CESUR, CERis, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal.
CAPP, Instituto Superior de Ciências Sociais e Políticas, Universidade de Lisboa, Lisbon, Portugal.
Int J Health Plann Manage. 2019 Jan;34(1):e411-e422. doi: 10.1002/hpm.2658. Epub 2018 Sep 10.
The present study aims to analyse the efficiency scores of hospital units, with reference to the five Portuguese health administrative regions (North, Centre, Lisbon and Tagus Valley, Alentejo, and Algarve). This paper contextualizes the process of decentralization of health in Portugal (started 1993) as well as the hospitals' corporatization and merging reforms (started 2002). These reforms aimed to meet health care needs by optimizing costs, improving efficiency, and broadening both access and quality in health services. Data envelopment analysis was used to quantify and compare the efficiencies of 27 hospitals heterogeneously distributed by five administrative regions. The results show a large average performance across the country. However, there are regions with scores larger than the national average and others with inferior results. This interregional diversity points towards disparities that deserve special attention from the policymakers and hospital managers.
本研究旨在分析医院单位的效率得分，参考了葡萄牙五个卫生行政区（北部、中部、里斯本和塔古斯河谷、阿连特茹和阿尔加维）。本文将葡萄牙的卫生权力下放进程（始于 1993 年）以及医院的公司化和合并改革（始于 2002 年）置于背景之下。这些改革旨在通过优化成本、提高效率以及扩大医疗服务的可及性和质量来满足医疗保健需求。数据包络分析用于量化和比较五个行政区分布不均的 27 家医院的效率。结果表明，全国的平均绩效表现良好。然而，有些地区的得分高于全国平均水平，而有些地区的表现则较差。这种区域间的多样性表明存在差异，值得政策制定者和医院管理者特别关注。
