Efficiency, quality, and management practices in multidisciplinary and traditional diabetes healthcare services in Mexico

Abstract Diabetes is a major health issue in middle-income countries like Mexico. Multidisciplinary healthcare (MHC) models aim to improve diabetes care and reduce costs. However, the relationship between management practices, efficiency, quality of MHC traditional (THC) unclear. This study evaluates efficiency Mexico, identifying associated practices. Methodology. Data from retrospective longitudinal analysis were used compare 20 THC MHC. Technical (TE) scores estimated using data envelopment (DEA), calculated based on provider competence patient performance. The quality, practices was analyzed positive deviance regression. Results. DEA indicate higher TE units (mean score: 65, SD = 19) compared 24, 23). scored 78.55 (SD 18.71) performance score, while 37.7 18.97). also outperformed (mean: 68.71, 18.31 vs. 49.97, 23.31). Several with best terms both strategic thinking, human resource management, financial operations governance. Conclusion. highlights require improvement quality. Understanding can guide policymakers enhancing low- countries.