[New hospital management models as an alternative for the sustainability of public hospital system: An analysis of efficiency in health expenditure]. / Los nuevos modelos de gestión de hospitales como alternativa para la sostenibilidad del sistema hospitalario público: un análisis de eficiencia en gasto sanitario.
J Healthc Qual Res
; 34(3): 131-147, 2019.
Article
em Es
| MEDLINE
| ID: mdl-30982705
ABSTRACT
OBJECTIVE:
To analyse the efficiency in health expenditure of the new hospital management models (Private Finance Initiative [PFI], Public Private Partnership [PPP] and other new management models) compared to the traditional management, with the objective of determining which is the more sustainable and efficient. MATERIAL ANDMETHODS:
The efficiency was measured in health expenditure terms of the different general hospitals management models in the period 2009-2016, using data envelopment analysis (DEA). The study included a population of 7 hospitals with a PFI model, a population of 3 hospitals with a PPP model, a population of 4 hospitals with other new management models, and a population of 11 public hospitals with direct public management by the Madrid Health Service (SERMAS).RESULTS:
The highest mean health expenditure efficiency corresponded to the PPP model (85.8%), followed by the PFI model (73.5%), and the other new management models (56.6%). The lowest mean health expenditure efficiency corresponded to the direct public management model, with 53.3%. As regards changes in productivity, measured by the Malmquist Index, there were increases amounting to 1.1% in the PPP model, 1% in the PFI model, 1.8% in traditional management, and a decrease of 3.8% in the other new management models.CONCLUSIONS:
Hospitals governed by new management models had a higher health expenditure efficiency, and from the health expenditure point of view they are an alternative to be considered in the planning of new health infrastructures.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Gastos em Saúde
/
Modelos Organizacionais
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Eficiência Organizacional
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Administração Hospitalar
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Hospitais Públicos
Tipo de estudo:
Health_economic_evaluation
País como assunto:
Europa
Idioma:
Es
Ano de publicação:
2019
Tipo de documento:
Article