Employing super-efficiency analysis as an alternative to DEA: An application in outpatient substance abuse treatment

A common technique for conducting efficiency analyses consists of a two-stage procedure that combines data envelopment analysis (DEA) with Tobit regression. As the DEA scores are censored at one, this method has the drawback of masking important information at the upper tail of the distribution of scores. In this paper, we present a DEA-based methodology for a two-stage efficiency analysis where the upper bound constraint of one for the efficiency scores is relaxed. This method, super-efficiency DEA, is contrasted with the two-stage approach that employs traditional, bounded DEA scores. We use data from the National Drug Abuse Treatment Survey to examine how the relative efficiency of the treatment units is affected by the organizational structures, operating characteristics and treatment modalities of a nationally representative sample of outpatient substance abuse treatment units. Our results show that the super-efficiency DEA approach offers advantages over the traditional methodology. It is easy to implement, and, for the same sample size provides more information.