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Eficiencia y solidez financiera de las Instituciones prestadoras de Servicio de Salud (IPS) en Colombia

Author

Listed:
  • Carolina Crispin-Fory
  • Ligia Alba Melo-Becerra
  • Diego Alexander Restrepo-Tobón
  • Diego Vásquez-Escobar

Abstract

Este estudio examina la eficiencia de las Instituciones Prestadoras de Servicio de Salud (IPS) en Colombia, entre 2017 y 2021. Para la estimación se aplica un enfoque de frontera estocástica, empleando una función de distancia orientada a los insumos, con el fin de dar cuenta del carácter multi producto de las IPS. Después de controlar por el tamaño de las entidades, la participación en atención de enfermedades de alto costo y la capacidad administrativa, se encuentra que la eficiencia técnica promedio encontrada es del 75% y no hay ganancias en eficiencia durante el periodo analizado. Además, utilizando la metodología CAMEL se realiza un análisis de la solidez financiera de las IPS y se evalúala relación con los resultados de eficiencia de las entidades. Los resultados encuentran una asociación positiva entre la eficiencia de las IPS, y los indicadores de rentabilidad y liquidez, sugiriendo que las instituciones con una mayor estabilidad financiera y una mejor gestión de recursos exhiben niveles más altos de eficiencia.******ABSTRACT: This study evaluates the technical efficiency of the Health Service Provider Institutions (IPS) in Colombia, between 2017 and 2021. We use a stochastic frontier approach to estimate an input-oriented distance function to account for the multi-product nature of the IPS. After controlling for entity size, participation in high-cost disease care, and administrative capacity, the findings reveal an average technical efficiency of 75% with no efficiency gains during the analyzed period. Additionally, using the CAMEL methodology, an analysis of IPS financial soundness is conducted, evaluating its relationship with efficiency outcomes of the entities. The results identify a positive association between IPS efficiency and profitability and liquidity indicators, suggesting that institutions with greater financial stability and better resource management exhibit higher levels of efficiency.

Suggested Citation

  • Carolina Crispin-Fory & Ligia Alba Melo-Becerra & Diego Alexander Restrepo-Tobón & Diego Vásquez-Escobar, 2023. "Eficiencia y solidez financiera de las Instituciones prestadoras de Servicio de Salud (IPS) en Colombia," Borradores de Economia 1248, Banco de la Republica de Colombia.
    • Handle: RePEc:bdr:borrec:1248
    DOI: 10.32468/be.1248
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    Cited by:

    1. Ligia Alba Melo-Becerra & Luis E. Arango & Oscar Iván Ávila-Montealegre & Jhorland Ayala-García & Leonardo Bonilla-Mejía & Jesús Alonso Botero-García & Carolina Crispin-Fory & Manuela Cardona & Daniel, 2023. "Aspectos financieros y fiscales del sistema de salud en Colombia," Revista ESPE - Ensayos sobre Política Económica, Banco de la Republica de Colombia, issue 106, pages 1-92, October.
    2. Luis E. Arango & Jesús Alonso Botero-García & Daniela Gallo & Ligia Alba Melo-Becerra, 2023. "Efectos fiscales y macroeconómicos de diferentes riesgos del sistema de salud," Borradores de Economia 1258, Banco de la Republica de Colombia.

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    More about this item

    Keywords

    Eficiencia técnica; Funciones de distancia orientada a insumos; Frontera estocástica; IPS; Colombia; Technical efficiency; Input-oriented distance functions; Stochastic frontier;
    All these keywords.

    JEL classification:

    • D24 - Microeconomics - - Production and Organizations - - - Production; Cost; Capital; Capital, Total Factor, and Multifactor Productivity; Capacity
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • L25 - Industrial Organization - - Firm Objectives, Organization, and Behavior - - - Firm Performance

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