Health Care Management Science

, Volume 2, Issue 3, pp 161–172 | Cite as

Efficiency measurement of health care: a review of non‐parametric methods and applications

  • Bruce Hollingsworth
  • P.J. Dawson
  • N. Maniadakis


There has been increasing interest in measuring the productive performance of health care services, since the mid-1980s. This paper reviews this literature and, in particular, the concept and measurement of efficiency and productivity. Concerning measurement, we focus on the use of Data Envelopment Analysis (DEA), a technique particularly appropriate when multiple outputs are produced from multiple inputs. Applications to hospitals and to the wider context of general health care are reviewed and the empirical evidence from both the USA and Europe (EU) is that public rather than private provision is more efficient.


Data Envelopment Analysis Data Envelopment Analysis Model Production Frontier Total Factor Productivity Growth Malmquist Index 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Kluwer Academic Publishers 1999

Authors and Affiliations

  • Bruce Hollingsworth
    • 1
  • P.J. Dawson
    • 1
  • N. Maniadakis
    • 1
  1. 1.Health Economics Group, Department of Epidemiology and Public HealthUniversity of Newcastle upon TyneNewcastle upon TyneUK E-mail:

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