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Assessing efficiency in the UK breast screening programme: does size of screening unit make a difference?

K Johnston1, K Gerard

  • 1Health Economics Research Centre, University of Oxford, Institute of Health Sciences, Headington, OX3 7LF, Oxford, UK. kathy.johnston@ihs.ox.ac.uk

Health Policy (Amsterdam, Netherlands)
|March 7, 2001
PubMed
Summary

Data envelopment analysis (DEA) revealed inefficiencies in UK breast screening programme (UK BSP) units. While unit size didn't significantly impact efficiency, many units can improve resource use.

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Area of Science:

  • Healthcare Management
  • Public Health Policy
  • Operational Research

Background:

  • The UK breast screening programme (UK BSP) requires efficient operation, especially with anticipated expansion.
  • Assessing and improving the efficiency of individual screening units is crucial for optimal resource allocation.

Purpose of the Study:

  • To evaluate the relative efficiency of UK breast screening units using Data Envelopment Analysis (DEA).
  • To determine the impact of screening unit size on operational efficiency.
  • To identify areas for improvement in resource utilization within individual units.

Main Methods:

  • Data Envelopment Analysis (DEA) was employed to assess efficiency.
  • Sixty-four screening units were categorized into large (33) and small (31) groups.

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  • Data were gathered through a national survey and routine data collection.

    • Main Results:

    • The overall median efficiency score was 91%, with 39 units identified as inefficient.
    • Large units had a median efficiency of 100% (12 inefficient), and small units had a median efficiency of 95% (19 inefficient).
    • No statistically significant difference in efficiency was found between large and small units (P=0.076).

    Conclusions:

    • There is no systematic efficiency difference based on screening unit size.
    • Inefficiencies exist in both large and small units, indicating scope for resource use improvement.
    • Decision-makers should analyze individual unit practices to identify strategies for enhancing resource utilization.