Health-Care Applications: From Hospitals to Physicians, from Productive Efficiency to Quality Frontiers

  • Jon A. Chilingerian
  • H. David ShermanEmail author
Part of the International Series in Operations Research & Management Science book series (ISOR, volume 164)


This chapter focuses on health-care applications of DEA. The paper begins with a brief history of health applications and discusses some of the models and the motivation behind the applications. Using DEA to develop quality frontiers in health services is offered as a new and promising direction. The paper concludes with an eight-step application procedure and list of do’s and don’ts when applying DEA to health services.


Health Services Research Physicians Hospitals HMOs Frontier Analysis Health-Care Management DEA Performance Efficiency Quality 



We are very grateful to Dianne Chilingerian and W.W. Cooper for their encouragement and thoughtful comments. Part of the material for this chapter was adapted from Chilingerian, J. A., 1995, Evaluating physician efficiency in hospitals: A multivariate analysis of best practices, European Journal of Operational Research 80, 548–574; Chilingerian, J.A. 2000, Evaluating quality outcomes against best practice: a new frontier. The Quality Imperative: Measurement and Management of Quality. Imperial College Press, London, England; and Chilingerian, J. A., and H. David Sherman, 1997, DEA and primary care physician report cards: Deriving preferred practice cones from managed care service concepts and operating strategies, Annals of Operations Research 73, 35–66.


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© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Heller School for Social Policy and ManagementBrandeis University WalthamWalthamUSA
  2. 2.College of Business AdministrationNortheastern UniversityBostonUSA

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