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

Authors

  • Jorge Navarro España Universidad Industrial de Santander
  • Francisco Maza Ávila Universidad de Cartagena
  • Rafael Viana Barceló Universidad Industrial de Santander

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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Author Biographies

  • Jorge Navarro España, Universidad Industrial de Santander
    Economista de la Universidad de Cartagena; Magíster en Gestión y Políticas Públicas de la Universidad de Chile. Director de la Escuela de Economía y Administración de la Universidad Industrial de Santander, Colombia.
  • Francisco Maza Ávila, Universidad de Cartagena
    Administrador Industrial de la Universidad de Cartagena; Especialista en gestión gerencial de la misma Universidad. Profesional adscrito a Vicerrectoría de Investigaciones de la Universidad de Cartagena, Colombia.
  • Rafael Viana Barceló, Universidad Industrial de Santander

    Economista de la Universidad del Magdalena; Magíster en Ciencias Económicas de la Universidad Nacional, sede Bogotá. Docente de la Escuela de Economía y Administración de la Universidad Industrial de Santander, Colombia.

References

Albi, E., González- Páramo, J. y Zubiri, I. (2000). Economía pública I. Barcelona: Ariel Economía.

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

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Published

2011-12-15

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Articles

How to Cite

Navarro España, J., Maza Ávila, F., & Viana Barceló, R. (2011). 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. Ecos de Economía, 15(33), 71-93. https://publicaciones.eafit.edu.co/index.php/ecos-economia/article/view/449