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
Article
em Es
| LILACS
| ID: lil-680468
Biblioteca responsável:
CL1.1
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Eficiência Organizacional
/
Administração Hospitalar
Tipo de estudo:
Health_economic_evaluation
/
Prognostic_studies
Limite:
Humans
País/Região como assunto:
America do sul
/
Chile
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Chile