Data Envelopment Analysis (DEA) in health: a literary review of Latin America

Samuel Martins Drei; Lidia Angulo-Meza

doi:10.31893/multirev.2023011

Keywords:

Data Envelopment Analysis (DEA)

healthcare

Latin America

literature review

Abstract

The pursuit of enhanced efficiency in healthcare organizations prompts the need for reevaluating performance evaluation methodologies and implementing organizational improvement models. In this regard, Data Envelopment Analysis (DEA) emerges as a valuable tool for gauging the efficiency and performance of Decision-Making Units (DMUs) within specific interest groups, particularly within the healthcare sector. Nonetheless, a comprehensive DEA survey specifically focused on the Latin American healthcare domain remains absent. Recognizing the significance of identifying existing approaches and devising novel ones, the present study aims to analyze a systematic review made of papers that use DEA as an approach for efficiency analysis Latin America's health sector. The methodology encompasses three distinct stages. Firstly, an extensive literature search was performed, initially employing relevant keywords and subsequently exploring the reference sections of identified papers. Secondly, a meticulous examination of the selected papers was conducted, entailing both a descriptive analysis of the findings and an individual evaluation of each paper. Lastly, based on the identified research gaps, proposals for DEA applications were formulated. A total of 65 studies were identified and subjected to scrutiny, shedding light on their limitations and revealing diverse methodologies employed in examining the healthcare sector. The findings indicate the potential for further exploration of this subject, including the integration of DEA with complementary tools in other Latin American countries and different facets of the healthcare domain. Future research should build upon the insights provided by the existing literature, thereby introducing innovative approaches and contributing to the advancement of academic knowledge in this field.
References
1. Abolghasem S, Toloo M, Amézquita S (2019) Cross-efficiency evaluation in the presence of flexible measures with an application to healthcare systems. Health care management science 22:512-533.
2. Alburquerque-Sendín F, Barberio-Mariano E, Brandao-Santana N, Rebelatto DA, Rebelatto JR (2012) Effects of an adapted physical activity program on the physical condition of elderly women: an analysis of efficiency. Brazilian Journal of Physical Therapy 16:328-336.
3. Alatawi A, Ahmed S, Niessen L, Khan J (2019) Systematic review and meta-analysis of public hospital efficiency studies in Gulf region and selected countries in similar settings. Cost Effectiveness and Resource Allocation 17:1-12.
4. Araújo C, Barros CP, Wanke P (2014) Efficiency determinants and capacity issues in Brazilian for-profit hospitals. Health care management science 17:126-138.
5. Arrieta A, Guillén J (2017) Output congestion leads to compromised care in Peruvian public hospital neonatal units. Health care management science 20:157-164.
6. Bağci H, Konca M (2021) Evaluating the Technical Efficiency of Hospitals Providing Tertiary Health Care in Turkey: An Application Based on Data Envelopment Analysis. Hospital Topics 99:49-63.
7. Bahadori M, Izadi AR, Ghardashi F, Ravangard R, Hosseini SM (2016) The evaluation of hospital performance in Iran: a systematic review article. Iranian journal of public health 45: 855-870.
8. Barahona-Urbina P, Rodríguez F (2011) Efectos de las políticas sanitarias sobre la contención del gasto sanitario en Chile. Anales de la Facultad de Medicina 3: 197-204.
9. Barahona-Urbina P (2011) Análisis de eficiencia hospitalaria en Chile. Anales de la Facultad de Medicina 72: 33-38.
10. Breitenbach MC, Ngobeni V, Aye GC (2021) Global Healthcare Resource Efficiency in the Management of COVID-19 Death and Infection Prevalence Rates. Frontiers in Public Health 9: 13-19.
11. Cantor VJM, Poh KL (2018) Integrated analysis of healthcare efficiency: a systematic review. Journal of medical systems 42: 1-23.
12. Cesconetto A, Lapa JDS, Calvo MCM (2008) Avaliação da eficiência produtiva de hospitais do SUS de Santa Catarina, Brasil. Cadernos de Saúde pública 24: 2407-2417.
13. Chai P, Wan Q, Kinfu Y (2021) Efficiency and productivity of health systems in prevention and control of non-communicable diseases in China 2008–2015. The European Journal of Health Economics 22: 267-279.
14. Charnes A, Cooper WW, Rhodes E (1978) Measuring the efficiency of decision making units. European journal of operational research 2: 429-444.
15. Chawicha TG, Mummed YY (2022) An overview of how heat stress impacts dairy cattle fertility. Multidisciplinary Reviews 5: 2022014-2022020.
16. Coelli TJ, Rao DSP, O'Donnell CJ, Battese GE (2005) An introduction to efficiency and productivity analysis. springer science and business media.
17. Costa CKF, Balbinotto Neto G, Sampaio LMB (2014) Efficiency of Brazilian States and the Federal District in the public kidney transplant system based on DEA (data envelopment analysis) and the Malmquist index. Cadernos de saúde pública 30: 1667-1679.
18. De Almeida Botega L, Andrade MV, Guedes GR (2020) Brazilian hospitals' performance: An assessment of the unified health system (SUS). Health care management science 23: 443-452.
19. De Castro Lobo MS, Ozcan YA, da Silva AC, Lins MPE, Fiszman R (2010) Financing reform and productivity change in Brazilian teaching hospitals: Malmquist approach. Central European Journal of Operations Research 18: 141-152.
20. De Oliveira Gobbo SC, Mariano EB, Gobbo Jr JA (2021) Combining social network and data envelopment analysis: A proposal for a Selection Employment Contracts Effectiveness index in healthcare network applications. Omega 103: 102-377.
21. Del Pilar Villamil M, Barrera D, Velasco N, Bernal O, Fajardo E, Urango C, Buitrago S (2017) Strategies for the quality assessment of the health care service providers in the treatment of Gastric Cancer in Colombia. BMC health services research 17: 1-16.
22. Emrouznejad A, Yang GL (2018) A survey and analysis of the first 40 years of scholarly literature in DEA: 1978–2016. Socio-economic planning sciences 61: 4-8.
23. Faria FP, Jannuzzi PDM, Silva SJD (2008) Eficiência dos gastos municipais em saúde e educação: uma investigação através da análise envoltória no estado do Rio de Janeiro. Revista de administração pública 42: 155-177.
24. Fene F, Serván-Mori E, Ángel Mendoza M, Chivardi C, Reyes-Morales H, Nigenda G (2020) Measuring and analysing social efficiency in the production of maternal health services in Mexico 2008–15. Health Policy and Planning 35: 889-899.
25. Ferraz D, Mariano EB, Manzine PR, Moralles HF, Morceiro PC, Torres BG, ... and do Nascimento Rebelatto DA (2021) COVID Health Structure Index: The Vulnerability of Brazilian Microregions. Social Indicators Research 1: 1-19.
26. Ferreira DC, Nunes AM (2019) Technical efficiency of Portuguese public hospitals: A comparative analysis across the five regions of Portugal. The International journal of health planning and management 34: 411-422.
27. Ferreira MP, Pitta MT (2008) Avaliação da eficiência técnica na utilização dos recursos do sistema único. São Paulo em Perspectiva 22: 55-71.
28. Fonseca PC, Ferreira MAM (2009) Investigation of efficiency levels in the use of resources in the health sector: an analysis of the micro-regions of Minas Gerais. Saúde e Sociedade 18: 199-213.
29. García Fariñas A, Sánchez Delgado Z, Chaviano Moreno M, Muñiz Cepero M (2007) Niveles de eficiencia de las policlínicas de Matanzas, Cuba, según el método de análisis envolvente de datos. Revista Panamericana de Salud Pública 22: 100-109.
30. García Fariñas A, García Tapia G (2016) Eficiencia técnica de clínicas del Centro Internacional de Restauración Neurológica. Revista Cubana de Salud Pública, 42: 1-13.
31. Garcia GAF, Tavares V, Moreno MJC, Martins DSMVC, Varela CFDSA, Fernandes MYSD, Ferreira AJF (2021) Novo coronavírus SARS-CoV-2 em Cabo Verde: Análise situacional após um ano de notificação do 1º caso. Multidisciplinary Reviews 4: 2021019-2021019.
32. Garmatz A, Vieira GBB, Sirena SA (2021) Avaliação da eficiência técnica dos hospitais de ensino do Brasil utilizando a análise envoltória de dados. Ciência and Saúde Coletiva 26:3447-3457.
33. Gonçalves AC, Noronha CP, Lins MP, Almeida RM (2007) Data envelopment analysis for evaluating public hospitals in Brazilian state capitals. Revista de saude publica 41:427-435.
34. Giménez V, Keith JR, Prior D (2019) Do healthcare financing systems influence hospital efficiency? A metafrontier approach for the case of Mexico. Health care management science 22: 549-559.
35. Giri S, Poudel A, Khanal A, Pandey R, Paudel R, Khanal S (2022) Understanding the payment for ecosystem services and associated challenges: Global practices and recommendation for Nepal. Multidisciplinary Reviews 5: 2022017-2022017.
36. Gramani MC (2014) Inter-regional performance of the public health system in a high-inequality country. PloS one 9: 86687-86687.
37. Guerra M, Artur de Souz A, Rafael Moreira D (2012) Performance analysis: a study using data envelopment analysis in 26 Brazilian hospitals. Journal of health care finance 38:1-9.
38. Hadji B, Meyer R, Melikeche S, Escalon S, Degoulet P (2014) Assessing the relationships between hospital resources and activities: a systematic review. Journal of medical systems 38: 1-21.
39. Hafidz F, Ensor T, Tubeuf S (2018) Efficiency measurement in health facilities: a systematic review in low-and middle-income countries. Applied health economics and health policy 16: 465-480.
40. Hanson K, Atuyambe L, Kamwanga J, McPake B, Mungule O, Ssengooba F (2002) Towards improving hospital performance in Uganda and Zambia: reflections and opportunities for autonomy. Health policy 61: 73-94.
41. Helmig B, Lapsley I (2001) On the efficiency of public, welfare and private hospitals in Germany over time: a sectoral data envelopment analysis study. Health Services Management Research 14: 263-274.
42. Hollingsworth B (2003) Non-parametric and parametric applications measuring efficiency in health care. Health care management science 6: 203-218.
43. Hollingsworth B, Dawson PJ, Maniadakis N (1999) Efficiency measurement of health care: a review of non-parametric methods and applications. Health care management science 2: 161-172.
44. Hollingsworth B (2008) The measurement of efficiency and productivity of health care delivery. Health economics 17: 1107-1128.
45. Indicators OECD (2015) Health at a Glance 2011. OECD Indicators, OECD Publishing, Paris DOI: https://doi.org/101787/health_glance-2015-en.
46. Iñiguez P, Ferreyra E, Arburua M, Hernández M, Iñiguez A (2012) La eficiencia del sistema de salud en las provincias. Un análisis con variables discrecionales y no discrecionales. Cuadernos del CIMBAGE 14: 1-9.
47. Jaafaripooyan E, Emamgholipour S, Raei B (2017) Efficiency measurement of health care organizations: What models are used?. Medical journal of the Islamic Republic of Iran 31: 86-98.
48. Kalogeropoulou M, Ioannidis A, Mourdoukoutas P (2012) Measuring performance in non-profit organisations: the case of Greek public hospitals. International Journal of Behavioural and Healthcare Research 3: 212-225.
49. Keith J, Prior D (2014) Scale and scope economies in Mexican private medical units. salud pública de méxico 56: 348-354.
50. Kiadaliri AA, Jafari M, Gerdtham UG (2013) Frontier-based techniques in measuring hospital efficiency in Iran: a systematic review and meta-regression analysis. BMC health services research 13: 1-11.
51. Li Z, Zhang W, Kong A, Ding Z, Wei H, Guo Y (2021) Configuration Analysis of Influencing Factors of Technical Efficiency Based on DEA and fsQCA: Evidence from China's Medical and Health Institutions. Risk Management and Healthcare Policy 14: 49-55.
52. Ligarda J, Ñaccha M (2006) La eficiencia de las organizaciones de salud a través del análisis envolvente de datos: microrredes de la Dirección de Salud IV Lima Este 2003. Anales de la Facultad de Medicina 67: 142-151.
53. Lins ME, Lobo MS, da Silva ACM, Fiszman R, Ribeiro VJ (2007) The use of Data Envelopment Analysis (DEA) for Brazilian teaching hospitals evaluation. Ciencia and saude coletiva 12: 985-997.
54. Lins MPE, Netto SOA, de Castro Lobo MS (2019) Multimethodology applied to the evaluation of Healthcare in Brazilian municipalities. Health care management science 22: 197-214.
55. Liu JS, Lu LY, Lu WM, Lin BJ (2013a) A survey of DEA applications. Omega 41: 893-902.
56. Liu JS, Lu LY, Lu WM, Lin BJ (2013b) Data envelopment analysis 1978–2010: A citation-based literature survey. Omega 41: 3-15.
57. Lobo MSC, Lins MPE, Silva ACM, Fiszman R (2010) Avaliação de desempenho e integração docente-assistencial nos hospitais universitários. Revista de Saúde Pública 44: 581-590.
58. Lobo MSC, Ozcan YA, Lins MPE, Silva ACM, Fiszman R (2014) Teaching hospitals in Brazil: findings on determinants for efficiency. International Journal of Healthcare Management 7: 60-68.
59. Lobo MSC, Rodrigues HDC, André ECG, Azeredo JAD, Lins MPE (2016) Análise envoltória de dados dinâmica em redes na avaliação de hospitais universitários. Revista de Saúde Pública 50: 1-13.
60. Lu W, Evans RD, Zhang T, Ni Z, Tao H (2020) Evaluation of resource utilization efficiency in obstetrics and gynecology units in China: A three-stage data envelopment analysis of the Shanxi province. The International journal of health planning and management 35: 309-317.
61. Machado JP, Martins ACM, Martins MS (2013) Avaliação da qualidade do cuidado hospitalar no Brasil: uma revisão sistemática. Cadernos de Saúde Pública 29: 1063-1082.
62. Macrini L, Gonçalves AC, Almeida RM, Samanez CP (2018) Specifying Weight Restriction Limits in Data Envelopment Analysis with The Wong and Beasley and Cone Ratio Methods. Pesquisa Operacional 38: 523-533.
63. Maleki MR, Fatehpanah A, Gohari MR (2010) Performance assessment of Hasheminejad hospital in 2007 according to the Baldrige Criteria for Performance Excellence. Pejouhesh dar Pezeshki 34: 1-10.
64. Mariano E, Torres B, Almeida M, Ferraz D, Rebelatto D, de Mello JCS (2021) Brazilian states in the context of COVID-19 pandemic: an index proposition using Network Data Envelopment Analysis. IEEE Latin America Transactions 19: 917-924.
65. Marinho A, Araújo CAS (2021) Using data envelopment analysis and the bootstrap method to evaluate organ transplantation efficiency in Brazil. Health Care Management Science 1: 1-13.
66. Medeiros RDVV, Marcolino VA (2018) A Eficiência dos munícipios do Rio de Janeiro no setor de saúde: uma análise através da DEA e Regressão Logística. Revista Meta: Avaliação 10: 183-210.
67. Mendoza-Mendoza A, La Torre D, Cervantes K, De La Hoz Domínguez E (2019) Programas de vacunación infantil en América Latina 2000-2015. Revista Cubana de Salud Pública 45: 1458-1463.
68. Moeller J (2001) The EFQM Excellence Model. German experiences with the EFQM approach in health care. International Journal for Quality in Health Care 13: 45-49.
69. Moreno-Serra R, Anaya-Montes M, Smith PC (2019) Potential determinants of health system efficiency: evidence from Latin America and the Caribbean. PLoS One 14: 0216620-0216620.
70. Morera-Salas M (2015) Análisis de eficiencia relativa de hospitales públicos de Costa Rica. Población y Salud en Mesoamérica 12: 88-104.
71. Moscoso N, Geri M, Arnaudo MF, Lago F (2018) Efficiency in the use of public mammography devices in an Argentinean region. Revista Cubana de Salud Pública 44: 123-140.
72. Navarro España JL, Maza Ávila F (2011) The efficiency of Colombian hospitals in the Latin American context. An application of Data Envelopment Analysis (DEA) in a group of complex surgeries hospitals 2009. Ecos de Economía 15: 71-93.
73. Nepomuceno TC, Silva W, Nepomuceno KT, Barros IK (2020) A DEA-based complexity of needs approach for hospital beds evacuation during the COVID-19 outbreak. Journal of healthcare engineering 20: 1-9.
74. Nunamaker TR (1983) Measuring routine nursing service efficiency: a comparison of cost per patient day and data envelopment analysis models. Health Services Research 18: 183-190.
75. Orach D, Garimoi C (2009) Health equity: challenges in low-income countries. African health sciences 9: 49-51.
76. Ozcan YA, Bannick RR (1994) Trends in Department of Defense hospital efficiency. Journal of Medical Systems 18: 69-83.
77. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, ... Moher D (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Bmj 372: 1-9.
78. Parker D, Newbrander W (1994) Tackling wastage and inefficiency in the health sector. World health forum 1994 15: 107-131.
79. Pelone F, Kringos DS, Romaniello A, Archibugi M, Salsiri C, Ricciardi W (2015) Primary care efficiency measurement using data envelopment analysis: a systematic review. Journal of medical systems 39: 1-14.
80. Portillo Melo DM, Enríquez Guerra FB, Riascos JC (2019) Factores económicos que inciden sobre el índice de eficiencia técnica de los hospitales públicos del departamento de Nariño-Colombia 2008-2014. Apuntes del CENES 38: 193-225.
81. Ramírez-Valdivia MT, Maturana S, Salvo-Garrido S (2011) A multiple stage approach for performance improvement of primary healthcare practice. Journal of medical systems 35: 1015-1028.
82. Ramírez-Valdivia M, Maturana S, Mendoza-Alonzo J, Bustos J (2015) Measuring the Efficiency of Chilean Primary Healthcare Centres. International Journal of Engineering Business Management 7: 7-15.
83. Ravaghi H, Afshari M, Isfahani P, Bélorgeot VD (2019) A systematic review on hospital inefficiency in the Eastern Mediterranean Region: sources and solutions. BMC health services research 19: 1-20.
84. Revuelta I, Santos-Arteaga FJ, Montagud-Marrahi E, Ventura-Aguiar P, Di Caprio D, Cofan F, ... Diekmann F (2021) A hybrid data envelopment analysis-artificial neural network prediction model for COVID-19 severity in transplant recipients. Artificial Intelligence Review 1: 1-32.
85. Rosko MD, Mutter RL (2011) What have we learned from the application of stochastic frontier analysis to US hospitals?. Medical Care Research and Review 68: 75-100.
86. Ruiz-Rodriguez M, Rodriguez-Villamizar LA, Heredia-Pi I (2016) Technical efficiency of women's health prevention programs in Bucaramanga, Colombia: a four-stage analysis. BMC Health Services Research 16: 1-13.
87. Salvador-Carulla L, Saldivia S, Martinez-Leal R, Vicente B, Garcia-Alonso C, Grandon P, Haro JM (2008) Meso-level comparison of mental health service availability and use in Chile and Spain. Psychiatric Services 59: 421-428.
88. Saquetto TC, Carneiro TCJ, Araujo CAS, Figueiredo KF (2017) Eficiência técnica e inovatividade: um estudo em hospitais privados brasileiros. Sistemas and Gestão 12: 410-421.
89. Saquetto TC, Araujo CAS (2019) Avaliação da eficiência de hospitais privados no Brasil: Uma análise em dois estágios. Revista de Administração Mackenzie 20: 5-11.
90. Santelices E, Ormeño H, Delgado M, Lui C, Valdés R, Durán L (2013) Análisis de los determinantes de la eficiencia hospitalaria: el caso de Chile. Revista médica de Chile 141: 457-463.
91. Santelices E, Ormeño H, Delgado M, Lui C, Valdés R, Durán L (2013nb) Análisis de la eficiencia técnica hospitalaria 2011. Revista médica de Chile 141: 332-337.
92. Scaratti D, Calvo MCM (2012) Composite indicator to evaluate quality of municipal management of primary health care. Revista de saude publica 46: 446-455.
93. Schneider AM, Oppel EM, Schreyögg J (2020) Investigating the link between medical urgency and hospital efficiency – Insights from the German hospital market. Health care management science 23: 649-660.
94. Serván-Mori E, Chivardi C, Mendoza MÁ, Nigenda G (2018) A longitudinal assessment of technical efficiency in the outpatient production of maternal health services in México. Health policy and planning 33: 888-897.
95. Serván-Mori E, Mendoza MÁ, Chivardi C, Pineda-Antúnez C, Rodríguez-Franco R, Nigenda G (2019) A spatio-temporal cluster analysis of technical efficiency in the production of outpatient maternal health services and its structural correlates in México. The International journal of health planning and management 34: 1417-1436.
96. Serván-Mori E, Chivardi C, Fene F, Heredia-Pi I, Mendoza MÁ, Nigenda G (2020) Tackling maternal mortality by improving technical efficiency in the production of primary health services: longitudinal evidence from the Mexican case. Health Care Management Science 23: 571-584.
97. Sexton TR, Leiken AM, Sleeper S, Coburn AF (1989) The impact of prospective reimbursement on nursing home efficiency. Medical Care 1: 154-163.
98. Sikka V, Luke RD, Ozcan YA (2009) The efficiency of hospital-based clusters: Evaluating system performance using data envelopment analysis. Health Care Management Review 34: 251-261.
99. Siqueira MM, Araujo CAS (2018) Efficiency of Brazilian public services of kidney transplantation: Benchmarking Brazilian states via data envelopment analysis. The International journal of health planning and management 33: 1067-1087.
100. Soares AB, Pereira AA, Milagre ST (2017) A model for multidimensional efficiency analysis of public hospital management. Research on Biomedical Engineering 33: 352-361.
101. Souza PCD, Scatena JHG, Kehrig RT (2016) Aplicação da Análise Envoltória de Dados para avaliar a eficiência de hospitais do SUS em Mato Grosso. Physis: Revista de Saúde Coletiva 26: 289-308.
102. Tiemann O, Schreyögg J, Busse R (2012) Hospital ownership and efficiency: a review of studies with particular focus on Germany. Health Policy 104: 163-171.
103. Tran A, Nguyen KH, Gray L, Comans T (2019) A systematic literature review of efficiency measurement in nursing homes. International journal of environmental research and public health 16: 2186-2186.
104. Tyler LH, Ozcan YA, Wogen SE (1995) Mental health case management and technical efficiency. Journal of medical systems 19: 167-175.
105. Valinoti AC, da Costa Jr LC, Farah A, de Sousa VP, Fonseca-Gonçalves A, Maia LC (2016) Are pediatric antibiotic formulations potentials risk factors for dental caries and dental erosion? The open dentistry journal 10: 420-420.
106. Varela PS, de Andrade Martins G, Fávero LPL (2010) Production efficiency and financing of public health: an analysis of small municipalities in the state of São Paulo—Brazil. Health care management science 13: 112-123.
107. Varela PS, de Andrade Martins G (2011) Efficiency of Primary Health Care Spending by Municipalities in the Metropolitan Region of São Paulo: A Comparative Analysis of DEA Models. Review of Business 32: 1-8.
108. Varela PS, Pacheco RSV M (2012) Federalism and health expenditures: competition and cooperation in the metropolitan region of São Paulo. Revista Contabilidade and Finanças 23: 116-127.
109. Vasconcelos MC, Zdziarski AD, Cruz JAW, da Silva WV, Da Silva CL (2017) Análise da eficiência do atendimento do sistema único de saúde nos municípios paranaenses. Journal of Globalization, Competitiveness and Governability 11: 42-61.
110. Velasco-Garrido M, Busse R, World Health Organization (2005) Health technology assessment: an introduction to objectives, role of evidence, and structure in Europe 611: 40346-54035.
111. Villalobos-Cid M, Chacón M, Zitko P, Inostroza-Ponta M (2016) A new strategy to evaluate technical efficiency in hospitals using homogeneous groups of casemix. Journal of medical systems, 40: 103-111.
112. World Health Organization (2000) The world health report 2000: health systems: improving performance. World Health Organization.
113. Worthington AC (2004) Frontier efficiency measurement in health care: a review of empirical techniques and selected applications. Medical care research and review 61: 135-170.
114. Zhang G, Wu J, Zhu Q (2020) Performance evaluation and enrollment quota allocation for higher education institutions in China. Evaluation and Program Planning 81: 101821-101821.
115. Zhao L, Zhang Y, Hou Y, Yan G (2018) Efficiency of community health centers in China during 2013‐2015: A synchronic and diachronic study. Family Medicine and Community Health 6: 211-219.

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

How to cite

Martins Drei, S., & Angulo-Meza, L. (2023). Data Envelopment Analysis (DEA) in health: a literary review of Latin America. Multidisciplinary Reviews, 6(2), 2023011. https://doi.org/10.31893/multirev.2023011

[1] Abolghasem S, Toloo M, Amézquita S (2019) Cross-efficiency evaluation in the presence of flexible measures with an application to healthcare systems. Health care management science 22:512-533.

[2] Alburquerque-Sendín F, Barberio-Mariano E, Brandao-Santana N, Rebelatto DA, Rebelatto JR (2012) Effects of an adapted physical activity program on the physical condition of elderly women: an analysis of efficiency. Brazilian Journal of Physical Therapy 16:328-336.

[3] Alatawi A, Ahmed S, Niessen L, Khan J (2019) Systematic review and meta-analysis of public hospital efficiency studies in Gulf region and selected countries in similar settings. Cost Effectiveness and Resource Allocation 17:1-12.

[4] Araújo C, Barros CP, Wanke P (2014) Efficiency determinants and capacity issues in Brazilian for-profit hospitals. Health care management science 17:126-138.

[5] Arrieta A, Guillén J (2017) Output congestion leads to compromised care in Peruvian public hospital neonatal units. Health care management science 20:157-164.

[6] Bağci H, Konca M (2021) Evaluating the Technical Efficiency of Hospitals Providing Tertiary Health Care in Turkey: An Application Based on Data Envelopment Analysis. Hospital Topics 99:49-63.

[7] Bahadori M, Izadi AR, Ghardashi F, Ravangard R, Hosseini SM (2016) The evaluation of hospital performance in Iran: a systematic review article. Iranian journal of public health 45: 855-870.

[8] Barahona-Urbina P, Rodríguez F (2011) Efectos de las políticas sanitarias sobre la contención del gasto sanitario en Chile. Anales de la Facultad de Medicina 3: 197-204.

[9] Barahona-Urbina P (2011) Análisis de eficiencia hospitalaria en Chile. Anales de la Facultad de Medicina 72: 33-38.

[10] Breitenbach MC, Ngobeni V, Aye GC (2021) Global Healthcare Resource Efficiency in the Management of COVID-19 Death and Infection Prevalence Rates. Frontiers in Public Health 9: 13-19.

[11] Cantor VJM, Poh KL (2018) Integrated analysis of healthcare efficiency: a systematic review. Journal of medical systems 42: 1-23.

[12] Cesconetto A, Lapa JDS, Calvo MCM (2008) Avaliação da eficiência produtiva de hospitais do SUS de Santa Catarina, Brasil. Cadernos de Saúde pública 24: 2407-2417.

[13] Chai P, Wan Q, Kinfu Y (2021) Efficiency and productivity of health systems in prevention and control of non-communicable diseases in China 2008–2015. The European Journal of Health Economics 22: 267-279.

[14] Charnes A, Cooper WW, Rhodes E (1978) Measuring the efficiency of decision making units. European journal of operational research 2: 429-444.

[15] Chawicha TG, Mummed YY (2022) An overview of how heat stress impacts dairy cattle fertility. Multidisciplinary Reviews 5: 2022014-2022020.

[16] Coelli TJ, Rao DSP, O'Donnell CJ, Battese GE (2005) An introduction to efficiency and productivity analysis. springer science and business media.

[17] Costa CKF, Balbinotto Neto G, Sampaio LMB (2014) Efficiency of Brazilian States and the Federal District in the public kidney transplant system based on DEA (data envelopment analysis) and the Malmquist index. Cadernos de saúde pública 30: 1667-1679.

[18] De Almeida Botega L, Andrade MV, Guedes GR (2020) Brazilian hospitals' performance: An assessment of the unified health system (SUS). Health care management science 23: 443-452.

[19] De Castro Lobo MS, Ozcan YA, da Silva AC, Lins MPE, Fiszman R (2010) Financing reform and productivity change in Brazilian teaching hospitals: Malmquist approach. Central European Journal of Operations Research 18: 141-152.

[20] De Oliveira Gobbo SC, Mariano EB, Gobbo Jr JA (2021) Combining social network and data envelopment analysis: A proposal for a Selection Employment Contracts Effectiveness index in healthcare network applications. Omega 103: 102-377.

[21] Del Pilar Villamil M, Barrera D, Velasco N, Bernal O, Fajardo E, Urango C, Buitrago S (2017) Strategies for the quality assessment of the health care service providers in the treatment of Gastric Cancer in Colombia. BMC health services research 17: 1-16.

[22] Emrouznejad A, Yang GL (2018) A survey and analysis of the first 40 years of scholarly literature in DEA: 1978–2016. Socio-economic planning sciences 61: 4-8.

[23] Faria FP, Jannuzzi PDM, Silva SJD (2008) Eficiência dos gastos municipais em saúde e educação: uma investigação através da análise envoltória no estado do Rio de Janeiro. Revista de administração pública 42: 155-177.

[24] Fene F, Serván-Mori E, Ángel Mendoza M, Chivardi C, Reyes-Morales H, Nigenda G (2020) Measuring and analysing social efficiency in the production of maternal health services in Mexico 2008–15. Health Policy and Planning 35: 889-899.

[25] Ferraz D, Mariano EB, Manzine PR, Moralles HF, Morceiro PC, Torres BG, ... and do Nascimento Rebelatto DA (2021) COVID Health Structure Index: The Vulnerability of Brazilian Microregions. Social Indicators Research 1: 1-19.

[26] Ferreira DC, Nunes AM (2019) Technical efficiency of Portuguese public hospitals: A comparative analysis across the five regions of Portugal. The International journal of health planning and management 34: 411-422.

[27] Ferreira MP, Pitta MT (2008) Avaliação da eficiência técnica na utilização dos recursos do sistema único. São Paulo em Perspectiva 22: 55-71.

[28] Fonseca PC, Ferreira MAM (2009) Investigation of efficiency levels in the use of resources in the health sector: an analysis of the micro-regions of Minas Gerais. Saúde e Sociedade 18: 199-213.

[29] García Fariñas A, Sánchez Delgado Z, Chaviano Moreno M, Muñiz Cepero M (2007) Niveles de eficiencia de las policlínicas de Matanzas, Cuba, según el método de análisis envolvente de datos. Revista Panamericana de Salud Pública 22: 100-109.

[30] García Fariñas A, García Tapia G (2016) Eficiencia técnica de clínicas del Centro Internacional de Restauración Neurológica. Revista Cubana de Salud Pública, 42: 1-13.

[31] Garcia GAF, Tavares V, Moreno MJC, Martins DSMVC, Varela CFDSA, Fernandes MYSD, Ferreira AJF (2021) Novo coronavírus SARS-CoV-2 em Cabo Verde: Análise situacional após um ano de notificação do 1º caso. Multidisciplinary Reviews 4: 2021019-2021019.

[32] Garmatz A, Vieira GBB, Sirena SA (2021) Avaliação da eficiência técnica dos hospitais de ensino do Brasil utilizando a análise envoltória de dados. Ciência and Saúde Coletiva 26:3447-3457.

[33] Gonçalves AC, Noronha CP, Lins MP, Almeida RM (2007) Data envelopment analysis for evaluating public hospitals in Brazilian state capitals. Revista de saude publica 41:427-435.

[34] Giménez V, Keith JR, Prior D (2019) Do healthcare financing systems influence hospital efficiency? A metafrontier approach for the case of Mexico. Health care management science 22: 549-559.

[35] Giri S, Poudel A, Khanal A, Pandey R, Paudel R, Khanal S (2022) Understanding the payment for ecosystem services and associated challenges: Global practices and recommendation for Nepal. Multidisciplinary Reviews 5: 2022017-2022017.

[36] Gramani MC (2014) Inter-regional performance of the public health system in a high-inequality country. PloS one 9: 86687-86687.

[37] Guerra M, Artur de Souz A, Rafael Moreira D (2012) Performance analysis: a study using data envelopment analysis in 26 Brazilian hospitals. Journal of health care finance 38:1-9.

[38] Hadji B, Meyer R, Melikeche S, Escalon S, Degoulet P (2014) Assessing the relationships between hospital resources and activities: a systematic review. Journal of medical systems 38: 1-21.

[39] Hafidz F, Ensor T, Tubeuf S (2018) Efficiency measurement in health facilities: a systematic review in low-and middle-income countries. Applied health economics and health policy 16: 465-480.

[40] Hanson K, Atuyambe L, Kamwanga J, McPake B, Mungule O, Ssengooba F (2002) Towards improving hospital performance in Uganda and Zambia: reflections and opportunities for autonomy. Health policy 61: 73-94.

[41] Helmig B, Lapsley I (2001) On the efficiency of public, welfare and private hospitals in Germany over time: a sectoral data envelopment analysis study. Health Services Management Research 14: 263-274.

[42] Hollingsworth B (2003) Non-parametric and parametric applications measuring efficiency in health care. Health care management science 6: 203-218.

[43] Hollingsworth B, Dawson PJ, Maniadakis N (1999) Efficiency measurement of health care: a review of non-parametric methods and applications. Health care management science 2: 161-172.

[44] Hollingsworth B (2008) The measurement of efficiency and productivity of health care delivery. Health economics 17: 1107-1128.

[45] Indicators OECD (2015) Health at a Glance 2011. OECD Indicators, OECD Publishing, Paris DOI: https://doi.org/101787/health_glance-2015-en.

[46] Iñiguez P, Ferreyra E, Arburua M, Hernández M, Iñiguez A (2012) La eficiencia del sistema de salud en las provincias. Un análisis con variables discrecionales y no discrecionales. Cuadernos del CIMBAGE 14: 1-9.

[47] Jaafaripooyan E, Emamgholipour S, Raei B (2017) Efficiency measurement of health care organizations: What models are used?. Medical journal of the Islamic Republic of Iran 31: 86-98.

[48] Kalogeropoulou M, Ioannidis A, Mourdoukoutas P (2012) Measuring performance in non-profit organisations: the case of Greek public hospitals. International Journal of Behavioural and Healthcare Research 3: 212-225.

[49] Keith J, Prior D (2014) Scale and scope economies in Mexican private medical units. salud pública de méxico 56: 348-354.

[50] Kiadaliri AA, Jafari M, Gerdtham UG (2013) Frontier-based techniques in measuring hospital efficiency in Iran: a systematic review and meta-regression analysis. BMC health services research 13: 1-11.

[51] Li Z, Zhang W, Kong A, Ding Z, Wei H, Guo Y (2021) Configuration Analysis of Influencing Factors of Technical Efficiency Based on DEA and fsQCA: Evidence from China's Medical and Health Institutions. Risk Management and Healthcare Policy 14: 49-55.

[52] Ligarda J, Ñaccha M (2006) La eficiencia de las organizaciones de salud a través del análisis envolvente de datos: microrredes de la Dirección de Salud IV Lima Este 2003. Anales de la Facultad de Medicina 67: 142-151.

[53] Lins ME, Lobo MS, da Silva ACM, Fiszman R, Ribeiro VJ (2007) The use of Data Envelopment Analysis (DEA) for Brazilian teaching hospitals evaluation. Ciencia and saude coletiva 12: 985-997.

[54] Lins MPE, Netto SOA, de Castro Lobo MS (2019) Multimethodology applied to the evaluation of Healthcare in Brazilian municipalities. Health care management science 22: 197-214.

[55] Liu JS, Lu LY, Lu WM, Lin BJ (2013a) A survey of DEA applications. Omega 41: 893-902.

[56] Liu JS, Lu LY, Lu WM, Lin BJ (2013b) Data envelopment analysis 1978–2010: A citation-based literature survey. Omega 41: 3-15.

[57] Lobo MSC, Lins MPE, Silva ACM, Fiszman R (2010) Avaliação de desempenho e integração docente-assistencial nos hospitais universitários. Revista de Saúde Pública 44: 581-590.

[58] Lobo MSC, Ozcan YA, Lins MPE, Silva ACM, Fiszman R (2014) Teaching hospitals in Brazil: findings on determinants for efficiency. International Journal of Healthcare Management 7: 60-68.

[59] Lobo MSC, Rodrigues HDC, André ECG, Azeredo JAD, Lins MPE (2016) Análise envoltória de dados dinâmica em redes na avaliação de hospitais universitários. Revista de Saúde Pública 50: 1-13.

[60] Lu W, Evans RD, Zhang T, Ni Z, Tao H (2020) Evaluation of resource utilization efficiency in obstetrics and gynecology units in China: A three-stage data envelopment analysis of the Shanxi province. The International journal of health planning and management 35: 309-317.

[61] Machado JP, Martins ACM, Martins MS (2013) Avaliação da qualidade do cuidado hospitalar no Brasil: uma revisão sistemática. Cadernos de Saúde Pública 29: 1063-1082.

[62] Macrini L, Gonçalves AC, Almeida RM, Samanez CP (2018) Specifying Weight Restriction Limits in Data Envelopment Analysis with The Wong and Beasley and Cone Ratio Methods. Pesquisa Operacional 38: 523-533.

[63] Maleki MR, Fatehpanah A, Gohari MR (2010) Performance assessment of Hasheminejad hospital in 2007 according to the Baldrige Criteria for Performance Excellence. Pejouhesh dar Pezeshki 34: 1-10.

[64] Mariano E, Torres B, Almeida M, Ferraz D, Rebelatto D, de Mello JCS (2021) Brazilian states in the context of COVID-19 pandemic: an index proposition using Network Data Envelopment Analysis. IEEE Latin America Transactions 19: 917-924.

[65] Marinho A, Araújo CAS (2021) Using data envelopment analysis and the bootstrap method to evaluate organ transplantation efficiency in Brazil. Health Care Management Science 1: 1-13.

[66] Medeiros RDVV, Marcolino VA (2018) A Eficiência dos munícipios do Rio de Janeiro no setor de saúde: uma análise através da DEA e Regressão Logística. Revista Meta: Avaliação 10: 183-210.

[67] Mendoza-Mendoza A, La Torre D, Cervantes K, De La Hoz Domínguez E (2019) Programas de vacunación infantil en América Latina 2000-2015. Revista Cubana de Salud Pública 45: 1458-1463.

[68] Moeller J (2001) The EFQM Excellence Model. German experiences with the EFQM approach in health care. International Journal for Quality in Health Care 13: 45-49.

[69] Moreno-Serra R, Anaya-Montes M, Smith PC (2019) Potential determinants of health system efficiency: evidence from Latin America and the Caribbean. PLoS One 14: 0216620-0216620.

[70] Morera-Salas M (2015) Análisis de eficiencia relativa de hospitales públicos de Costa Rica. Población y Salud en Mesoamérica 12: 88-104.

[71] Moscoso N, Geri M, Arnaudo MF, Lago F (2018) Efficiency in the use of public mammography devices in an Argentinean region. Revista Cubana de Salud Pública 44: 123-140.

[72] Navarro España JL, Maza Ávila F (2011) The efficiency of Colombian hospitals in the Latin American context. An application of Data Envelopment Analysis (DEA) in a group of complex surgeries hospitals 2009. Ecos de Economía 15: 71-93.

[73] Nepomuceno TC, Silva W, Nepomuceno KT, Barros IK (2020) A DEA-based complexity of needs approach for hospital beds evacuation during the COVID-19 outbreak. Journal of healthcare engineering 20: 1-9.

[74] Nunamaker TR (1983) Measuring routine nursing service efficiency: a comparison of cost per patient day and data envelopment analysis models. Health Services Research 18: 183-190.

[75] Orach D, Garimoi C (2009) Health equity: challenges in low-income countries. African health sciences 9: 49-51.

[76] Ozcan YA, Bannick RR (1994) Trends in Department of Defense hospital efficiency. Journal of Medical Systems 18: 69-83.

[77] Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, ... Moher D (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Bmj 372: 1-9.

[78] Parker D, Newbrander W (1994) Tackling wastage and inefficiency in the health sector. World health forum 1994 15: 107-131.

[79] Pelone F, Kringos DS, Romaniello A, Archibugi M, Salsiri C, Ricciardi W (2015) Primary care efficiency measurement using data envelopment analysis: a systematic review. Journal of medical systems 39: 1-14.

[80] Portillo Melo DM, Enríquez Guerra FB, Riascos JC (2019) Factores económicos que inciden sobre el índice de eficiencia técnica de los hospitales públicos del departamento de Nariño-Colombia 2008-2014. Apuntes del CENES 38: 193-225.

[81] Ramírez-Valdivia MT, Maturana S, Salvo-Garrido S (2011) A multiple stage approach for performance improvement of primary healthcare practice. Journal of medical systems 35: 1015-1028.

[82] Ramírez-Valdivia M, Maturana S, Mendoza-Alonzo J, Bustos J (2015) Measuring the Efficiency of Chilean Primary Healthcare Centres. International Journal of Engineering Business Management 7: 7-15.

[83] Ravaghi H, Afshari M, Isfahani P, Bélorgeot VD (2019) A systematic review on hospital inefficiency in the Eastern Mediterranean Region: sources and solutions. BMC health services research 19: 1-20.

[84] Revuelta I, Santos-Arteaga FJ, Montagud-Marrahi E, Ventura-Aguiar P, Di Caprio D, Cofan F, ... Diekmann F (2021) A hybrid data envelopment analysis-artificial neural network prediction model for COVID-19 severity in transplant recipients. Artificial Intelligence Review 1: 1-32.

[85] Rosko MD, Mutter RL (2011) What have we learned from the application of stochastic frontier analysis to US hospitals?. Medical Care Research and Review 68: 75-100.

[86] Ruiz-Rodriguez M, Rodriguez-Villamizar LA, Heredia-Pi I (2016) Technical efficiency of women's health prevention programs in Bucaramanga, Colombia: a four-stage analysis. BMC Health Services Research 16: 1-13.

[87] Salvador-Carulla L, Saldivia S, Martinez-Leal R, Vicente B, Garcia-Alonso C, Grandon P, Haro JM (2008) Meso-level comparison of mental health service availability and use in Chile and Spain. Psychiatric Services 59: 421-428.

[88] Saquetto TC, Carneiro TCJ, Araujo CAS, Figueiredo KF (2017) Eficiência técnica e inovatividade: um estudo em hospitais privados brasileiros. Sistemas and Gestão 12: 410-421.

[89] Saquetto TC, Araujo CAS (2019) Avaliação da eficiência de hospitais privados no Brasil: Uma análise em dois estágios. Revista de Administração Mackenzie 20: 5-11.

[90] Santelices E, Ormeño H, Delgado M, Lui C, Valdés R, Durán L (2013) Análisis de los determinantes de la eficiencia hospitalaria: el caso de Chile. Revista médica de Chile 141: 457-463.

[91] Santelices E, Ormeño H, Delgado M, Lui C, Valdés R, Durán L (2013nb) Análisis de la eficiencia técnica hospitalaria 2011. Revista médica de Chile 141: 332-337.

[92] Scaratti D, Calvo MCM (2012) Composite indicator to evaluate quality of municipal management of primary health care. Revista de saude publica 46: 446-455.

[93] Schneider AM, Oppel EM, Schreyögg J (2020) Investigating the link between medical urgency and hospital efficiency – Insights from the German hospital market. Health care management science 23: 649-660.

[94] Serván-Mori E, Chivardi C, Mendoza MÁ, Nigenda G (2018) A longitudinal assessment of technical efficiency in the outpatient production of maternal health services in México. Health policy and planning 33: 888-897.

[95] Serván-Mori E, Mendoza MÁ, Chivardi C, Pineda-Antúnez C, Rodríguez-Franco R, Nigenda G (2019) A spatio-temporal cluster analysis of technical efficiency in the production of outpatient maternal health services and its structural correlates in México. The International journal of health planning and management 34: 1417-1436.

[96] Serván-Mori E, Chivardi C, Fene F, Heredia-Pi I, Mendoza MÁ, Nigenda G (2020) Tackling maternal mortality by improving technical efficiency in the production of primary health services: longitudinal evidence from the Mexican case. Health Care Management Science 23: 571-584.

[97] Sexton TR, Leiken AM, Sleeper S, Coburn AF (1989) The impact of prospective reimbursement on nursing home efficiency. Medical Care 1: 154-163.

[98] Sikka V, Luke RD, Ozcan YA (2009) The efficiency of hospital-based clusters: Evaluating system performance using data envelopment analysis. Health Care Management Review 34: 251-261.

[99] Siqueira MM, Araujo CAS (2018) Efficiency of Brazilian public services of kidney transplantation: Benchmarking Brazilian states via data envelopment analysis. The International journal of health planning and management 33: 1067-1087.

[100] Soares AB, Pereira AA, Milagre ST (2017) A model for multidimensional efficiency analysis of public hospital management. Research on Biomedical Engineering 33: 352-361.

[101] Souza PCD, Scatena JHG, Kehrig RT (2016) Aplicação da Análise Envoltória de Dados para avaliar a eficiência de hospitais do SUS em Mato Grosso. Physis: Revista de Saúde Coletiva 26: 289-308.

[102] Tiemann O, Schreyögg J, Busse R (2012) Hospital ownership and efficiency: a review of studies with particular focus on Germany. Health Policy 104: 163-171.

[103] Tran A, Nguyen KH, Gray L, Comans T (2019) A systematic literature review of efficiency measurement in nursing homes. International journal of environmental research and public health 16: 2186-2186.

[104] Tyler LH, Ozcan YA, Wogen SE (1995) Mental health case management and technical efficiency. Journal of medical systems 19: 167-175.

[105] Valinoti AC, da Costa Jr LC, Farah A, de Sousa VP, Fonseca-Gonçalves A, Maia LC (2016) Are pediatric antibiotic formulations potentials risk factors for dental caries and dental erosion? The open dentistry journal 10: 420-420.

[106] Varela PS, de Andrade Martins G, Fávero LPL (2010) Production efficiency and financing of public health: an analysis of small municipalities in the state of São Paulo—Brazil. Health care management science 13: 112-123.

[107] Varela PS, de Andrade Martins G (2011) Efficiency of Primary Health Care Spending by Municipalities in the Metropolitan Region of São Paulo: A Comparative Analysis of DEA Models. Review of Business 32: 1-8.

[108] Varela PS, Pacheco RSV M (2012) Federalism and health expenditures: competition and cooperation in the metropolitan region of São Paulo. Revista Contabilidade and Finanças 23: 116-127.

[109] Vasconcelos MC, Zdziarski AD, Cruz JAW, da Silva WV, Da Silva CL (2017) Análise da eficiência do atendimento do sistema único de saúde nos municípios paranaenses. Journal of Globalization, Competitiveness and Governability 11: 42-61.

[110] Velasco-Garrido M, Busse R, World Health Organization (2005) Health technology assessment: an introduction to objectives, role of evidence, and structure in Europe 611: 40346-54035.

[111] Villalobos-Cid M, Chacón M, Zitko P, Inostroza-Ponta M (2016) A new strategy to evaluate technical efficiency in hospitals using homogeneous groups of casemix. Journal of medical systems, 40: 103-111.

[112] World Health Organization (2000) The world health report 2000: health systems: improving performance. World Health Organization.

[113] Worthington AC (2004) Frontier efficiency measurement in health care: a review of empirical techniques and selected applications. Medical care research and review 61: 135-170.

[114] Zhang G, Wu J, Zhu Q (2020) Performance evaluation and enrollment quota allocation for higher education institutions in China. Evaluation and Program Planning 81: 101821-101821.

[115] Zhao L, Zhang Y, Hou Y, Yan G (2018) Efficiency of community health centers in China during 2013‐2015: A synchronic and diachronic study. Family Medicine and Community Health 6: 211-219.

Abstract

References

How to cite