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. 2022 Jan 26;12(1):9.
doi: 10.1186/s13561-021-00351-x.

Efficiency and management factors: finding the balance in Thalassaemia care centres

Asrul Akmal Shafie  1 , Noor Syahireen Mohammed  1   2 , Kok Fong See  3   4 , Hishamshah Mohd Ibrahim  5 , Jacqueline Hui Yi Wong  1   6 , Irwinder Kaur Chhabra  1
Affiliations

Efficiency and management factors: finding the balance in Thalassaemia care centres

Asrul Akmal Shafie et al. Health Econ Rev. .

Abstract

Background: Optimizing efficiency has become increasingly critical with the growing demand for finite healthcare resources driven by population growth and an ageing society. Hence, policymakers are urgently finding more efficient ways to deliver health services. Thalassemia is a complex inherited blood disorder with significant prevalence in Malaysia. The high number of patients put substantial strain on the healthcare system. This study aims to evaluate the technical efficiency of thalassaemia care centres throughout Malaysia and the determinants that affect the efficiency.

Method: Data from 30 public hospitals with thalassaemia care centres were collected. A double bootstrap data envelopment analysis (DEA) approach is used with the assumption of input-oriented and variable-to-scale DEA models to generate technical efficiency scores. Bootstrap truncated regression was later conducted to identify the factors affecting the efficiency scores.

Results: The mean bias-corrected technical efficiency score has improved to 0.75 in 2017 from 0.71 in 2016. In both years, more than 50% of thalassaemia care centres showed good efficiency scores (0.8-1.0). Management factors that affect the efficiency scores include separation of patient management (β = 0.0653) and budget (β = 0.0843), where they are found to positively affect the efficiency scores. In contrast, having longer operating hours is found to inversely influence the performance levels (β = - 0.4023).

Conclusions: The study provides a pioneering framework to evaluate the technical efficiency of thalassaemia treatment centres in public healthcare settings and could provide a useful guide for policymaker and thalassaemia care centre managers to improve efficiency in service delivery to thalassaemia patients and their caregivers without compromising quality of care.

Keywords: Data envelopment analysis; Malaysia; Management factors; Technical efficiency; Thalassaemia treatment.

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Conflict of interest statement

AAS and HMI were appointed by Novartis for speaking engagement. The remaining authors declare no conflict of interests.

Figures

Fig. 1
Fig. 1
Step by step double bootstrap DEA approach
Fig. 2
Fig. 2
Relationship of input to output and explanatory variables affecting technical efficiency scores
See this image and copyright information in PMC

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