IDEAS home Printed from https://ideas.repec.org/p/bdr/region/201.html
   My bibliography  Save this paper

Una aproximación regional a la eficiencia y productividad de los hospitales públicos colombianos

Author

Listed:
  • Antonio José Orozco Gallo

Abstract

Este estudio utiliza el Indicador de Luenberger para evaluar la eficiencia y productividad de los hospitales públicos en Colombia. El análisis empírico se realizó para una muestra de 336 hospitales durante el periodo 2003-2011. Los resultados indican una caída de la productividad de los hospitales públicos colombianos, sustentada en el deterioro del cambio tecnológico como resultado de una escasa inversión en tecnología. Evidencia de esto es que solo uno de cada veinticinco hospitales experimentó un desempeño eficiente y productivo, mientras uno de cada tres evidenció lo contrario. Por regiones, los hospitales de las zonas Central y Caribe fueron los más ineficientes e improductivos. Además, contribuyeron con dos terceras partes de la disminución de la productividad general.

Suggested Citation

  • Antonio José Orozco Gallo, 2014. "Una aproximación regional a la eficiencia y productividad de los hospitales públicos colombianos," Documentos de trabajo sobre Economía Regional y Urbana 201, Banco de la Republica de Colombia.
    • Handle: RePEc:bdr:region:201
    DOI: 10.32468/dtseru.201
    as

    Download full text from publisher

    File URL: https://doi.org/10.32468/dtseru.201
    Download Restriction: no
    File URL: https://libkey.io/10.32468/dtseru.201?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Briec, Walter & Kerstens, Kristiaan, 2009. "The Luenberger productivity indicator: An economic specification leading to infeasibilities," Economic Modelling, Elsevier, vol. 26(3), pages 597-600, May.
    2. Luenberger, David G., 1992. "Benefit functions and duality," Journal of Mathematical Economics, Elsevier, vol. 21(5), pages 461-481.
    3. Ng, Ying Chu, 2011. "The productive efficiency of Chinese hospitals," China Economic Review, Elsevier, vol. 22(3), pages 428-439, September.
    4. 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).
    5. Norman Maldonado & Ana Tamayo, 2007. "Estudio Integral de Eficiencia de los Hospitales Públicos," Archivos de Economía 4305, Departamento Nacional de Planeación.
    6. 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.
    7. Anatoly Pilyavsky & Matthias Staat, 2006. "Health care in the CIS countries," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 7(3), pages 185-191, September.
    8. Javier E. Pirateque & José H. Piñeros & Linda Mondragón, 2013. "Eficiencia de los establecimientos bancarios (EB): una aproximación mediante modelos DEA," Borradores de Economia 11103, Banco de la Republica.
    9. E Zere & Diane Mcintyre & T Addison, 2001. "Technical Efficiency And Productivity Of Public Sector Hospitals In Three South African Provinces," South African Journal of Economics, Economic Society of South Africa, vol. 69(2), pages 336-358, June.
    10. 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.
    11. Robert G. Chambers & Rulon D. Pope, 1996. "Aggregate Productivity Measures," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 78(5), pages 1360-1365.
    12. Jean‐Philippe Boussemart & Walter Briec & Kristiaan Kerstens & Jean‐Christophe Poutineau, 2003. "Luenberger and Malmquist Productivity Indices: Theoretical Comparisons and Empirical Illustration," Bulletin of Economic Research, Wiley Blackwell, vol. 55(4), pages 391-405, October.
    13. Stephane Mussard & Nicolas Peypoch, 2006. "On multi-decomposition of the aggregate Luenberger productivity index," Applied Economics Letters, Taylor & Francis Journals, vol. 13(2), pages 113-116.
    14. 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.
    15. Chambers, Robert G. & Chung, Yangho & Fare, Rolf, 1996. "Benefit and Distance Functions," Journal of Economic Theory, Elsevier, vol. 70(2), pages 407-419, August.
    16. Emrouznejad, Ali & Parker, Barnett R. & Tavares, Gabriel, 2008. "Evaluation of research in efficiency and productivity: A survey and analysis of the first 30 years of scholarly literature in DEA," Socio-Economic Planning Sciences, Elsevier, vol. 42(3), pages 151-157, September.
    17. R. G. Chambers & Y. Chung & R. Färe, 1998. "Profit, Directional Distance Functions, and Nerlovian Efficiency," Journal of Optimization Theory and Applications, Springer, vol. 98(2), pages 351-364, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Galvis-Aponte Luis Armando & Hahn-De-Castro Lucas Wilfried, 2016. "Crecimiento municipal en Colombia: el papel de las externalidades espaciales, el capital humano y el capital físico," Revista Sociedad y Economía, Universidad del Valle, CIDSE, issue 31, pages 11-286, May.
    2. Karelys Guzmán Finol, 2015. "¿Qué hay detrás de un cambio en la productividad hospitalaria?," Documentos de trabajo sobre Economía Regional y Urbana 215, Banco de la Republica de Colombia.
    3. Briec, Walter & Dumas, Audrey & Kerstens, Kristiaan & Stenger, Agathe, 2022. "Generalised commensurability properties of efficiency measures: Implications for productivity indicators," European Journal of Operational Research, Elsevier, vol. 303(3), pages 1481-1492.
    4. 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.
    5. Aparicio, Juan & Ortiz, Lidia & Santín, Daniel, 2021. "Comparing group performance over time through the Luenberger productivity indicator: An application to school ownership in European countries," European Journal of Operational Research, Elsevier, vol. 294(2), pages 651-672.
    6. Ng, Ying Chu, 2011. "The productive efficiency of Chinese hospitals," China Economic Review, Elsevier, vol. 22(3), pages 428-439, September.
    7. 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.
    8. Kejia Chu & Ning Zhang & Zhongfei Chen, 2015. "The Efficiency and Its Determinants for China’s Medical Care System: Some Policy Implications for Northeast Asia," Sustainability, MDPI, vol. 7(10), pages 1-20, October.
    9. Walter Briec & Laurence Lasselle, 2022. "On some relations between a continuous time Luenberger productivity indicator and the Solow model," Bulletin of Economic Research, Wiley Blackwell, vol. 74(2), pages 484-502, April.
    10. W. Briec & K. Kerstens, 2009. "Infeasibility and Directional Distance Functions with Application to the Determinateness of the Luenberger Productivity Indicator," Journal of Optimization Theory and Applications, Springer, vol. 141(1), pages 55-73, April.
    11. Epure, Mircea & Kerstens, Kristiaan & Prior, Diego, 2011. "Bank productivity and performance groups: A decomposition approach based upon the Luenberger productivity indicator," European Journal of Operational Research, Elsevier, vol. 211(3), pages 630-641, June.
    12. Magdalena Kapelko, 2019. "Measuring productivity change accounting for adjustment costs: evidence from the food industry in the European Union," Annals of Operations Research, Springer, vol. 278(1), pages 215-234, July.
    13. Juo, Jia-Ching & Fu, Tsu-Tan & Yu, Ming-Miin & Lin, Yu-Hui, 2016. "Non-radial profit performance: An application to Taiwanese banks," Omega, Elsevier, vol. 65(C), pages 111-121.
    14. Guironnet, J.-P. & Peypoch, N., 2007. "Human capital allocation and overeducation: A measure of French productivity (1987, 1999)," Economic Modelling, Elsevier, vol. 24(3), pages 398-410, May.
    15. Mircea Epure, 2016. "Benchmarking for routines and organizational knowledge: a managerial accounting approach with performance feedback," Journal of Productivity Analysis, Springer, vol. 46(1), pages 87-107, August.
    16. Vardanyan, Michael & Valdmanis, Vivian G. & Leleu, Hervé & Ferrier, Gary D., 2022. "Estimating technology characteristics of the U.S. hospital industry using directional distance functions with optimal directions," Omega, Elsevier, vol. 113(C).
    17. Fukuyama, Hirofumi & Weber, William L., 2009. "A directional slacks-based measure of technical inefficiency," Socio-Economic Planning Sciences, Elsevier, vol. 43(4), pages 274-287, December.
    18. Aparicio, Juan & Garcia-Nove, Eva M. & Kapelko, Magdalena & Pastor, Jesus T., 2017. "Graph productivity change measure using the least distance to the pareto-efficient frontier in data envelopment analysis," Omega, Elsevier, vol. 72(C), pages 1-14.
    19. Carlos Barros & Hercules Haralambides & Mohamed Hussain & Nicolas Perpoch, 2011. "Seaport Efficiency and Productivity Growth," Chapters, in: Kevin Cullinane (ed.), International Handbook of Maritime Economics, chapter 17, Edward Elgar Publishing.
    20. Barros, Carlos Pestana & Couto, Eduardo, 2013. "Productivity analysis of European airlines, 2000–2011," Journal of Air Transport Management, Elsevier, vol. 31(C), pages 11-13.

    More about this item

    Keywords

    salud; hospitales públicos; Indicador de Productividad de Luenberger; productividad; Colombia.;
    All these keywords.

    JEL classification:

    • D24 - Microeconomics - - Production and Organizations - - - Production; Cost; Capital; Capital, Total Factor, and Multifactor Productivity; Capacity
    • I10 - Health, Education, and Welfare - - Health - - - General
    • L30 - Industrial Organization - - Nonprofit Organizations and Public Enterprise - - - General
    • O33 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Technological Change: Choices and Consequences; Diffusion Processes

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bdr:region:201. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Clorith Angélica Bahos Olivera (email available below). General contact details of provider: https://edirc.repec.org/data/brcgvco.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.