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

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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. ******ABSTRACT: 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, 2015. "¿Qué hay detrás de un cambio en la productividad hospitalaria?," Documentos de Trabajo Sobre Economía Regional y Urbana 12584, Banco de la República, Economía Regional.
    • Handle: RePEc:col:000102:012584
    DOI: 10.32468/dtseru.215
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    More about this item

    Keywords

    productividad; eficiencia; hospital público; estudio de caso;
    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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