Primary care : Results
The implementation of BCC model defined by the 7 selected variables to the 66 health centers in the sample enabled the identification of efficient and inefficient institutions.
Of all the health facilities surveyed, half of slack variables are zero and an efficiency index unit requirements for the EDA requires that a school is considered efficient. For its part, the index assigned to other schools is indicative of the degree of inefficiency because, according to the underlying problem, such centers could increase its production to the extent that this rate exceeds the unit without the need to alter the level of resources available. Accordingly, the centers are inefficient, ineffective half rate of 40%, although this rate varies between 94.69% of CSN10 heart of Navarre and Alava CSA10 of 4%.
The comparison of the rates of efficiency and inefficiency of health facilities according to their geographic origin shows that the largest proportion of centers is efficient in Rioja (63.6%), besides being inefficient facilities where minors riojanos have potential for improvement (a 31.86% against 32.64% in Alava and 45.30% of the inefficient Navarran) (Table 3). Results of which might be inferred that the conduct of efficient and inefficient health care facilities may be affected by the different organizations and / or production that may exist between sites belonging to different health administrations. However, the contrast non-parametric (Kruskal-Wallis contrast) of the average efficiency rates of the three groups of centers, depending on the health administration to which they belong, are outlined in the sample under study shows that despite significant differences in the variables that determine the efficiency index, they are not in the productive performance of the various health centers analyzed (Table 4). For example, although riojanos centers offer consultations on average more nursing and general medicine that Navarre and Alava, as it is also used for much of nurses and doctors, the differences between the indices of efficiency of some and not others are statistically significant.