Evaluating the decentralisation of the Spanish healthcare system: a data envelopment analysis approach
Objectives The aim of the study was to answer whether the central government has been more efficient than the regional governments or vice versa. Likewise, through the analysis of the data, the aim was to shed light on whether decentralisation has had a positive impact on the efficiency of the hospi...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/3/e076853.full |
| _version_ | 1797263582219468800 |
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| author | Tamara Armenteros-Ruiz Alejandro Ballesteros-Ron Moisés Rodriguez-Mañero Francisco Reyes-Santías |
| author_facet | Tamara Armenteros-Ruiz Alejandro Ballesteros-Ron Moisés Rodriguez-Mañero Francisco Reyes-Santías |
| author_sort | Tamara Armenteros-Ruiz |
| collection | DOAJ |
| description | Objectives The aim of the study was to answer whether the central government has been more efficient than the regional governments or vice versa. Likewise, through the analysis of the data, the aim was to shed light on whether decentralisation has had a positive impact on the efficiency of the hospital sector or not.Design In this paper, we have used data envelopment analysis to analyse the evolution of efficiency in the last 10 Autonomous Regions to receive healthcare competences at the end of 2001.Participants For this study, we have taken into account the number of beds and full-time workers as inputs and the calculation of basic care units as outputs to measure the efficiency of the Spanish public sector, private sector and jointly in the years 2002, 2007, 2012 and 2017 for the last Autonomous Regions receiving healthcare competences.Results Of the Autonomous Regions that received the transfers at the end of 2001, the following stand out for their higher efficiency growth: the Balearic Islands (81.44% improvement), the Madrid Autonomous Region, which practically reached absolute efficiency levels (having increased by 63.77%), and La Rioja which, together with the Balearic Islands which started from very low values, improved notably (46.13%).Conclusion In general, it can be observed that the transfer of responsibilities in the health sector has improved efficiency in the National Health Service.JEL classification C14; I18; H21. |
| first_indexed | 2024-04-25T00:15:18Z |
| format | Article |
| id | doaj.art-94e6972b8a0d4b56847af8fc1134ca6d |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-25T00:15:18Z |
| publishDate | 2024-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-94e6972b8a0d4b56847af8fc1134ca6d2024-03-13T04:50:09ZengBMJ Publishing GroupBMJ Open2044-60552024-03-0114310.1136/bmjopen-2023-076853Evaluating the decentralisation of the Spanish healthcare system: a data envelopment analysis approachTamara Armenteros-Ruiz0Alejandro Ballesteros-Ron1Moisés Rodriguez-Mañero2Francisco Reyes-Santías3Universidade de Santiago de Compostela Facultade de Ciencias Economicas e Empresariais, Santiago de Compostela, SpainUniversidade de Santiago de Compostela Facultade de Ciencias Economicas e Empresariais, Santiago de Compostela, SpainCardiology, Hospital Universitario de Santiago, Santiago de Compostela, SpainOrganización de Empresas e Mercadotecnia, Universidad de Vigo, Ourense, SpainObjectives The aim of the study was to answer whether the central government has been more efficient than the regional governments or vice versa. Likewise, through the analysis of the data, the aim was to shed light on whether decentralisation has had a positive impact on the efficiency of the hospital sector or not.Design In this paper, we have used data envelopment analysis to analyse the evolution of efficiency in the last 10 Autonomous Regions to receive healthcare competences at the end of 2001.Participants For this study, we have taken into account the number of beds and full-time workers as inputs and the calculation of basic care units as outputs to measure the efficiency of the Spanish public sector, private sector and jointly in the years 2002, 2007, 2012 and 2017 for the last Autonomous Regions receiving healthcare competences.Results Of the Autonomous Regions that received the transfers at the end of 2001, the following stand out for their higher efficiency growth: the Balearic Islands (81.44% improvement), the Madrid Autonomous Region, which practically reached absolute efficiency levels (having increased by 63.77%), and La Rioja which, together with the Balearic Islands which started from very low values, improved notably (46.13%).Conclusion In general, it can be observed that the transfer of responsibilities in the health sector has improved efficiency in the National Health Service.JEL classification C14; I18; H21.https://bmjopen.bmj.com/content/14/3/e076853.full |
| spellingShingle | Tamara Armenteros-Ruiz Alejandro Ballesteros-Ron Moisés Rodriguez-Mañero Francisco Reyes-Santías Evaluating the decentralisation of the Spanish healthcare system: a data envelopment analysis approach BMJ Open |
| title | Evaluating the decentralisation of the Spanish healthcare system: a data envelopment analysis approach |
| title_full | Evaluating the decentralisation of the Spanish healthcare system: a data envelopment analysis approach |
| title_fullStr | Evaluating the decentralisation of the Spanish healthcare system: a data envelopment analysis approach |
| title_full_unstemmed | Evaluating the decentralisation of the Spanish healthcare system: a data envelopment analysis approach |
| title_short | Evaluating the decentralisation of the Spanish healthcare system: a data envelopment analysis approach |
| title_sort | evaluating the decentralisation of the spanish healthcare system a data envelopment analysis approach |
| url | https://bmjopen.bmj.com/content/14/3/e076853.full |
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