LA EFICIENCIA DE LOS CENTROS DE SALUD: EL CASO DE LOS HOSPITALES PRIVADOS

Adriana Baltazar Silva
DOI: https://doi.org/10.5329/RECADM.20040302009

Abstract

The objective of this article is to communicate a literature review on the efficiency evaluation of sanitary organizations in Asian, European, and Latin American Countries, in a ten year period, either as a Benchmarking instrument or as diverse application possibilities that it has there in. The method of valuation that is intended to be used is the encircling Analysis of Data (DEA) whose given results allow us to identify the factors that explain the inefficient – efficient behavior of the public or private hospital centres by means of a systemic analysis of the input/output production process. The hospitals just as any other enterprise have as a main goal to reach the success, not only economically, but also regarding the attention to their patients. This means to achieve seniority, leadership development, production efficiency, and of course profitability, besides other important aspects. For all this the non-parametric frontier model applications are analyzed DEA, where all the results show the possible use of studies that check the public and/or private Mexican hospitals for the efficiency valuation, which becomes an evaluation tool when consulting.


Keywords

efficiency; deprived centers of health; Quality on watch; hospitals


Compartilhe


References


Castro Rodrigo “Eficiencia hospitalaria: un problema de incentivos”, Programa Social

de Libertad y desarrollo. Colombia, http://www.lyd.cl/noticias/eficiencia.html , 2003 p.

– 3.

Dalmau Matarrodona Eulália y Puig Junoy Jaume “Market structure and hospital

efficiency: evaluating potential effects of deregulation in a National Health Service” ,

Universidad de Pompeu Fabra, Barcelona - España, mayo del 2001. Trabajo apoyado

por (CICYT).

Donal McKillop, J Colin Glass, Chistine A. Keer, Guillian McCAllion “Efficiency in

Northern Airland hospitals: a non – parametric analysis”; The economic and Social

Review, Vol. 30 No. 2 , Abril 1999, Unversity of Uslter .p. 175 – 196.

Helmig Bernd, Irving Lapsley (2001) ”On the efficiency of, welfare and private

hospitals in Germany over time: A sectoral data envelopment analysis study”

ISSN/ISBN: 09514848 Rev. Jornada. Proquest. http://gateway.proquest.com/ Alemania

"La eficacia y el bienestar de los hospitales privados en un cierto plazo Alemania: Un

estudio sectorial del análisis de datos envolvente".

Helmig Bernd, Irving Lapsley, ”On the efficiency of, welfare and private hospitals in

Germany over time: A sectoral data envelopment analysis study”, Rev. Jornada.

Proquest. http://gateway.proquest.com/ .

INEGI “Clasificación Mexicana de Actividades y Productos 1999”, 5ta., ed. México. P.

Juras, Paul E, Kaspin, Jean, Martin, Dale R, “An analysis of gainsharing in a health

care setting “, The health care Supervisor. U S. Gaethersburg: Dec (1994) Tomo 13 No.

p. 44 – 51.

Kittensen Sverre A.C, Jon Magnussen, “Economies of scope in Norwegain hospital

production – A DEAanalysis”. Informe de investigación, febrero del 2002. Instituto de

servicios de salud.

Lee R Mobley and Jon Magnussen “ The impact of manager care penetration and

hospital quality on efficiency in hospital staffing”, Rev. Journal of health care finance.

Summer 2002 vol 28 – 4 New York p. 24 – 42 United States.

Lindstrom Bandeira Dense, Joao Luiz Becker y Denis Borenstein “Eficiencia relativa

de los departasmentos de la Universidad Federal de Rio Grande del Sur Empleando

ADE”, Rev. Ciencia y Tecnológica, v. 5, no. 1. Trad. José hector Cortés Fregoso,

Brasil, 2002, p. 116 -143

Lynch, Janet R, Ozcan, Yasan A. “Confinenment of the hospital: an analysis of the

efficacy. Chicago United Sstates: Summer 1994. Tomo 39 No. 2 p. 205.

Mancera J. Romero, F. Munoz Cobos, F. Paniagua Gómez, C. Fernández Lozano, M.

L. Fernández tapia, F. J. Blanca Barba “Problemas de salud y factores determinantes del

número de visitas a demanda en pacientes hiperutilizadores de un centro de salud”,

mayo de 2001, Vol. 27 No. 09 p. 658 – 662 http://db.doyma.es/cgibin/wdbcgi.exe/doyma/mrevista.fulltext?pident=13013390

España.

Mercado Ramírez Ernesto, Esther A. Diaz T y M Diana Fores R “Productividad base

de la competitividad” Limusa, México, 2001, Pp.401

Minwir Al Shammari “A multi-criteria data envelopment análisis model for measuring

the productive efficiency of hospital”, Diario Internacional de Operaciones Tomo 9,

Universidad de Bahrein, Jordania. ”, 1999. Pp. 879. http://gatawayproquest.com/

Minwir Al Shammari “The hospital efficiency models measuremnt”, Diario

Internacional de Operaciones, Tomo IX. Universidad de Bahrein, Jordania. ”, 1999.

http://gatawayproquest.com/

Mika Linna, “Determinants of Cost efficiency of finnish Hospitals: A comparison of

DEA and SFA” 1999. National research Development Centre for Walfare and Health.

Canadá.

Morrissey John, “All benchmarked out: even the top 100 hospitals can’t find many

more ways to be more productive” 1998 www.ebsco.research.online , EE.UU.

Navarro Espigares José Luis, Hernández Torres, Eliza, “Es posible relacionar la

calidad y la eficiencia de los hospitales públicos”, Universidad de Granada. 2002

España.

Pinillos García, Marriola y Antoñanzas Villar, Fernando (2001a) “Factores

determinantes de la eficiencia de los centros de salud”, Universidad de La Rioja, 2001

p. 1 – 15, España.www.revecap.com/iveea/autores/P/137.doc

Pinillos García Mariola, F. Antoñanzas, Villar “La atención primaria de salud:

descentralización y eficiencia” Rev. Gaceta Sanitaria No. 16. Mayo del 2002,

Universidad de la Rioja, España, maria.pinillos@dee.uniriojas.es,

Puig Junoy Jaume y Eulália Dalmau Matarrodona “Qué sabemos acerca de la eficiencia

de las organizaciones sanitarias en España? Una revisión de la literatura económica”

XX Jornada de Economía de la Salud Asociación de Economía de la Salud, (AES),

Universidad de Pompeu Fabra, Barcelona - España Palma de Mallorca, mayo del 2000.

Trabajo apoyado por (CICYT) http://www.econ.upf.es/

Sarkis Joshep and Srinivas Talluri. “Efficiency measuremente of hospital: Issues and

extensiors”. Rev. Internacional Journal of operations & productions Mangement Vol.

– 3 Bradford 2002 P. 306 – 313, Jordania. 2000, http://gatawayproquest.com/ .

Soto Álvarez Javier, “Medicina basada en la eficiencia: una inevitable realidad para el

siglo XXI”, Med Clin, Madrid, 1999.

Departamento de economía de la salud. Searle División. Monsanto S.A.

Vasanthakumar N Bhat “Health systems performance: a strate wide análisis. Verano

Tomo 29 No. 4. Nueva York, United Estates. http://gatawayproquest.com/, p. 77

Velásquez Mayoral Carlos, “La realidad de los costos hospitalarios en México”,

www.lafacu.com/realidad_costos-11k ; health Latin America en México 2003.




Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.