Centro de Desenvolvimento e Planejamento Regional (Cedeplar), Universidade Federal de Minas Gerais (UFMG), Horizonte, Brazil.
Universidade Federal de Minas Gerais (UFMG), Centro de Desenvolvimento e Planejamento Regional (Cedeplar), sala 2064. Av. Pres. Antonio Carlos, 6627 - Pampulha, Belo Horizonte, MG, 31270-901, Brazil.
Health Care Manag Sci. 2020 Sep;23(3):443-452. doi: 10.1007/s10729-020-09505-5. Epub 2020 May 6.
This paper assesses the economic efficiency of Brazilian general hospitals that provide inpatient care for the Unified Health System (SUS). We combined data envelopment analysis (DEA) and spatial analysis to identify predominant clusters, measure hospital inefficiency and analyze the spatial pattern of inefficiency throughout the country. Our findings pointed to a high level of hospital inefficiency, mostly associated with small size and distributed across all Brazilian states. Many of these hospitals could increase production and reduce inputs to achieve higher efficiency standards. These findings suggest room for optimization, but inequalities in access and the matching of demand and supply must be carefully considered in any attempt to reorganize the hospital system in Brazil.
本文评估了为统一卫生系统（SUS）提供住院治疗的巴西综合医院的经济效率。我们结合了数据包络分析（DEA）和空间分析，以识别主要集群，衡量医院的效率低下，并分析全国范围内效率低下的空间模式。我们的研究结果表明，医院的效率低下程度很高，主要与规模小有关，分布在巴西所有州。其中许多医院可以增加产量并减少投入，以达到更高的效率标准。这些发现表明存在优化的空间，但在任何试图重组巴西医院系统的尝试中，都必须仔细考虑获得机会的不平等和供需匹配。
