Publication: Relación entre eficiencia y efectividad en los hospitales del servicio andaluz de salud
Authors
Calzado Cejas, Yolanda ; García Valderrama, Teresa ; Laffarga Briones, Joaquina ; Larrán Jorge, Manuel
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Description
Abstract
Los objetivos de nuestro estudio se han centrado en el análisis de la eficiencia de los hospitales pertenecientes al Servicio Andaluz de Salud a través del modelo Data Envelopment Analysis (DEA). Para ello, hemos realizado tres aplicaciones diferentes del modelo, considerando tres fases fundamentales en los análisis de eficiencia en salud. En concreto, con la especificación de dichas fases pretendemos determinar, por un lado: aquellos factores relacionados con los resultados finales conseguidos en la atención hospitalaria, a partir de unos recursos materiales, humanos y económicos; por otro lado: comprender la relación de eficiencia atendiendo, tan sólo, a la actividad realizada en los hospitales, y que como tales consumirán, igualmente, recursos materiales, humanos y económicos; y, finalmente, analizaremos la eficiencia obtenida por los hospitales andaluces relacionando los resultados obtenidos en el cuidado de la salud con todos aquellas actividades desarrolladas en este tipo de organizaciones sanitarias. Una vez obtenida la relación de aquellos hospitales eficientes e ineficientes, procederemos a determinar qué factores explican mejor la eficiencia obtenida en cada modelo analizado. En este sentido, analizaremos qué factores determinan tanto el nivel de eficiencia-ineficiencia de cada hospital, como la pertenencia al grupo de hospitales eficientes o ineficientes.
The objective of this paper is the analysis of the ejficiency of the public hospitals of Andalusia, Spaín, by means of Data Envelopment Analysis (DEA). The DEA model has been applied to 30 Spanish hospitals over the years 1993, 1994 and 1995, using for this three dijferent types of relationships for measuring and evaluating efficiency. The factors that have been correlated are: 1) Resources of Health; 2) Resources and Activity; 3) Activity and Health. As well as identifying the efficient and inefficient hospitals according to each model, for each year, and the particular outputs and inputs to be improved, we also established the following complementary objectives: A) To study the association between the various measures of efficiency obtained from the dijferent levels corresponding to the successive stages of the productive process in hospitals. B) To study which factors are related in a significant way with the levels of efficiency-inefficiency, using Multivariant Linear Analysis for thís. C) To study which factors best predict whether any particular hospital belongs to the efficient or inefficient grouping, according to DEA, using Multivariant Logistical Regression Analysis.
The objective of this paper is the analysis of the ejficiency of the public hospitals of Andalusia, Spaín, by means of Data Envelopment Analysis (DEA). The DEA model has been applied to 30 Spanish hospitals over the years 1993, 1994 and 1995, using for this three dijferent types of relationships for measuring and evaluating efficiency. The factors that have been correlated are: 1) Resources of Health; 2) Resources and Activity; 3) Activity and Health. As well as identifying the efficient and inefficient hospitals according to each model, for each year, and the particular outputs and inputs to be improved, we also established the following complementary objectives: A) To study the association between the various measures of efficiency obtained from the dijferent levels corresponding to the successive stages of the productive process in hospitals. B) To study which factors are related in a significant way with the levels of efficiency-inefficiency, using Multivariant Linear Analysis for thís. C) To study which factors best predict whether any particular hospital belongs to the efficient or inefficient grouping, according to DEA, using Multivariant Logistical Regression Analysis.
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Citation
Revista de Contabilidad - Spanish Accounting Review, V. 1, N. 2, 1998
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