Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.
Rev Saude Publica. 2010 Aug;44(4):581-90. doi: 10.1590/s0034-89102010000400001.
To assess the performance and integration between the health care and teaching dimensions in Brazilian university hospitals.
A network data envelopment analysis (DEA) model was designed to measure the performance of federal university hospitals, which enables the relationship between the teaching and health care dimensions to be considered simultaneously. Data from the Ministry of Education Information System of University Hospitals, in the second semester of 2003, were used. Results of the network model were compared to those of classical DEA models to assess the advantages of the new methodological proposal.
The efficiency of the hospitals assessed varied between 0.19 and 1.00 (mean = 0.54). The dimensional score showed that hospitals prioritize the gain in health care efficiency. It was observed that there was a need to double the number of medical students and increase the number of residents by 14% to obtain efficiency in the teaching dimension.
The model was useful for both unit managers, aiming to integrate teaching and health care, and regulatory organizations, when defining policies and incentives.
评估巴西大学附属医院医疗保健和教学方面的表现和整合情况。
设计了一个网络数据包络分析（DEA）模型来衡量联邦大学附属医院的绩效，该模型能够同时考虑教学和医疗保健方面的关系。使用了 2003 年第二学期教育部大学附属医院信息系统的数据。将网络模型的结果与经典 DEA 模型的结果进行比较，以评估新方法建议的优势。
评估的医院效率在 0.19 到 1.00 之间（平均值为 0.54）。维度得分表明，医院优先考虑提高医疗保健效率。观察到需要将医学生人数增加一倍，并将住院医师人数增加 14%，才能在教学维度上实现效率。
该模型对于旨在整合教学和医疗保健的单位管理者以及制定政策和激励措施的监管机构都很有用。
