Evaluation of Technical Efficiency of County Referral Hospitals in Kenya and Its Determinants

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dc.contributor.authorRithaa, Gilbert
dc.contributor.authorKosimbe, George
dc.contributor.authorYitambe, Andrew
dc.contributor.authorKithuka, Peter
dc.date.accessioned2021-05-06T07:27:06Z
dc.date.available2021-05-06T07:27:06Z
dc.date.issued2019
dc.description.abstractGovernment’s health expenditure as a percent of the total government budget is approximately 7% which falls below the target of 15% recommended by the World Health Organization. It is, therefore, important that the country’s health‑care resources, specifically those allocated to the health sector, are optimally used. Methods: An one‑stage data envelopment analysis (DEA) method was used to estimate the technical efficiency of county referral hospitals. Atotal of 34 county referral hospitals were randomly sampled and studied. Data analysis was performed in two stages as follows: first, input and output data were entered into MS Excel sheet after which DEA version 2.1 was used to determine the technical efficiency scores for the hospitals. In the second stage, interval regression analysis using censored interval regression model was used to identify determinants of technical efficiency for the sampled hospitals. Results: Results indicated that the mean constant return to scale technically efficient score was 82.4%, the mean variable return to scale (VRS) technically efficient score was 94.1%, and the mean scale efficiency technical score was 87.4%. The mean level of VRS technical inefficiency was 17.2%. The total inputs slacks in the inefficient hospitals were 104 beds and 840 staff which represented an input slack of 4% for the beds and 28% for the staff. Conclusions: Inefficient hospitals could have attained efficient frontiers using fewer resources, specifically 4% beds and 28% staff. The technical inefficiencies in county referral hospitals are occasioned by the use of inappropriate production functions characterized by the existence of excess production inputs and suboptimal outputs.en_US
dc.description.sponsorshipWe acknowledge National Commission for Science, Technology and Innovation, Kenya, [NACOSTI] for partial financing of this research.en_US
dc.identifier.citationRithaa, G. K., Kosimbei, G., Yitambe, A., & Kithuka, P. (2019). Evaluation of technical efficiency of county referral hospitals in kenya and its determinants. International Journal of Advanced Medical and Health Research, 6(1), 24.en_US
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/22082
dc.language.isoenen_US
dc.publisherInternational Journal of Advanced Medical and Health Researchen_US
dc.subjectCounty referral hospitalsen_US
dc.subjectData envelopment analysisen_US
dc.subjectScale efficiencyen_US
dc.subjectTechnical efficiencyen_US
dc.titleEvaluation of Technical Efficiency of County Referral Hospitals in Kenya and Its Determinantsen_US
dc.typeArticleen_US
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