efficient? African J. Health Sci. 7(3–4):25–32, 2000.
28.
Kirigia, J. M., Sambo, L. G., and Scheel, H., Technical efficiency of public clinics in Kwazulu-Natal province of South Africa. East African Med. J. 78(3):S1–S13, 2001.
29.
Zere, E. A., Addison, T., and McIntyre, D., Hospital efficiency in Sub-Saharan Africa: Evidence from South Africa. South African J. Econ. 2000.
30.
Kirigia, J. M., Emrouznejad, A., and Sambo, L. G., Measurement of technical efficiency of public hospitals in Kenya: using Data Envelopment Analysis. J. Med. Sys. 26(1):39–45, 2002a.CrossRef
31.
Emrouznejad, A., An alternative DEA measure: A case of OCED countries. Appl. Econ. Lett. 10:779–782, 2003.CrossRef
32.
Emrouznejad, A., Measurement efficiency and productivity in SAS/OR. J. Comput. Oper. Res. 32(7) 1665–1683, July 2005, 2004.
33.
Emrouznejad, A., and Thanassoulis, E., A mathematical model for dynamic efficiency using data envelopment analysis. J. Appl. Math. Comput. 160(2):363–378, 14 January, 2005, 2004.CrossRef
34.
Emrouznejad, Ali, and Victor, Podinovski, Data Envelopment Analysis and Performance management, Warwick Print, Coventry, UK, ISBN: 0 90268373 X, 2004.
35.
Coelli, T. J., A guide to DEAP Version 2.1: A Data Envelopment Analysis (Computer) Program. Working Paper No. 8/96. Centre for Efficiency and Productivity Analysis (CEPA), Department of Econometrics, University of New England, Armidale, Australia, 1996.
36.
Farrell, M. J., The measurement of productive efficiency. J. Royal Stat. Soc. Series A 120(III):253–281, 1957.CrossRef
37.
Charnes, A., Cooper, W. W., and Rhodes, E., Measuring efficiency of decision making units. Eur. J. Oper. Res. 2–6:429–444, 1978.MathSciNetCrossRef
38.
Emrouznejad, A., Ali Emrouznejad's DEA HomePage, Warwick Business School, Coventry CV4 7AL, UK, 1995–2003.
39.
Morey, R. C., Fine, D. J., and Loree, S. W., Comparing the allocative efficiencies of hospitals. OMEGA Int. J. Manag. Sci. 18(1):71–83, 1990.CrossRef
40.
Ozcan, A., and Luke, R. D., A national study of the efficiency of hospitals in Urban Markets. Health Serv. Res. 27(6):719–739, 1993.
41.
Lynch, J. R., and Ozcan, Y., Hospital closure: an efficiency analysis. Hospital Health Serv. Admin. 39(2):205–220, 1994.
42.
Ozcan, Y., and Cotter, J. J., As assessment of efficiency of area agencies on aging in Virginia through data envelopment analysis. The Gerontologist 34(3):363–370, 1994.
43.
Laura, H. T., Ozcan, Y. A., and Wogan, S. E., Mental health case management and technical efficiency. J. Med. Syst. 19(5):413–423, 1995.CrossRef
44.
Ozcan, Y., Efficiency of hospital service production in local markets: the balance sheet of U.S. medical armament. Socioecon Plann. Sci. 29(2):139–150, 1995.CrossRef
45.
White, K. R., Fache, R. N., and Ozcan, Y., Church ownership and hospital efficiency. Hospital Health Serv. Admin. 41(3):297–310, 1996.
46.
Pai, C., Ozcan, Y. A., and Jiang, H. J., Regional variation in physician practice pattern: an examination of technical and cost efficiency for treating sinusitis. J. Med. Sys. 24(2):103–117, 2000.CrossRef
47.
Harris, II J., Ozgen, H., and Ozcan, Y., Do mergers enhance the performance of hospital efficiency? J. Oper. Res. Soc. 51:801–811, 2000.MATHCrossRef
48.
Rollins, J., Lee, K., Xu, Y., and Ozcan, Y., Longitudinal study of health maintenance organization efficiency. Health Serv. Manage. Res. 14:249–262, 2001.CrossRef
Metadaten
Titel
Efficient Management of Health Centres Human Resources in Zambia
verfasst von
Felix Masiye
Joses M. Kirigia
Ali Emrouznejad
Luis G. Sambo
Abdou Mounkaila
Davis Chimfwembe
David Okello
Publikationsdatum
01.12.2006
Erschienen in
Journal of Medical Systems / Ausgabe 6/2006
Print ISSN: 0148-5598
Elektronische ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-006-9032-1

Weitere Artikel der Ausgabe 6/2006

Journal of Medical Systems 6/2006 Zur Ausgabe

Original Paper

Context Based Error Modeling for Lossless Compression of EEG Signals Using Neural Networks

Original Paper

French Claims Data as a Source of Information to Describe Cancer Incidence: Predictive Values of Two Identification Methods of Incident Prostate Cancers

Original Paper

Comparison of AR and Welch Methods in Epileptic Seizure Detection

Original Paper

How Responsive Turkish Health Care System Is to Its Citizens: The Views of Hospital Managers

Original Paper

Clinical Information System Availability and Use in Urban and Rural Hospitals

Original Paper

Barcode Technology in Blood Bank Information Systems: Upgrade and Its Impact