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- Title
Evaluation of the Efficiency of European Health Systems Using Fuzzy Data Envelopment Analysis.
- Authors
Gómez-Gallego, Juan Cándido; Gómez-Gallego, María; García-García, Javier Fernando; Faura-Martinez, Ursula
- 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.
- Subjects
DATA envelopment analysis; FUZZY systems; ECONOMIC liberty; ESTIMATION bias; INCOME inequality
- Publication
Healthcare (2227-9032), 2021, Vol 9, Issue 10, p1270
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare9101270