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Transparencia y rendición de cuentas en los hospitales públicos de América Latina: El caso de Argentina

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  • Jorge Mera
  • Federico Weinschelbaum
  • Ernesto Schargrodsky

Abstract

Los 33 hospitales públicos del Gobierno de la Ciudad de Buenos Aires (GCBA) adquieren sus insumos en forma descentralizada. En septiembre de 1996, la Secretaría de Salud del GCBA implementó una política de monitoreo de precios de compra. En este trabajo utilizamos la base de datos generada por esta política para analizar dos cuestiones relacionadas. En primer lugar, estudiamos el efecto de la implementación de la política sobre los precios. Los resultados muestran que la política logró una reducción de precios, pero que el efecto transitorio fue mayor que el efecto permanente. En segundo lugar, analizamos el efecto de los salarios de eficiencia recibidos por los jefes de compras de cada hospital sobre los precios. Nuestra evidencia empírica no señala que mayores salarios de eficiencia induzcan menores precios de compra. También presentamos resultados de encuestas que muestran al ausentismo como la forma más grave de abuso de sus cargos por parte de médicos y enfermeros en los hospitales públicos.

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File URL: http://www.iadb.org/research/pub_hits.cfm?pub_id=R-382&pub_file_name=pubR-382.pdf
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Bibliographic Info

Paper provided by Inter-American Development Bank, Research Department in its series Research Department Publications with number 3082.

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Date of creation: Feb 2000
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Handle: RePEc:idb:wpaper:3082

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