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

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  • 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 desempeno 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.******ABSTRACT: We used the Luenberger Productivity Indicator to estimate efficiency and productivity for Colombian public hospitals. The empirical application was applied to a sample of 336 hospitals during the period 2003-2011. The results show a decline in productivity of Colombian public hospitals, explained by the decreased in technological change as a result of low investment in technology. Evidence for this is that one of every twenty five hospitals experienced efficient and productive performance, while, one of every three showed the opposite. The results summarized by regions revealed that Hospitals in Central and Caribbean regions were the most unproductive and inefficient, and they also contributed two-thirds of the overall decline in productivity.

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 11548, Banco de la República, Economía Regional.
    • Handle: RePEc:col:000102:011548
    DOI: 10.32468/dtseru.201
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    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 798, Banco de la Republica de Colombia.
    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. 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.
    11. 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.
    12. 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.
    13. 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.
    14. 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.
    15. 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.
    16. Chambers, Robert G. & Chung, Yangho & Fare, Rolf, 1996. "Benefit and Distance Functions," Journal of Economic Theory, Elsevier, vol. 70(2), pages 407-419, August.
    17. 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.
    18. 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.
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    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

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