Evaluando la situación financiera de los hospitales públicos a partir de los costos actualizados de sus prestaciones

In 2011 the Chilean National Health Fund (FONASA) commissioned a study to assess the costs of the 120 most relevant hospital care services with an established fee, in a large sample of public hospitals. We herein report the cost evaluation results of such study, considering the financial condition o...

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Autores principales:	Cid P,Camilo, Bastías S,Gabriel
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2014
Materias:	Health care costs Hospital costs Hospital charges Hospital debt
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000200003
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spelling	oai:scielo:S0034-988720140002000032014-08-18Evaluando la situación financiera de los hospitales públicos a partir de los costos actualizados de sus prestacionesCid P,CamiloBastías S,Gabriel Health care costs Hospital costs Hospital charges Hospital debt In 2011 the Chilean National Health Fund (FONASA) commissioned a study to assess the costs of the 120 most relevant hospital care services with an established fee, in a large sample of public hospitals. We herein report the cost evaluation results of such study, considering the financial condition of those hospitals in the year of the study. Based on the premise that the expenses derived from the provision of institutional and appraised hospital services should be identical to the billing of hospitals to FONASA, the prices are undervalued, since they cover only 56% of billing, generating a gap between expenses and invoicing. This gap shows an important limitation of tariffs, since their prices do not cover the real costs. However not all hospitals behave in the same way. While the provision of services of some hospitals is even higher than their billing, most hospitals do not completely justify their invoicing. These assumptions would imply that, generally speaking, hospital debts are justified by the costs incurred. However, hospitals have heterogeneous financial situations that need to be analyzed carefully. In particular, nothing can be said about their relative efficiency if cost estimations are not adjusted by the complexity of patients attended and comparison groups are not defined.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.2 20142014-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000200003es10.4067/S0034-98872014000200003
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Health care costs Hospital costs Hospital charges Hospital debt
spellingShingle	Health care costs Hospital costs Hospital charges Hospital debt Cid P,Camilo Bastías S,Gabriel Evaluando la situación financiera de los hospitales públicos a partir de los costos actualizados de sus prestaciones
description	In 2011 the Chilean National Health Fund (FONASA) commissioned a study to assess the costs of the 120 most relevant hospital care services with an established fee, in a large sample of public hospitals. We herein report the cost evaluation results of such study, considering the financial condition of those hospitals in the year of the study. Based on the premise that the expenses derived from the provision of institutional and appraised hospital services should be identical to the billing of hospitals to FONASA, the prices are undervalued, since they cover only 56% of billing, generating a gap between expenses and invoicing. This gap shows an important limitation of tariffs, since their prices do not cover the real costs. However not all hospitals behave in the same way. While the provision of services of some hospitals is even higher than their billing, most hospitals do not completely justify their invoicing. These assumptions would imply that, generally speaking, hospital debts are justified by the costs incurred. However, hospitals have heterogeneous financial situations that need to be analyzed carefully. In particular, nothing can be said about their relative efficiency if cost estimations are not adjusted by the complexity of patients attended and comparison groups are not defined.
author	Cid P,Camilo Bastías S,Gabriel
author_facet	Cid P,Camilo Bastías S,Gabriel
author_sort	Cid P,Camilo
title	Evaluando la situación financiera de los hospitales públicos a partir de los costos actualizados de sus prestaciones
title_short	Evaluando la situación financiera de los hospitales públicos a partir de los costos actualizados de sus prestaciones
title_full	Evaluando la situación financiera de los hospitales públicos a partir de los costos actualizados de sus prestaciones
title_fullStr	Evaluando la situación financiera de los hospitales públicos a partir de los costos actualizados de sus prestaciones
title_full_unstemmed	Evaluando la situación financiera de los hospitales públicos a partir de los costos actualizados de sus prestaciones
title_sort	evaluando la situación financiera de los hospitales públicos a partir de los costos actualizados de sus prestaciones
publisher	Sociedad Médica de Santiago
publishDate	2014
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000200003
work_keys_str_mv	AT cidpcamilo evaluandolasituacionfinancieradeloshospitalespublicosapartirdeloscostosactualizadosdesusprestaciones AT bastiassgabriel evaluandolasituacionfinancieradeloshospitalespublicosapartirdeloscostosactualizadosdesusprestaciones
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Evaluando la situación financiera de los hospitales públicos a partir de los costos actualizados de sus prestaciones

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