Exploring the use of DEA for formative evaluation in primary diabetes care: an application to compare English practices
Amado, C. A. F. and Dyson, R. G.. (2009) Exploring the use of DEA for formative evaluation in primary diabetes care: an application to compare English practices. Journal of the Operational Research Society, Vol.60 (No.11). pp. 1469-1482. ISSN 0160-5682Full text not available from this repository.
Official URL: http://dx.doi.org/10.1057/jors.2008.160
Primary care is currently at the heart of the UK National Health Service policy. Primary care trusts have the crucial role of improving the efficiency and equity in primary care delivery. However, few studies have focused on performance assessment in primary care provision. In this paper, we examine the role of data envelopment analysis ( DEA) in helping decision makers to understand and improve the performance of primary care practices. We discuss the results from a study of 14 practices in England in terms of their delivery of diabetes services. In order to take into account the multiple values that underlie public services provision, we have considered several different perspectives for evaluation. These were: technical, allocative and cost efficiency, clinical and patient-focused effectiveness, and equity. The approach adopted involved a deep engagement with the practices. The purpose was to understand the structures and processes supporting effective practice using DEA in a formative role rather than the more usual summative role with a large data set. This approach is in the tradition of the developmental engagement approach of operational research.
|Item Type:||Journal Article|
|Subjects:||H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management|
|Divisions:||Faculty of Social Sciences > Warwick Business School|
|Journal or Publication Title:||Journal of the Operational Research Society|
|Publisher:||Palgrave Macmillan Ltd.|
|Official Date:||November 2009|
|Number of Pages:||14|
|Page Range:||pp. 1469-1482|
|Access rights to Published version:||Restricted or Subscription Access|
|Funder:||Fundacao para a Ciencia e a Tecnologia in Portugal|
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