Abstract
Over 60% of the recurrent budget of the Ministry of Health in Angola is spent on the operations of the fixed healthcare facilities (health centres and hospitals). However, to date, no study has been attempted to investigate how efficiently those resources are used to produce health services. Therefore, the objectives of this study were to assess the technical efficiency of public municipal hospitals in Angola; assess changes in productivity over time with a view to analysing changes in efficiency and technology; and demonstrate how the results can be used in the pursuit of the public health objective of promoting efficiency in the use of health resources. The analysis was based on a three year panel data from all the 28 public municipal hospitals in Angola. Data envelopment analysis, a non parametric linear programming approach, was employed to assess the technical and scale efficiency and productivity change over time using Malmquist index. The results show that, on average, productivity of municipal hospitals in Angola increased by 4.5% over the period 2000 2002 and that growth was due to improvement in efficiency rather than innovation.
| Original language | English |
|---|---|
| Title of host publication | Efficiency of Health System Units in Africa |
| Subtitle of host publication | A Data Envelopment Analysis |
| Pages | 291-311 |
| Number of pages | 21 |
| ISBN (Electronic) | 9789966792426 |
| Publication status | Published - 1 Jan 2013 |
Keywords
- Angola/Africa
- Data envelopment analysis
- Efficiency and productivity
- Hospital performance comparison
- Malmquist indices