{"title":"阿尔及利亚公立医院的效率和生产力。","authors":"Ahcene Ouali, Ahcène Zehnati, Martine Audibert","doi":"10.3917/spub.252.0089","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the technical efficiency and change in productivity of 120 public hospitals (établissements publics hospitaliers, EPH) in Algeria over the period 2011-2020, along with the factors influencing this efficiency.</p><p><strong>Methods: </strong>To measure efficiency scores, we used the output-oriented data envelopment analysis (DEA) method, based on the hypothesis of variable returns to scale. We also used the Malmquist index to assess changes in efficiency and productivity over the years, and the Simar-Wilson model to assess the determinants of efficiency.</p><p><strong>Results: </strong>The average efficiency scores for the study period were 0.788 and 0.710 in the classic DEA and bootstrap DEA models, respectively. Regarding the Malmquist index, we observed a 3% decline in total factor productivity during the study period, but an improvement in technical efficiency of 0.3%. As for the determinants of efficiency, six variables (bed occupancy rate, average length of stay, number of beds per doctor, number of beds per thousand inhabitants, number of doctors per thousand inhabitants, and budget) were significant.</p><p><strong>Conclusion: </strong>The results show an overall improvement in the technical performance of public hospitals during the study period. However, a decline in total factor productivity was observed over the same period, mainly due to technological change.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 2","pages":"89-99"},"PeriodicalIF":0.3000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Efficience et productivité des établissements publics hospitaliers en Algérie.\",\"authors\":\"Ahcene Ouali, Ahcène Zehnati, Martine Audibert\",\"doi\":\"10.3917/spub.252.0089\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study aimed to evaluate the technical efficiency and change in productivity of 120 public hospitals (établissements publics hospitaliers, EPH) in Algeria over the period 2011-2020, along with the factors influencing this efficiency.</p><p><strong>Methods: </strong>To measure efficiency scores, we used the output-oriented data envelopment analysis (DEA) method, based on the hypothesis of variable returns to scale. We also used the Malmquist index to assess changes in efficiency and productivity over the years, and the Simar-Wilson model to assess the determinants of efficiency.</p><p><strong>Results: </strong>The average efficiency scores for the study period were 0.788 and 0.710 in the classic DEA and bootstrap DEA models, respectively. Regarding the Malmquist index, we observed a 3% decline in total factor productivity during the study period, but an improvement in technical efficiency of 0.3%. As for the determinants of efficiency, six variables (bed occupancy rate, average length of stay, number of beds per doctor, number of beds per thousand inhabitants, number of doctors per thousand inhabitants, and budget) were significant.</p><p><strong>Conclusion: </strong>The results show an overall improvement in the technical performance of public hospitals during the study period. However, a decline in total factor productivity was observed over the same period, mainly due to technological change.</p>\",\"PeriodicalId\":49575,\"journal\":{\"name\":\"Sante Publique\",\"volume\":\"37 2\",\"pages\":\"89-99\"},\"PeriodicalIF\":0.3000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sante Publique\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3917/spub.252.0089\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sante Publique","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3917/spub.252.0089","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Efficience et productivité des établissements publics hospitaliers en Algérie.
Objective: This study aimed to evaluate the technical efficiency and change in productivity of 120 public hospitals (établissements publics hospitaliers, EPH) in Algeria over the period 2011-2020, along with the factors influencing this efficiency.
Methods: To measure efficiency scores, we used the output-oriented data envelopment analysis (DEA) method, based on the hypothesis of variable returns to scale. We also used the Malmquist index to assess changes in efficiency and productivity over the years, and the Simar-Wilson model to assess the determinants of efficiency.
Results: The average efficiency scores for the study period were 0.788 and 0.710 in the classic DEA and bootstrap DEA models, respectively. Regarding the Malmquist index, we observed a 3% decline in total factor productivity during the study period, but an improvement in technical efficiency of 0.3%. As for the determinants of efficiency, six variables (bed occupancy rate, average length of stay, number of beds per doctor, number of beds per thousand inhabitants, number of doctors per thousand inhabitants, and budget) were significant.
Conclusion: The results show an overall improvement in the technical performance of public hospitals during the study period. However, a decline in total factor productivity was observed over the same period, mainly due to technological change.
期刊介绍：
La revue Santé Publique s’adresse à l’ensemble des acteurs de santé publique qu’ils soient décideurs,
professionnels de santé, acteurs de terrain, chercheurs, enseignants ou formateurs, etc. Elle publie
des travaux de recherche, des évaluations, des analyses d’action, des réflexions sur des interventions
de santé, des opinions, relevant des champs de la santé publique et de l’analyse des services de
soins, des sciences sociales et de l’action sociale.
Santé publique est une revue à comité de lecture, multidisciplinaire et généraliste, qui publie sur
l’ensemble des thèmes de la santé publique parmi lesquels : accès et recours aux soins, déterminants
et inégalités sociales de santé, prévention, éducation pour la santé, promotion de la santé,
organisation des soins, environnement, formation des professionnels de santé, nutrition, politiques
de santé, pratiques professionnelles, qualité des soins, gestion des risques sanitaires, représentation
et santé perçue, santé scolaire, santé et travail, systèmes de santé, systèmes d’information, veille
sanitaire, déterminants de la consommation de soins, organisation et économie des différents
secteurs de production de soins (hôpital, médicament, etc.), évaluation médico-économique
d’activités de soins ou de prévention et de programmes de santé, planification des ressources,
politiques de régulation et de financement, etc
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