Evaluation of the efficiency of european health systems using fuzzy data envelopment analysis

Gómez Gallego, Juan Cándido; García García, Javier Fernándo; Faura Martínez, Úrsula; Gómez Gallego, María

Publication:
Evaluation of the efficiency of european health systems using fuzzy data envelopment analysis

dc.contributor.author	Gómez Gallego, Juan Cándido
dc.contributor.author	García García, Javier Fernándo
dc.contributor.author	Faura Martínez, Úrsula
dc.contributor.author	Gómez Gallego, María
dc.contributor.department	Economía Aplicada
dc.date.accessioned	2024-07-16T11:18:11Z
dc.date.available	2024-07-16T11:18:11Z
dc.date.issued	2021-09-26
dc.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
dc.description.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.	es
dc.format	application/pdf	es
dc.format.extent	14	es
dc.identifier.citation	Healthcare 2021, 9, 1270
dc.identifier.doi	https://doi.org/10.3390/healthcare9101270
dc.identifier.issn	Electronic: 2227-9032
dc.identifier.uri	http://hdl.handle.net/10201/143144
dc.language	eng	es
dc.publisher	MDPI	es
dc.relation	Sin financiación externa a la Universidad.	es
dc.relation.publisherversion	https://www.mdpi.com/2227-9032/9/10/1270
dc.rights	info:eu-repo/semantics/openAccess	es
dc.rights	Atribución 4.0 Internacional	*
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/	*
dc.subject	Efficiency	es
dc.subject	Data envelopment analysis	es
dc.subject	Fuzzy data	es
dc.subject	Health system	es
dc.subject	Income inequality	es
dc.subject	Freedom economics	es
dc.title	Evaluation of the efficiency of european health systems using fuzzy data envelopment analysis	es
dc.type	info:eu-repo/semantics/article	es
dspace.entity.type	Publication	es
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relation.isAuthorOfPublication.latestForDiscovery	44278cfb-f559-47b0-950d-fdecaf73adf3