EVALUATION OF HOSPITAL PERFORMANCE IN BURKINA FASO BY A COMBINED APPROACH OF PRINCIPAL COMPONENT ANALYSIS (PCA) AND DATA ENVELOPMENT ANALYSIS (DEA)
The evaluation of hospital performance ensures optimal quality of care, identifies areas for improvement and ensures efficient allocation of resources. It is a major issue in Burkina Faso’s health system, where resources are limited, and population needs for health care are increasing. This paper proposes a combined approach using principal component analysis (PCA) and data envelopment analysis (DEA) to assess and compare the performance of hospitals in Burkina Faso. This methodology allows to reduce the dimensionality of hospital data while evaluating their relative efficiencies. Through the case study of regional hospitals from 2016 to 2022, this analysis reveals key performance factors and offers recommendations for improving resource allocation and efficiency of health services in the country.
hospital performance, principal component analysis, data envelopment analysis, efficiency, Burkina Faso, resource optimization.
Received: November 16, 2024; Revised: January 23, 2025; Accepted: February 14, 2025; Published: March 4, 2025
How to cite this article: Moumouni Zongo, Wendpanga Jacob Yougbaré and Tallo Danai, Evaluation of hospital performance in Burkina Faso by a combined approach of principal component analysis (PCA) and data envelopment analysis (DEA), Advances and Applications in Discrete Mathematics 42(3) (2025), 285-302. https://doi.org/10.17654/0974165825019
This Open Access Article is Licensed under Creative Commons Attribution 4.0 International License
References:[1] N. Adler and B. Golany, Including principal component weights to improve discrimination in data envelopment analysis, Journal of the Operational Research Society 53 (2002), 985-991.[2] N. Adler and E. Yazhemsky, Improving discrimination in data envelopment analysis: PCA-DEA or variable reduction, European J. Oper. Res. 202(1) (2010), 273-284.[3] A. Andrews, An application of PCA-DEA with the double-bootstrap approach to estimate the technical efficiency of New Zealand District Health Boards, Health Economics, Policy and Law 17(2) (2022), 175-199.[4] D. Annapoorni and V. Prakash, Measuring the performance efficiency of hospitals: PCA-DEA combined model approach, Indian Journal of Science and Technology 9(S1) (2017), 1-8.[5] R. D. Banker, A. Charnes and W. W. Cooper, Some models for estimating technical and scale inefficiencies in data envelopment analysis, Management Science 30 (1984), 1078-1092.[6] H. Chowdhury and V. Zelenyuk, Performance of hospital services in Ontario: DEA with truncated regression approach, Omega 63 (2016), 111-122.[7] W. Cooper, L. Seiford and K. Tone, Data Envelopment Analysis: A Comprehensive Text with Models, Applications, References and DEA-solver Software, 2007.[8] H.-P. Fu and J.-R. Ou, Combining PCA with DEA to improve the evaluation of project performance data: a Taiwanese bureau of energy case study, Project Management Journal 44(1) (2013), 94-106.[9] M. Giancotti, V. Pipitone, M. Mauro and A. Guglielmo, 20 years of studies on technical and scale efficiency in the hospital sector: a review of methodological approaches, International Journal of Business and Management Invention 5(3) (2016), 34-54.[10] M. Karahan, Using data envelopment analysis to measure the technical efficiency of public hospitals in turkey, Ege Akademik Bakis (Ege Academic Review) 19(3) (2019), 373-387.[11] J. M. Kirigia, A. Emrouznejad, B. Cassoma, E. Z. Asbu and S. Barry, A performance assessment method for hospitals: the case of municipal hospitals in Angola, Journal of Medical Systems 32(6) (2008), 509-519.[12] S. Kohl, J. Schoenfelder, A. Fugener and J. O. Brunner, The use of data envelopment analysis (DEA) in healthcare with a focus on hospitals, Health Care Management Science 22(2) (2019), 245-286.[13] P. Mané, Analyse de l’efficience des hôpitaux du sénégal: application de la méthode dénveloppement des données, Pratiques et Organisation des Soins 43(4) (2012), 277-283.[14] P. Marschall and S. Flessa, Efficiency of primary care in rural Burkina Faso, a two-stage DEA analysis, Health Economics Review 1(1) (2011), 5.[15] M. Y. Nayer, A. A. Fazaeli and Y. Hamidi, Hospital efficiency measurement in the west of Iran: data envelopment analysis and econometric approach, Cost Effectiveness and Resource Allocation 20(1) (2022), 5.[16] L. P. Orsini, C. Leardini, S. Vernizzi and B. Campedelli, Inefficiency of public hospitals: a multistage data envelopment analysis in an Italian region, BMC Health Services Research 21(1) (2021), 1281.[17] W. J. Yougbaré, M. Zongo and B. Sory, DEA - benchmarking to assess the performance of regional hospitals in Burkina Faso, JP Journal of Biostatistics 24(1) (2024), 141-160.[18] T. Zhang, W. Lu and H. Tao, Efficiency of health resource utilisation in primary-level maternal and child health hospitals in Shanxi province, China: a bootstrapping data envelopment analysis and truncated regression approach, BMC Health Services Research 20(1) (2020), 179.