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Análisis de eficiencia técnica de la red pública de presentadores de servicios dentro del Sistema General de Seguridad Social en Salud / Analysis of technical efficiency of the public network of presenters of services within the General System of Social Security in Health
Sarmiento Gómez, Alfredo; Castellanos Aranguren, Wilma; Nieto Rocha, Angélica; Alonso Malaver, Carlos Eduardo.
  • Sarmiento Gómez, Alfredo; s.af
  • Castellanos Aranguren, Wilma; s.af
  • Nieto Rocha, Angélica; s.af
  • Alonso Malaver, Carlos Eduardo; s.af
Rev. gerenc. políticas salud ; 5(11): 70-95, dic. 2006. tab, graf
Article in Spanish | LILACS | ID: lil-582135
RESUMEN
La evaluación de eficiencia para los hospitales públicos a nivel nacional se hace bajo la premisa de que la unidad hospitalaria es parte del sistema general de salud y en particular de la red de atención. La eficiencia se mide desde dos perspectivas, la primera la dada por los indicadores de recursos, aprovechamiento, funcionamiento y calidad; y la segunda perspectiva es la dada por un modelo de frontera estocástica. Los resultados indican que los hospitales públicos de segundo y tercer nivel, así como los centros de salud, son eficientes técnicamente, mientras que en los hospitales de primer nivel se evidencia un comportamiento ineficiente desde el punto de vista técnico, y la evidencia indica que esta ineficiencia es un problema de las unidades en el sistema, donde el componente del sistema refiere a una inadecuada asignación de recursos.
ABSTRACT
The evaluation of the efficiency of public hospitals at national level is done under the assumption that the country has a general health system, and the hospitals belongs to this system, especiallybelongs to safety public health net. The efficiency is measure in two paths, the first given by the indicators of use, resources, functioning and quality. The second way is given by the adjustmentof the stochastic frontier. The results show that the public hospitals in second and third level, and primary health attention centers are efficient technically, while the evidence say that the first level public hospitals are inefficient like units, in the sense of technical use of the raw materials - technically inefficient -, and the exploratory analysis show that inefficient occurs because there are anot optimum assignation of resources, and according to the law this assignation is not a function of the hospital, it is a function of the system.
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Health Status Indicators Type of study: Etiology study / Risk factors Language: Spanish Journal: Rev. gerenc. políticas salud Journal subject: Public Administration / Public Health Year: 2006 Type: Article

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Full text: Available Index: LILACS (Americas) Main subject: Health Status Indicators Type of study: Etiology study / Risk factors Language: Spanish Journal: Rev. gerenc. políticas salud Journal subject: Public Administration / Public Health Year: 2006 Type: Article