[2011年医院技术效率分析]
[Analysis of hospital technical efficiency during 2011].
作者信息
Santelices C Emilio, Ormeño C Héctor, Delgado S Magdalena, Lui M Christopher, Valdés V Raúl, Durán C Lorena
机构信息
Departamento de Desarrollo Estratégico, Ministerio de Salud, Santiago, Chile.
出版信息
Rev Med Chil. 2013 Mar;141(3):332-7. doi: 10.4067/S0034-98872013000300008.
BACKGROUND
Efficiency in the use of resources in health systems and hospitals has been a matter of interest for administrators as well as for policy makers. The growing costs due to higher levels of demand from the population require a better use and allocation of such costs.
AIM
To assess the technical efficiency in 28 hospitals in Chile, considering the period from May to October, 2011.
MATERIAL AND METHODS
The average number of available beds, the number of staff and the expenses on consumer and service goods were used as production inputs and, on the other hand, the expenditures adjusted by the Diagnosis-Related Groups (IR-DRG) were used as producís. To assess the technical efficiency, the Data Envelopment Analysis technique was used.
RESULTS
The levéis of inefficiency fluctuóte from 20 to 23.3%. In other words, with a 20% increase in hospital discharges and maintaining fixed inputs, hospitals could become efficient.
CONCLUSIONS
The incorporation of methodologies to determine efficiency allows gathering new knowledge for people who manage resources as well as for policy makers by optimizing practices and having better allocation criteria.
背景
卫生系统和医院中资源利用的效率一直是管理人员和政策制定者关注的问题。由于人口需求水平提高导致成本不断增加，需要更好地利用和分配这些成本。
目的
评估2011年5月至10月期间智利28家医院的技术效率。
材料与方法
将可用病床的平均数量、工作人员数量以及消费品和服务的支出用作生产投入，另一方面，将按诊断相关分组（IR-DRG）调整后的支出用作产出。为评估技术效率，使用了数据包络分析技术。
结果
无效率水平在20%至23.3%之间波动。换句话说，在医院出院人数增加20%且保持固定投入的情况下，医院可以变得高效。
结论
采用确定效率的方法可以通过优化实践和拥有更好的分配标准，为资源管理者和政策制定者收集新知识。
Zotero 插件