[智利医院效率的决定因素分析]
[Analysis of hospital efficiency determinants in Chile].
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 Apr;141(4):457-63. doi: 10.4067/S0034-98872013000400006.
BACKGROUND
The knowledge of variables influencing hospital efficiency is of paramount importance to carry out initiatives of management improvement and optimization.
AIM
To explore on the hospital technical efficiency factors.
MATERIAL AND METHODS
Data from 255,439 hospital discharges from 28 hospitals from May to October 2011 were analyzed. The efficiency index developed by Santelices et al was calculated. Proxy variables of hospital practices, human resource productivity, strategic performance, financing mechanisms, geographical territory and specialization, were considered. The analysis was carried out estimating econometric models.
RESULTS
The most significant variables to explain efficiency are the length of stay adjusted by complexity, the discharges per nurse and midwife and the performance of the Hospital Balancea Score Card.
CONCLUSIONS
The suggested analysis contributes to identify hospital efficiency causes. The results suggest ways to improve performance of hospitals.
背景
了解影响医院效率的变量对于开展管理改进和优化举措至关重要。
目的
探讨医院技术效率因素。
材料与方法
分析了2011年5月至10月期间28家医院255439例出院病例的数据。计算了Santelices等人开发的效率指数。考虑了医院实践、人力资源生产率、战略绩效、融资机制、地理区域和专业化的代理变量。通过估计计量经济学模型进行分析。
结果
解释效率的最显著变量是根据复杂性调整的住院时间、每名护士和助产士的出院人数以及医院平衡计分卡的绩效。
结论
建议的分析有助于确定医院效率的原因。结果提出了提高医院绩效的方法。
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