Abstract
Managers of large networks of clinics need a way to meaningfully compare the performance of these clinics and make recommendations on how to improve the less efficient ones. This process is complicated by different patient populations requiring a different clinic service mix. In addition, a significant problem occurs when resources are shared between clinics or the output of one clinic becomes the input of another. A mixed integer/linear programming model is developed for comparing the allocative efficiencies of clinics in a network. The model is illustrated using an example of two competing health systems that are considering a merger.
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