caa a22 4500 445332530 CHVBK 20180317142742.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s10198-010-0232-8 doi (NATIONALLICENCE)springer-10.1007/s10198-010-0232-8 Technical efficiency in primary health care: does quality matter? [Elektronische Daten] [Luis Murillo-Zamorano, Carmelo Petraglia] The accuracy required in the measurement of output is an issue that has as yet still not been satisfactorily addressed in empirical research on efficiency in primary health care. We exploit information retrieved from a newly constructed database (APEX06) for the Spanish region of Extremadura. The richness of our dataset allows us to consider original synthetic measures of output that take into account both the quantity and the quality of services provided by 85 primary care centers (PCCs) in 2006. We provide evidence that neglecting the issue of properly accounting for the quality of health services can lead to misleading results. Our main finding is that adjusting output for quality has a three-fold effect on efficiency analysis. Firstly, inefficiency explains relatively more of the deviation from potential output. Secondly, the average technical efficiency in the sector is lower, while its dispersion among PCCs is significantly higher. Thirdly, the efficiency ranking of the PCCs is affected. Springer-Verlag, 2010 Primary health care nationallicence Stochastic frontier analysis nationallicence Technical efficiency nationallicence Quality nationallicence Murillo-Zamorano Luis Department of Economics, University of Extremadura, Avenida de Elvas s/n, 06071, Badajoz, Spain aut Petraglia Carmelo Department of Economics, University Federico II di Napoli, Naples, Italy aut The European Journal of Health Economics Springer-Verlag 12/2(2011-04-01), 115-125 1618-7598 12:2<115 2011 12 10198 https://doi.org/10.1007/s10198-010-0232-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10198-010-0232-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Murillo-Zamorano Luis Department of Economics, University of Extremadura, Avenida de Elvas s/n, 06071, Badajoz, Spain aut NATIONALLICENCE 700 1- Petraglia Carmelo Department of Economics, University Federico II di Napoli, Naples, Italy aut NATIONALLICENCE 773 0- The European Journal of Health Economics Springer-Verlag 12/2(2011-04-01), 115-125 1618-7598 12:2<115 2011 12 10198 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer