Eficiencia y productividad de los hospitales y clínicas latinoamericanas de ata complejidad
DOI:
https://doi.org/10.18041/2382-3240/saber.2017v12n1.1471Keywords:
Efficiency, Productivity, High Complexity Hospitals, Data Involving Analysis- DEAAbstract
This article pursues to analyze the productivity growing, the technical progress and the change in Latin American high complexity hospitals and clinics for the period 2010- 2011. This analysis was carried out by using the Data Involving Analysis - DEA- and the Malmquist Index for a Group of 27 hospitals and clinics of high complexity in 10 Latin American countries. The results showed that more than 65% of the Latin American hospitals and clinics of high complexity reached the efficiency in the allotted period of time. In addition to this, more than the 48% medical center grew in their productivity Thanks to their efficiency increase and technological improvement. It is important to say that the vast majority of these hospitals and clinics are private business oriented and are located countries such as Colombia and México which are well known by their efforts to foster health turism. In general terms, the Latin American high complexity hospitals and clinics have used their resources efficiently to wait on their patients. They are therefore adviced to keep strengthening their human resources (Doctors and Nurses) to keep increasing not only their efficiency levels but also productivity ones.
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Adler, N., Friedman, L., & Sinuany-Stern, Z. (2002). Review of ranking methods in the data envelopment analysis context. European Journal of Operational, 140(2), 249–265. doi:10.1016/S0377-2217(02)00068-1.
Alvarez, M. R., Figueroa, E., Cordoba, J., & López, F. (1993). Análisis Envolvente de Datos : Aplicación en la medida de hospitalarios de Andalucía. Revista San Hig Púb, 67(6), 455–464.
Andersen, P., & Petersen, N. (1993). A procedure for ranking efficient units in data envelopment analysis. Management science, 39(10), 1261–1265. Recuperado de: http://mansci.journal.informs.org/content/39/10/1261.short.
Benneyan, J., Ceyhan, M., & Sunnetci, A. (2007). Data envelopment analysis of national healthcare systems and their relative efficiencies. In M. H. Elwany & A. B. Eltawil (Eds.), Proceedings of the 37th International Conference on Computers and Industrial Engineering (pp. 251–261). Alexandria: The College of Engineering King Saud University. Recuperado de: http://www.coe.neu.edu/healthcare/pdfs/publications/C9. DEA National Healthcare Systems, CIE 2007.pdf.
Castaño, R. (2006). Centros de excelencia: calidad, eficiencia y competitividad para la exportación de servicios. Revista Vía Salud, 33, pp. 8-17.
Chowdhury, H., Zelenyuk, V., Wodchis, W., & Laporte, A. (2010). Efficiency and Technological Change in Health Care Services in Ontario. St. Lucia.
Dash, U. (2009). Evaluating the comparative performance of District Head Quarters Hospitals, 2002-07: a non-parametric Malmquist approach. Bangalore. Recuperado de: http://www.igidr.ac.in/pdf/publication/PP-062-26.pdf.
Donabedian, A., Wheeler, J. R., & Wyszewianski, L. (1982). Quality, cost, and health: an integrative model. Medical care, 20(10), 975–92. Recuperado de: http://www.ncbi.nlm.nih.gov/pubmed/6813605.
Ehreth, J. L. (1994). The development and evaluation of hospital performance measures for policy analysis. Medical care, 32(6), 568–87. Recuperado de: http://www.ncbi.nlm.nih.gov/pubmed/8189775.
Emrouznejad, A., Parker, B. R., & Tavares, G. (2008). Evaluation of research in efficiency and productivity: A survey and analysis of the first 30 years of scholarly literature in DEA. Socio-Economic Planning Sciences, 42(3), 151–157. doi:10.1016/j.seps.2007.07.002.
Gok, M., & Sezen, B. (2011). Analyzing the efficiencies of hospitals: An application of Data Envelopment Analysis. Journal of Global Strategic Management, 10(1), 137–146. Recuperado de: http://isma.info/documents/137-146_ANALYZING_THE_EFFICIENCIES_OF_HOSPITALS_AN_APPLICATION_OF_DATA_ENVELOPMENT_ANALYSIS_M._Sahin_GOK,Bulent_SEZEN.pdf.
Hernández, A.; Medina, A. y Nogueira, D. (2010). La gestión hospitalaria, aspecto de relevancia en una mayor competitividad del turismo de salud en cuba. TURyDES, 3 (7).
Jacobs, R. (2000). Alternative Methods to Examine Hospital Efficiency: Data Envelopment Analysis and. Heslington.
Kengil, B., Gökmen, N., & Tozan, H. (2010). Efficiency measures in the health services with DEA-An overview. Journal of Naval Science and …, 6(1), 1–14. Recuperado de: http://www.arastirmax.com/system/files/dergiler/6625/makaleler/6/1/arastirmax_1060_pp_1-14.pdf.
Kirigia, J., Sambo, L., Mensah, O., & Mwikisa, C. (2011). Productivity changes in Benin Zone hospitals: a non-parametric Malmquist approach. African Journal of Health Economics, 3(1), 1–13. Recuperado de: http://ajhe.org/Productivity_changes_in_Benin_zone_hospitals_a_non-parametric_Malmquist_approach_25-02-2011.pdf.
Mahdi, M., & Yazdani, A. (2012). Evaluating Hospital Efficiency Using DEA-MI. Journal of Basic and Applied Scientific Research, 2(11), 11330–11335.
Marco-serrano, F. y Rausell-köster, P. (2006). Análisis de la productividad en el sector de la cultura y el ocio español: Una perspectiva regional. Estudios de Economía Aplicada, 24 (2), pp. 699-722.
Maza, F., Vergara-Schmalbach, J. C., & Navarro, J. (2012). Eficiencia de la inversión en el regimen subsidiario en salud en Bolívar - Colombia. Investigaciones Andinas, 24(14), 386–400.
Ministerio De Industria, Comercio Y Turismo De Colombia (2010). Turismo en salud Colombia Compite. Marzo 2010. Bogotá. Recuperado de: http://www.transformacionproductiva.gov.co/Library/News/Files/TS%20-%20TURSALUD%20Colombia%20Compite357.PDF.
Mohammed, A. (2011). Measuring hospital’s units efficiency: A data envelopment analysis approach. International Journal of Engineering & Technology IJET-IJENS, 11(6), 7–19.
Moshiri, H., Aljunid, S., & Amin, R. (2010). Hospital Efficiency: Concept, Measurement Techniques and Review of Hospital Efficiency Studies. Malaysian Journal of Public Health Medicine, 10(2), 35–43. Recuperado de: http://www.mjphm.org.my/mjphm/journals/Volume10.2/5.(Last)HOSPITAL EFFICIENCY(35-43)M (Last).pdf.
Navarro, J., Maza, F., & Viana, R. (2011). La eficiencia de los Hospitales Colombianos en el contexto Una aplicación de Análisis Envolvente de Datos (DEA) en un grupo de hospitales de alta complejidad , 2009. Ecos de Economía, 15(33), 71–93.
Nunamaker, T. R. (2013). Using Data Measure the Envelopment Analysis to of Efficiency a Critical Organizations: Evaluation. Managerial and Decision Economics, 6(1), 50–58.
Paredes, M. (2012, 26 Noviembre). Turismo de salud, un negocio para México. Dinero. Extraído el 29 de Agosto de 2013. Recuperado de: http://www.dineroenimagen.com/2012-11-26/11576.
Park, J., Fowler, K., & Giebel, S. (2011). Measuring Hospital Operating Efficiencies for Strategic Decisions. International Journal of Business ans Social Science, 2(13), 56–60. Recuperado de: http://www.ijbssnet.com/journals/Vol._2_No._13_Special_Issue_July_2011/7.pdf.
Peñaloza, M. (2003, September). Evaluación de la Eficiencia en instituciones hospitalarias públicas y privadas con Data Envelopment Analysis (DEA). Bogotá D. C.
Petersen, N. C. (1990). Data Envelopment Analysis on a Relaxed Set of Assumptions. Management Science, 36(3), 305–314. doi:10.1287/mnsc.36.3.305.
Pinzon, J. (2003). Medición de eficiencia técnica relativa en hospitales públicos de baja complejidad mediante la metodología Data Envelopment Analysis (DEA). Bogotá D. C.
Rizzi, D. (2006). Measuring Hospital Efficiency through Data Envelopment Analysis when Policy-makers’ Preferences Matter. Venice.
Rutledge, R., Parsons, S., & Knaebel, R. (1995). Assessing hospital efficiency over time: an empirical application of data envelopment analysis. Journal of Information Technology Management, 4(1), 13–23. Recuperado de: http://jitm.ubalt.edu/VI-1/article2.pdf.
Seijas, A., & Iglesias, G. (2009). Medida de la eficiencia técnica en los hospitales públicos gallegos. Revista Galega de Economía, 18(1), 1–22. Recuperado de: http://www.usc.es/econo/RGE/Vol18_1/castelan/art3c.pdf
Sherman, D. (1982). Measurement of Hospital Efficiency using Data Envelopment Analysis. Massachusetts. Thanassoulis, E. (2001). Introduction to the theory and application of Data Envelopment Analysis, Kluwer Academic Publishers, ed. 1, Birmingham.
Sherman, H. (1984). Hospital efficiency measurement and evaluation: empirical test of a new technique. Medical Care, 22(10), 922–38. Recuperado de: http://www.ncbi.nlm.nih.gov/pubmed/6436590.
Worthington, A. C. (1999). Malmquist indices of productivity change in Australian financial services. Journal of international financial markets, institutions and Money, 9(3), 303–320. doi:10.1016/S1042-4431(99)00013-X.
Zere, E. (2000). Hospital Efficiency in Sub-Saharan Africa: Evidence from South Africa. Helsinki.
