TY - JOUR
AU - H. B. Merelie
AU - C. A. F. Amado
AU - S. P. Dos Santos
A1 - 
AB - Life expectancy is typically shorter in areas with higher deprivation, highlighting the need for policymakers and health care managers to focus on reducing health inequalities through efficient and effective care. This study aims to assess the impact of deprivation on primary health care performance using data from the National Health Service (NHS) in England. Two methods are applied: Data Envelopment Analysis (DEA) to evaluate the performance of 188 Clinical Commissioning Groups (CCGs), whose duties were recently taken on by the new Integrated Care Systems (ICSs), and the Malmquist Index (MI) to assess deprivation's effect on performance. The DEA results reveal significant variation among CCGs in equity, efficiency, and effectiveness, indicating substantial room for improvement. The MI results show that while CCGs in more deprived areas had more resources per capita and higher efficiency, they were generally less effective than those in less deprived areas. This emphasizes the need to enhance health and social policies to address persistent health inequalities due to deprivation, a critical challenge for the new ICSs. This study illustrates how DEA and the MI can support policymakers and managers in this effort.
AD - Faculty of Economics and Center for Advanced Studies in Management and Economics (CEFAGE), University of Algarve, Faro, Portugal.; Faculty of Economics and Center for Advanced Studies in Management and Economics (CEFAGE), University of Algarve, Faro, Portugal. ssantos@ualg.pt.
AN - 40481941
BT - Health Care Manag Sci
C5 - General Literature
CP - 3
DA - Sep
DO - 10.1007/s10729-025-09715-9
DP - NLM
ET - 20250607
IS - 3
JF - Health Care Manag Sci
LA - eng
N2 - Life expectancy is typically shorter in areas with higher deprivation, highlighting the need for policymakers and health care managers to focus on reducing health inequalities through efficient and effective care. This study aims to assess the impact of deprivation on primary health care performance using data from the National Health Service (NHS) in England. Two methods are applied: Data Envelopment Analysis (DEA) to evaluate the performance of 188 Clinical Commissioning Groups (CCGs), whose duties were recently taken on by the new Integrated Care Systems (ICSs), and the Malmquist Index (MI) to assess deprivation's effect on performance. The DEA results reveal significant variation among CCGs in equity, efficiency, and effectiveness, indicating substantial room for improvement. The MI results show that while CCGs in more deprived areas had more resources per capita and higher efficiency, they were generally less effective than those in less deprived areas. This emphasizes the need to enhance health and social policies to address persistent health inequalities due to deprivation, a critical challenge for the new ICSs. This study illustrates how DEA and the MI can support policymakers and managers in this effort.
PY - 2025
SN - 1386-9620 (Print); 1386-9620
SP - 461
EP - 477+
ST - Measuring the effect of deprivation on primary health care performance using data envelopment analysis and Malmquist Indices
T1 - Measuring the effect of deprivation on primary health care performance using data envelopment analysis and Malmquist Indices
T2 - Health Care Manag Sci
TI - Measuring the effect of deprivation on primary health care performance using data envelopment analysis and Malmquist Indices
U1 - General Literature
U3 - 10.1007/s10729-025-09715-9
VL - 28
VO - 1386-9620 (Print); 1386-9620
Y1 - 2025
ER -