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巴西营利性医院的效率决定因素和能力问题。

Efficiency determinants and capacity issues in Brazilian for-profit hospitals.

机构信息

Center for Studies in Healthcare Services, COPPEAD Graduate Business School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil,

出版信息

Health Care Manag Sci. 2014 Jun;17(2):126-38. doi: 10.1007/s10729-013-9249-8. Epub 2013 Aug 4.

Abstract

This paper reports on the use of different approaches for assessing efficiency of a sample of major Brazilian for-profit hospitals. Starting out with the bootstrapping technique, several DEA estimates were generated, allowing the use of confidence intervals and bias correction in central estimates to test for significant differences in efficiency levels and input-decreasing/output-increasing potentials. The findings indicate that efficiency is mixed in Brazilian for-profit hospitals. Opportunities for accommodating future demand appear to be scarce and strongly dependent on particular conditions related to the accreditation and specialization of a given hospital.

摘要

本文报告了使用不同方法评估巴西一批主要营利性医院的效率。从自举技术开始,生成了几个 DEA 估计值,从而可以使用置信区间和中心估计值的偏差修正来测试效率水平和投入减少/产出增加潜力的显著差异。研究结果表明,巴西营利性医院的效率参差不齐。适应未来需求的机会似乎很少,并且强烈依赖于与特定医院认证和专业化相关的特定条件。

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