Análisis de los determinantes de la eficiencia hospitalaria: el caso de Chile

Background: The knowledge of variables influencing hospital efficiency is of paramount importance to carry out initiatives of management improvement and optimization. Aim: To explore on the hospital technical efficiency factors. Material and Methods: Data from 255,439 hospital discharges from 28 hos...

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Autores principales:	Santelices C,Emilio, Ormeño C,Héctor, Delgado S,Magdalena, Lui M,Christopher, Valdés V,Raúl, Durán C,Lorena
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2013
Materias:	DRG, Benchmarking Efficiency Hospitals
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000400006
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spelling	oai:scielo:S0034-988720130004000062013-09-11Análisis de los determinantes de la eficiencia hospitalaria: el caso de ChileSantelices C,EmilioOrmeño C,HéctorDelgado S,MagdalenaLui M,ChristopherValdés V,RaúlDurán C,Lorena DRG, Benchmarking Efficiency Hospitals Background: The knowledge of variables influencing hospital efficiency is of paramount importance to carry out initiatives of management improvement and optimization. Aim: To explore on the hospital technical efficiency factors. Material and Methods: Data from 255,439 hospital discharges from 28 hospitals from May to October 2011 were analyzed. The efficiency index developed by Santelices et al was calculated. Proxy variables of hospital practices, human resource productivity, strategic performance, financing mechanisms, geographical territory and specialization, were considered. The analysis was carried out estimating econometric models. Results: The most significant variables to explain efficiency are the length of stay adjusted by complexity, the discharges per nurse and midwife and the performance of the Hospital Balancea Score Card. Conclusions: The suggested analysis contributes to identify hospital efficiency causes. The results suggest ways to improve performance of hospitals.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.4 20132013-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000400006es10.4067/S0034-98872013000400006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	DRG, Benchmarking Efficiency Hospitals
spellingShingle	DRG, Benchmarking Efficiency Hospitals Santelices C,Emilio Ormeño C,Héctor Delgado S,Magdalena Lui M,Christopher Valdés V,Raúl Durán C,Lorena Análisis de los determinantes de la eficiencia hospitalaria: el caso de Chile
description	Background: The knowledge of variables influencing hospital efficiency is of paramount importance to carry out initiatives of management improvement and optimization. Aim: To explore on the hospital technical efficiency factors. Material and Methods: Data from 255,439 hospital discharges from 28 hospitals from May to October 2011 were analyzed. The efficiency index developed by Santelices et al was calculated. Proxy variables of hospital practices, human resource productivity, strategic performance, financing mechanisms, geographical territory and specialization, were considered. The analysis was carried out estimating econometric models. Results: The most significant variables to explain efficiency are the length of stay adjusted by complexity, the discharges per nurse and midwife and the performance of the Hospital Balancea Score Card. Conclusions: The suggested analysis contributes to identify hospital efficiency causes. The results suggest ways to improve performance of hospitals.
author	Santelices C,Emilio Ormeño C,Héctor Delgado S,Magdalena Lui M,Christopher Valdés V,Raúl Durán C,Lorena
author_facet	Santelices C,Emilio Ormeño C,Héctor Delgado S,Magdalena Lui M,Christopher Valdés V,Raúl Durán C,Lorena
author_sort	Santelices C,Emilio
title	Análisis de los determinantes de la eficiencia hospitalaria: el caso de Chile
title_short	Análisis de los determinantes de la eficiencia hospitalaria: el caso de Chile
title_full	Análisis de los determinantes de la eficiencia hospitalaria: el caso de Chile
title_fullStr	Análisis de los determinantes de la eficiencia hospitalaria: el caso de Chile
title_full_unstemmed	Análisis de los determinantes de la eficiencia hospitalaria: el caso de Chile
title_sort	análisis de los determinantes de la eficiencia hospitalaria: el caso de chile
publisher	Sociedad Médica de Santiago
publishDate	2013
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000400006
work_keys_str_mv	AT santelicescemilio analisisdelosdeterminantesdelaeficienciahospitalariaelcasodechile AT ormenochector analisisdelosdeterminantesdelaeficienciahospitalariaelcasodechile AT delgadosmagdalena analisisdelosdeterminantesdelaeficienciahospitalariaelcasodechile AT luimchristopher analisisdelosdeterminantesdelaeficienciahospitalariaelcasodechile AT valdesvraul analisisdelosdeterminantesdelaeficienciahospitalariaelcasodechile AT duranclorena analisisdelosdeterminantesdelaeficienciahospitalariaelcasodechile
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Análisis de los determinantes de la eficiencia hospitalaria: el caso de Chile

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