Análisis de los determinantes de la eficiencia hospitalaria: el caso de Chile / Analysis of hospital efficiency determinants in Chile
Rev. méd. Chile
;
141(4): 457-463, abr. 2013. tab
Artigo
em Espanhol
| LILACS
| ID: lil-680468
ABSTRACT
Background:
The knowledge of variables influencing hospital efficiency is of paramount importance to carry out initiatives of management improvement and optimization.Aim:
To explore on the hospital technical efficiency factors. Material andMethods:
Data from 255,439 hospital discharges from 28 hospitals from May to October 2011 were analyzed. The efficiency index developed by Santelices et al was calculated. Proxy variables of hospital practices, human resource productivity, strategic performance, financing mechanisms, geographical territory and specialization, were considered. The analysis was carried out estimating econometric models.Results:
The most significant variables to explain efficiency are the length of stay adjusted by complexity, the discharges per nurse and midwife and the performance of the Hospital Balancea Score Card.Conclusions:
The suggested analysis contributes to identify hospital efficiency causes. The results suggest ways to improve performance of hospitals.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Eficiência Organizacional
/
Administração Hospitalar
Tipo de estudo:
Avaliação Econômica em Saúde
/
Estudo prognóstico
Limite:
Humanos
País/Região como assunto:
América do Sul
/
Chile
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2013
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Ministerio de Salud/CL
Similares
MEDLINE
...
LILACS
LIS