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Análisis de la eficiencia hospitalaria por Comunidad Autónoma en el ámbito del Sistema Nacional de Salud

Author

Listed:
  • Cabello Granado, Pablo Antonio

    (Universidad de Castilla-La Mancha)

  • Hidalgo Vega, Álvaro

    (Universidad de Castilla-La Mancha)

Abstract

El objetivo principal de esta investigación es el de realizar un estudio de la eficiencia en los hospitales del Sistema Nacional de Salud por Comunidad Autónoma (CCAA). El estudio se realiza sobre los hospitales gestionados por cada Servicio de Salud Autonómico con más de 500 camas sobre la actividad desarrollada a lo largo del año 2008, a través del modelo DEA (Data Envelopment Analysis). Se ha trabajado con cinco casos de estudio, identificando cuatro grupos según el indicador de eficiencia, sin que los resultados difieran tanto desde la perspectiva input como output, con y sin el método de supereficiencia. Con este estudio se ha fijado la posición de cada Comunidad Autónoma sobre la frontera de eficiencia, identificando y creando un ranking de aquellas Comunidades Autónomas que han gestionado más eficientemente sus recursos aplicando las mejores prácticas. The main objective of this research is to carry out a study of efficiency in CCAA hospitals of NHS (National Health System). This study was performed on the hospitals managed by each regional Health Service with more than 500 beds throughout 2008 activity, with DEA model (Data Envelopment Analysis). We have worked with five different cases and we have identified four groups according to the efficiency indicator. The results show a minimum difference from both an input and an output point of view, with and without superefficiency method. This study has established the position of each CCAA on the efficient frontier, identifying and setting up a ranking of those CCAA that have manage more efficiently its resources by applying best practices. Keywords: efficiency; data envelopment analysis; health management; benchmarking; hospital activity.

Suggested Citation

  • Cabello Granado, Pablo Antonio & Hidalgo Vega, Álvaro, 2014. "Análisis de la eficiencia hospitalaria por Comunidad Autónoma en el ámbito del Sistema Nacional de Salud," INVESTIGACIONES REGIONALES - Journal of REGIONAL RESEARCH, Asociación Española de Ciencia Regional, issue 28, pages 147-158.
    • Handle: RePEc:ris:invreg:0257
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    Cited by:

    1. Sophie Gorgemans & Micaela Comendeiro-Maaløe & Manuel Ridao-López & Enrique Bernal-Delgado, 2023. "Comparing Hospital Efficiency: An Illustrative Study of Knee and Hip Replacement Surgeries in Spain," IJERPH, MDPI, vol. 20(4), pages 1-12, February.

    More about this item

    Keywords

    eficiencia; análisis envolvente de datos; gestión sanitaria; benchmarking; actividad hospitalaria;
    All these keywords.

    JEL classification:

    • C14 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Semiparametric and Nonparametric Methods: General
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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