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Related Experiment Video

Updated: Jun 12, 2026

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data

Published on: July 27, 2018

Performance evaluation in home and community care.

Julie Polisena¹, Audrey Laporte, Peter C Coyte

¹Canadian Agency for Drugs and Technologies in Health, Ottawa, ON, Canada. juliep@cadth.ca

Journal of Medical Systems

|May 28, 2010

Summary

This study assessed home care technical efficiency in Ontario using Data Envelopment Analysis (DEA). Most regions were scale inefficient, indicating potential operational improvements for community care access centres.

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Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data

Published on: July 27, 2018

Home-Based Monitor for Gait and Activity Analysis

Home-Based Monitor for Gait and Activity Analysis

Published on: August 8, 2019

Area of Science:

Health Services Research
Operations Research
Public Health Policy

Background:

Home care services are crucial for patient well-being and healthcare system efficiency.
Assessing the performance of regional home care providers is essential for resource allocation and quality improvement.
Community Care Access Centres (CCACs) in Ontario deliver vital home care services, necessitating performance evaluation.

Purpose of the Study:

To estimate the technical efficiency of home care delivery across different regions in Ontario, Canada.
To identify factors contributing to variations in efficiency among Community Care Access Centres (CCACs).
To evaluate the applicability of efficiency analysis as a performance assessment tool in the home and community care sector.

Main Methods:

Employed Data Envelopment Analysis (DEA), a non-parametric efficiency frontier technique.
Analyzed data from geographically-defined Community Care Access Centres (CCACs) in Ontario.
Controlled for case-mix and service quality to isolate technical efficiency variations.

Main Results:

Significant variations in technical efficiency were observed across CCACs.
Case-mix and service quality did not fully account for the observed efficiency differences.
A majority of CCACs demonstrated scale inefficiency, operating outside optimal size parameters.
Inability to select patients or adjust service areas may contribute to observed inefficiencies.

Conclusions:

Technical efficiency varies considerably among Ontario home care providers.
Scale inefficiency is prevalent, suggesting potential for operational optimization.
Efficiency analysis offers a valuable tool for performance assessment in the home and community care sector.
Provider constraints on patient selection and service area adjustment may impact efficiency.