9 May 2017

The effects of environmental factors on the efficiency of CCGs

The Effects of Environmental Factors on the Efficiency of Clinical Commissioning Groups in England: A Data Envelopment Analysis
Journal of Medical Systems 2017, 41:97
  • The performance of CCGs may also be confounded by environmental factors such as deprivation, population size and burden of disease. This study estimates the technical efficiency of 208 CCGs in England using Data Envelopment Analysis (DEA), a linear programming technique that can be used to measure the relative efficiency of a given set of organisations. 
  • The inputs and outputs used include budget allocation, number of general practitioners, mortality rates, patient satisfaction and QOF scores. 
  • Three environmental factors were statistically significant predictors of efficiency: CCGs with smaller population sizes were more efficient than those with larger ones, while high unemployment rates and a high prevalence of chronic obstructive pulmonary disease led to a decrease in efficiency scores. 
  • Comparative deprivation was not a significant predictor of efficiency.