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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Autores principales: Salinas,Hugo, Reyes,Alvaro, Carrasco,Benjamín, Veloz,Patricio, Erazo,Marcia, Carmona,Sergio, Martínez,Luis
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2005
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000200008
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spelling 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
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Hospital administration
Management audit
Management, hospital financial
spellingShingle 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
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