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Productividad y eficiencia de los hospitales públicos en Colombia por niveles de complejidad: Nueva evidencia 2007 - 2021

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  • Diego M. Vásquez-Escobar

Abstract

Se estima el índice de productividad de Malmquist, sus determinantes y la razón de brecha tecnológica, como medida de eficiencia potencial en hospitales públicos colombianos registrados en el SIHO entre 2007 y 2021. Utilizando una base de datos de panel y la metodología de Cao et al. (2017), se estiman funciones de distancia de Shephard orientadas a insumos y la metafrontera estocástica, permitiendo capturar la heterogeneidad de diferentes grupos de servicios de salud y de tecnologías entre niveles de complejidad hospitalaria. Los resultados muestran que los hospitales de nivel 3 son los más productivos y eficientes, los de nivel 1 superan a los de nivel 2 varios índices asociados a la eficiencia y en algunos impulsores de la productividad. La ineficiencia a nivel respecto a la frontera de grupo y el rezago en actualización tecnológica son los factores que más contribuyen, según las contribuciones de Shapley (1951), a la caída sostenida en la productividad. *****ABSTRACT: The Malmquist productivity index, its determinants, and the technology gap ratio—used as a measure of potential efficiency—are estimated for Colombian public hospitals registered in the SIHO database between 2007 and 2021. Using panel data and the methodology proposed by Cao et al. (2017), input-oriented Shephard distance functions and a stochastic metafrontier are estimated, allowing for the capture of heterogeneity across health service groups and technological differences among hospital complexity levels. The results indicate that Level 3 hospitals are the most productive and efficient, while Level 1 hospitals outperform Level 2 hospitals in several efficiency-related indices and in certain productivity drivers. According to Shapley (1951) value decompositions, group-level inefficiency relative to the frontier and delays in technological upgrading are the main contributors to the sustained decline in productivity.

Suggested Citation

  • Diego M. Vásquez-Escobar, 2025. "Productividad y eficiencia de los hospitales públicos en Colombia por niveles de complejidad: Nueva evidencia 2007 - 2021," Borradores de Economia 1333, Banco de la Republica de Colombia.
    • Handle: RePEc:bdr:borrec:1333
    DOI: 10.32468/be.1333
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    References listed on IDEAS

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    JEL classification:

    • C23 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Models with Panel Data; Spatio-temporal Models
    • D24 - Microeconomics - - Production and Organizations - - - Production; Cost; Capital; Capital, Total Factor, and Multifactor Productivity; Capacity
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • L32 - Industrial Organization - - Nonprofit Organizations and Public Enterprise - - - Public Enterprises; Public-Private Enterprises

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