Publication: Evaluation of the efficiency of european health systems using fuzzy data envelopment analysis
Authors
Gómez Gallego, Juan Cándido ; García García, Javier Fernándo ; Faura Martínez, Úrsula ; Gómez Gallego, María
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Publisher
MDPI
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DOI
https://doi.org/10.3390/healthcare9101270
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info:eu-repo/semantics/article
Description
© 2021 by the authors. This manuscript version is made available under the CC-BY 4.0 license http://creativecommons.org/licenses/by/4.0/.
This document is the Published version of a Published Work that appeared in final form in Healthcare. To access the final edited and published work see https://doi.org/10.3390/healthcare9101270
Abstract
Abstract: Many studies that assess efficiency in health systems are based on output mean values. That approach ignores the representativeness of the average statistic, which can become a serious problem in estimation. To solve this question, this research contributes in three different ways: the first aim is to evaluate the technical efficiency in the management of European health systems considering a set of DEA (Data Envelopment Analysis) and FDEA (Fuzzy Data Envelopment Analysis) models. A second goal is to assess the bias in the estimation of efficiency when applying the conventional DEA. The third objective is the evaluation of the statistical relationship between the bias in the efficiency estimation and the macroeconomic variables (income inequality and economic freedom). The main results show positive correlations between DEA and FDEA scores. Notwithstanding traditional DEA models overestimate efficiency scores. Furthermore, the size of the bias is positively related to income inequality and negative with economic freedom in the countries evaluated.
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Citation
Healthcare 2021, 9, 1270
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