Measurement of Technical Efficiency of the Health-care Sector in Assam: An Application of Nonparametric Method.

IF 0.9 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Indian journal of public health Pub Date : 2024-07-01 Epub Date: 2024-09-24 DOI:10.4103/ijph.ijph_1323_23

Arup Deka, Ratul Mahanta

引用次数: 0

Abstract

Summary: The study has used a nonparametric method to estimate the technical efficiency of health-care sector in the substate level of Assam. The study is based on secondary data for the year 2018-2019. The average constant return to scale technical efficiency score is 0.81, while the average efficiency scores in variable return to scale technical efficiency and scale efficiency (SE) are 0.88 and 0.92 respectively. Moreover, seven (26%) districts are technically efficient. The major cause of inefficiency is the poor management of health-care sector. Four (15%) districts Chirang, Dima Hasao, Baksa, and Udalguri have achieved least efficiency score, while five (19%) districts Kamrup (Rural), Sivasagar, Dibrugarh, Lakhimpur, and Goalpara have the highest potentiality to achieve efficiency level. The study is static in nature. However, it will help the health policymakers to improve management and size of operation of health sector in the state.

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阿萨姆邦卫生保健部门技术效率的衡量：非参数方法的应用

摘要：本研究采用非参数方法估算了阿萨姆邦次级卫生保健部门的技术效率。研究基于 2018-2019 年的二手数据。规模不变收益技术效率平均得分为 0.81，而规模可变收益技术效率和规模效率（SE）的平均效率得分分别为 0.88 和 0.92。此外，有 7 个地区（26%）具有技术效率。效率低下的主要原因是医疗保健部门管理不善。奇朗（Chirang）、迪马哈绍（Dima Hasao）、巴克萨（Baksa）和乌达尔古里（Udalguri）四个县（15%）的效率得分最低，而甘鲁普（农村）、西瓦萨格尔（Sivasagar）、迪布鲁加尔（Dibrugarh）、拉希姆布尔（Lakhimpur）和戈尔帕拉（Goalpara）五个县（19%）的效率潜力最大。本研究属于静态研究。不过，它将有助于卫生决策者改善该邦卫生部门的管理和运作规模。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian journal of public health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

21 weeks

期刊介绍： Indian Journal of Public Health is a peer-reviewed international journal published Quarterly by the Indian Public Health Association. It is indexed / abstracted by the major international indexing systems like Index Medicus/MEDLINE, SCOPUS, PUBMED, etc. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles. The Indian Journal of Public Health publishes articles of authors from India and abroad with special emphasis on original research findings that are relevant for developing country perspectives including India. The journal considers publication of articles as original article, review article, special article, brief research article, CME / Education forum, commentary, letters to editor, case series reports, etc. The journal covers population based studies, impact assessment, monitoring and evaluation, systematic review, meta-analysis, clinic-social studies etc., related to any domain and discipline of public health, specially relevant to national priorities, including ethical and social issues. Articles aligned with national health issues and policy implications are prefered.