The efficiency of Colombian hospitals in the Latin American context. An application of Data Envelopment Analysis (DEA) in a group of complex surgeries hospitals, 2009
Main Article Content
Keywords
Health economics, high-risk medical services, efficiency, DEA Methodology.
Abstract
The medical services of complex surgeries is a sector with high potential for generatingforeign exchange and it owns a good competitive performance due the access to hightechnology developments. The measurement of efficiency in this sector in the countryis an important aspect, if we want to be competitive. In a sample of 20 Latin Americanhospitals, was measured the efficiency of the group of 5 Colombian entities includedthere. The measurement was made by the DEA methodology. The results showed that4 of the Colombian institutions are on the efficient frontier and the remaining one mustmake adjustments in the use of physical space in those areas where this is possible. Thecombination of efficiency, competitive prices and quality service, augur a good future formedical services of complex surgeries in Colombia.
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References
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Banker, R. D., Charnes, A., & Cooper, W. (1984). Models for Estimation of Technical and Scale Inefficiencies in Data Envelopment Analysis. Management Science, 30, 1078- 1092.
Boyd, O. & Jackson, N. (2005), How is risk defined in high-risk surgical patient management? Critical Care, 9(4), 390–396.
Charnes, Abrahan; Cooper, William; & Rhodes, Edwardo. (1978). Measuring Efficiency of Decision Making Units. European Journal of Operational Research, (3), 62-74.
Csendes, A. y González, G. (2005). Operaciones de alta complejidad. Definiciones, técnicas y estadísticas. Revista Chilena de Cirugía, 57(2), 178-183.
García B. (1997). Análisis de eficiencia del sector hospitalario: una revisión de métodos. Cuadernos de Estudios empresariales, (7), 151-176.
García Fariñas A. Sánchez, Z., Chaviano, M. y Muñiz, M. (2007). Niveles de eficiencia de las policlínicas de Matanzas, Cuba, según el método de análisis envolvente de datos. Revista Panamericana de Salud Pública, 22(2), 100–109.
Gomersall, Ch. (2006). ‘High risk’ surgical patients, Asian Intensive Care, International Intensive Care Conference. Recuperado de: http://www.aic.cuhk.edu.hk/web8/ High%20risk%20surgical%20patients.htm
Jacobs, R. (2000). Alternative methods to examine hospital efficiency: data envelopment analysis and stochastic frontier analysis. Recuperado de: http://www.york.ac.uk/media/che/documents/papers/discussionpapers/CHE%20Discussion%20 Paper%20177.pdf
Linna, M., Häkkinen U. & Magnussen, J. (2006). Comparing hospital cost efficiency between Norway and Finland. Health Policy, (77), 268–278.
Ministerio de Industria, Comercio y Turismo de Colombia. (2010), Turismo en salud. Colombia Compite. Recuperado de: http://www.transformacionproductiva.gov.co/ Library/News/Files/TS%20-%20TURSALUD%20Colombia%20Compite357.PDF
Nayar, P. y Yasar, Ozcan. (2008). Data Envelopment Analysis Comparison of Hospital Efficiency and Quality. Journal of Medical Systems, (32), 193–199.
Nupia, O. y Sánchez, F. (2001). Eficiencia de los hospitales públicos de Bogotá. Desarrollo y Sociedad, (48), 101-136.
Portas, E. (2011). El comercio internacional de servicios de salud en México: fortalezas, oportunidades, debilidades y amenazas. México: CEPAL.
Quesada, V.M., Blanco, I., Maza, F.J. (2010). Análisis envolvente de datos aplicado a la cobertura educativa en el departamento de Bolívar - Colombia (2007-2008). Revista OMNIA, 16 (3), 77-100.
Rangel, A. (2004). Restricciones al comercio de servicios de salud, Departamento Nacional de Planeación. Recuperado de: http://www.dnp.gov.co/PortalWeb/Portals/ 0/archivos/documentos/DEE/Archivos_Economia/267.pdf
Sodani, P.R. & Madnani, G.M.K. (2008). Measuring Hospital Performance through Data Envelopment Analysis: Understanding Basic Concepts to Help Novice Researchers. Journal of Health Management, 10(1), 129-142.
Vincenzo R. & Rizzi, D. (2006). Measuring Hospital Efficiency through Data Envelopment Analysis when Policy-makers’ references Matter. An Application to a sample of Italian NHS hospitals. University of Venice. Recuperado de: www.dse.unive.it/pubblicazioni