Surgical capacity, productivity and efficiency at the district level in Sub-Saharan Africa: A three-country study

ABSTRACT:

Introduction

Efficient utilisation of surgical resources is essential when providing surgical care in low-resources settings. Countries are developing plans to scale up surgery, though insufficiently based on empirical evidence. This paper investigates the determinants of hospital efficiency in district hospitals in three African countries.

Methods

Three-month data, comprising surgical capacity indicators and volumes of major surgical procedures collected from 61 district-level hospitals in Malawi, Tanzania, and Zambia, were analysed. Data envelopment analysis was used to calculate average hospital efficiency scores (max. = 1) for each country. Quantile regression analysis was selected to estimate the relationship between surgical volume and production factors. Two-stage

SUBMITTER: Zhang M 

PROVIDER: S-EPMC9710758 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature