Propuesta de índices de gestión de servicios médico-quirúrgicos hospitalarios mediante técnicas estadísticas multivariantes
Background: Diagnosis related groups (DRGs) are the most reliable patient classification system in hospital management. When this information is unavailable, other reliable classification system must be used. Aim: To obtain useful indices for hospital management, based on descriptive multivariate te...
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Sociedad Médica de Santiago
2005
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oai:scielo:S0034-988720050002000082005-04-12Propuesta de índices de gestión de servicios médico-quirúrgicos hospitalarios mediante técnicas estadísticas multivariantesSalinas,HugoReyes,AlvaroCarrasco,BenjamínVeloz,PatricioErazo,MarciaCarmona,SergioMartínez,Luis Hospital administration Management audit Management, hospital financial Background: Diagnosis related groups (DRGs) are the most reliable patient classification system in hospital management. When this information is unavailable, other reliable classification system must be used. Aim: To obtain useful indices for hospital management, based on descriptive multivariate techniques. Material and Methods: Data on admissions to a University Hospital during 2003 were analyzed. Number of discharges, lethality rate, re-admission rate, number of outpatient consultations, length of hospital stay and surgical complexity index were analyzed, using information obtained by the Operations Management Department. The Principal Components Analysis (PCA) technique was applied and the R correlation matrix was used. Results: A total of 24,345 discharges were analyzed. The first two principal components were selected, accounting cumulatively for 76% of data variability (47% for the first and 29% for the second). Conclusions: The first component may be assimilated to a new index representing the difficulty of the attended cases, which we have termed Case Complexity. The second principal component would explain the number of attended persons, which we have termed Case Load. These two indices allow us to classify hospital services (Rev Méd Chil 2005; 133: 202-8)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.133 n.2 20052005-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000200008es10.4067/S0034-98872005000200008 |
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Scielo Chile |
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Scielo Chile |
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Spanish / Castilian |
topic |
Hospital administration Management audit Management, hospital financial |
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Hospital administration Management audit Management, hospital financial Salinas,Hugo Reyes,Alvaro Carrasco,Benjamín Veloz,Patricio Erazo,Marcia Carmona,Sergio Martínez,Luis Propuesta de índices de gestión de servicios médico-quirúrgicos hospitalarios mediante técnicas estadísticas multivariantes |
description |
Background: Diagnosis related groups (DRGs) are the most reliable patient classification system in hospital management. When this information is unavailable, other reliable classification system must be used. Aim: To obtain useful indices for hospital management, based on descriptive multivariate techniques. Material and Methods: Data on admissions to a University Hospital during 2003 were analyzed. Number of discharges, lethality rate, re-admission rate, number of outpatient consultations, length of hospital stay and surgical complexity index were analyzed, using information obtained by the Operations Management Department. The Principal Components Analysis (PCA) technique was applied and the R correlation matrix was used. Results: A total of 24,345 discharges were analyzed. The first two principal components were selected, accounting cumulatively for 76% of data variability (47% for the first and 29% for the second). Conclusions: The first component may be assimilated to a new index representing the difficulty of the attended cases, which we have termed Case Complexity. The second principal component would explain the number of attended persons, which we have termed Case Load. These two indices allow us to classify hospital services (Rev Méd Chil 2005; 133: 202-8) |
author |
Salinas,Hugo Reyes,Alvaro Carrasco,Benjamín Veloz,Patricio Erazo,Marcia Carmona,Sergio Martínez,Luis |
author_facet |
Salinas,Hugo Reyes,Alvaro Carrasco,Benjamín Veloz,Patricio Erazo,Marcia Carmona,Sergio Martínez,Luis |
author_sort |
Salinas,Hugo |
title |
Propuesta de índices de gestión de servicios médico-quirúrgicos hospitalarios mediante técnicas estadísticas multivariantes |
title_short |
Propuesta de índices de gestión de servicios médico-quirúrgicos hospitalarios mediante técnicas estadísticas multivariantes |
title_full |
Propuesta de índices de gestión de servicios médico-quirúrgicos hospitalarios mediante técnicas estadísticas multivariantes |
title_fullStr |
Propuesta de índices de gestión de servicios médico-quirúrgicos hospitalarios mediante técnicas estadísticas multivariantes |
title_full_unstemmed |
Propuesta de índices de gestión de servicios médico-quirúrgicos hospitalarios mediante técnicas estadísticas multivariantes |
title_sort |
propuesta de índices de gestión de servicios médico-quirúrgicos hospitalarios mediante técnicas estadísticas multivariantes |
publisher |
Sociedad Médica de Santiago |
publishDate |
2005 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000200008 |
work_keys_str_mv |
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