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¿Qué hay detrás de un cambio en la productividad hospitalaria?

In: La salud en Colombia: una perspectiva regional

Author

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  • Karelys Guzmán-Finol

Abstract

El objetivo de esta investigación es identificar los factores que habrían influido en los cambios de la productividad hospitalaria estimados por Orozco (2014) para el periodo 2003-2011. Para esto se analizarán los casos de cuatro hospitales públicos que experimentaron los cambios de mayor y menor magnitud. Estos son: el Hospital Santander Herrera de Pivijay (Magdalena), el Hospital Departamental San Antonio de Roldanillo (Valle del Cauca), ambos de nivel II; el Hospital Santo Tomás de Villanueva (La Guajira) y el Hospital de Usaquén (Bogotá), de nivel I. Como resultado de las entrevistas y la revisión de los datos registrados en el Sistema de Información Hospitalaria (SIHO) se encontró que la alta rotación del personal, los problemas de cartera, la dificultad que han tenido los hospitales de nivel II para encontrar médicos especialistas, el conflicto armado y la baja inversión son los principales factores que pudieron afectar este cambio. ****** The objective of this research is to identify the factors that may have produced changes in the productivity of the hospitals estimated by Orozco (2014) for the period 2003-2011. To this end, four public hospitals that experienced the greatest and the smallest changes were analyzed, namely: Hospital Santander Herrera de Pivijay, the Hospital Departamental San Antonio de Roldanillo, both of level II; the Hospital Santo Tomás de Villanueva and the Hospital de Usaquén, of level I. As a result of the interviews and the analysis of the data obtained from the Hospital Information System (SIHO), the main factors that have been found to possibly contribute to the change in productivityare: the high turnover of staff, the borrowing portfolio problems, the difficulty that level II hospitals have had to find specialists, the armed conflict and the low investment in the hospitals.

Suggested Citation

  • Karelys Guzmán-Finol, 2017. "¿Qué hay detrás de un cambio en la productividad hospitalaria?," Chapters, in: Jaime Bonet & Karelys Guzmán-Finol & Lucas Wilfried Hahn-De-Castro (ed.), La salud en Colombia: una perspectiva regional, chapter 7, pages 211-247, Banco de la Republica de Colombia.
    • Handle: RePEc:bdr:bdrcap:2017a-12-211-247
    DOI: 10.32468/Ebook.664-357-3
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    References listed on IDEAS

    as
    1. Ng, Ying Chu, 2011. "The productive efficiency of Chinese hospitals," China Economic Review, Elsevier, vol. 22(3), pages 428-439, September.
    2. Barros, Carlos Pestana & Menezes, Antonio & Vieira, José António Cabral & Peypoch, Nicolas & Solonandrasana, Bernardin, 2007. "An Analysis of Hospital Efficiency and Productivity Growth Using the Luenberger Productivity Indicator," IZA Discussion Papers 2689, Institute of Labor Economics (IZA).
    3. Norman Maldonado & Ana Tamayo, 2007. "Estudio Integral de Eficiencia de los Hospitales Públicos," Archivos de Economía 4305, Departamento Nacional de Planeación.
    4. Nikolaos Maniadakis & Emmanuel Thanassoulis, 2000. "Assessing productivity changes in UK hospitals reflecting technology and input prices," Applied Economics, Taylor & Francis Journals, vol. 32(12), pages 1575-1589.
    5. Carlos Barros & António Gomes de Menezes & Nicolas Peypoch & Bernardin Solonandrasana & José Vieira, 2008. "An analysis of hospital efficiency and productivity growth using the Luenberger indicator," Health Care Management Science, Springer, vol. 11(4), pages 373-381, December.
    6. Margit Sommersguter-Reichmann, 2000. "The impact of the Austrian hospital financing reform on hospital productivity: empirical evidence on efficiency and technology changes using a non-parametric input-based Malmquist approach," Health Care Management Science, Springer, vol. 3(4), pages 309-321, September.
    7. Bonet-Morón, Jaime Alfredo & Guzmán-Finol, Karelys Katina & Hahn-de-Castro, Lucas Wilfried (ed.), 2017. "La salud en Colombia: una perspectiva regional," Books, Banco de la Republica de Colombia, number 2017a-12, July.
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    More about this item

    Keywords

    Productividad; Eficiencia; Hospital público; Estudio de caso; Productivity; Efficiency; Public Hospital; Case study;
    All these keywords.

    JEL classification:

    • H4 - Public Economics - - Publicly Provided Goods
    • H7 - Public Economics - - State and Local Government; Intergovernmental Relations
    • I1 - Health, Education, and Welfare - - Health
    • I3 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty

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