Title :

Measuring the Capacity Utilization of Public District Hospitals in Tunisia: Using Dual Data Envelopment Analysis Approach

Author(s) :

Arfa, Chokri [Auteur]
Leleu, Herve [Auteur]
Lille économie management - UMR 9221 [LEM]
Goaied, Mohamed [Auteur]
Mosseveld, Cornelis [Auteur]

Journal title :

International journal of health policy and management

Pages :

9--18

Publisher :

Kerman University of Medical Sciences

Publication date :

2016-06

English keyword(s) :

Data Envelopment Analysis (DEA)
Shadow Prices
Capacity Utilization (CU)
Public District Hospitals
(PDHs)
Tunisia

HAL domain(s) :

Sciences de l'Homme et Société/Economies et finances

English abstract : [en]

Background Public district hospitals (PDHs) in Tunisia are not operating at full plant capacity and underutilize their operating budget. Methods Individual PDHs capacity utilization (CU) is measured for 2000 and 2010 ...
Show more >Background Public district hospitals (PDHs) in Tunisia are not operating at full plant capacity and underutilize their operating budget. Methods Individual PDHs capacity utilization (CU) is measured for 2000 and 2010 using dual data envelopment analysis (DEA) approach with shadow prices input and output restrictions. The CU is estimated for 101 of 105 PDH in 2000 and 94 of 105 PDH in 2010. Results In average, unused capacity is estimated at 18% in 2010 vs. 13% in 2000. Of PDHs 26% underutilize their operating budget in 2010 vs. 21% in 2000. Conclusion Inadequate supply, health quality and the lack of operating budget should be tackled to reduce unmet user’s needs and the bypassing of the PDHs and, thus to increase their CU. Social health insurance should be turned into a direct purchaser of curative and preventive care for the PDHs.Show less >

Language :

Anglais

Peer reviewed article :

Oui

Audience :

Internationale

Popular science :

Non

Collections :

• Lille Économie Management (LEM) - UMR 9221

Source :

Harvested from HAL