• Revista médica de Chile · Apr 2013

    [Analysis of hospital efficiency determinants in Chile].

    • Emilio Santelices C, Héctor Ormeño C, Magdalena Delgado S, Christopher Lui M, Raúl Valdés V, and Lorena Durán C.
    • Departamento de Desarrollo Estratégico, Ministerio de Salud, Santiago, Chile.
    • Rev Med Chil. 2013 Apr 1; 141 (4): 457-63.

    BackgroundThe knowledge of variables influencing hospital efficiency is of paramount importance to carry out initiatives of management improvement and optimization.AimTo explore on the hospital technical efficiency factors.Material And MethodsData from 255,439 hospital discharges from 28 hospitals from May to October 2011 were analyzed. The efficiency index developed by Santelices et al was calculated. Proxy variables of hospital practices, human resource productivity, strategic performance, financing mechanisms, geographical territory and specialization, were considered. The analysis was carried out estimating econometric models.ResultsThe most significant variables to explain efficiency are the length of stay adjusted by complexity, the discharges per nurse and midwife and the performance of the Hospital Balancea Score Card.ConclusionsThe suggested analysis contributes to identify hospital efficiency causes. The results suggest ways to improve performance of hospitals.

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