La Atención Primaria de Salud: descentralización y eficiencia

Pinillos, María‐José; Antoñanzas, Fernando

doi:10.1016/s0213-9111(02)71949-3

Cited by 14 publications

(7 citation statements)

References 10 publications

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“…Conversely, the most problematic cases are the ACES Cascais (11) and Arco Ribeirinho (15), both located in the region of high complaints and low efficiency. Other examples of problematic cases are the ACES Algueirão -Rio de Mouro (9) and Lezíria II (22). These ACES are efficient only because they have a low level of human resources and because of that they receive massive complaints.…”

Section: Discussionmentioning

confidence: 99%

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On evaluating health centers groups in Lisbon and Tagus Valley: efficiency, equity and quality

Ferreira

Marques

Nicola

2013

BMC Health Serv Res

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BackgroundBearing in mind the increasing health expenses and their weight in the Portuguese gross domestic product, it is of the utmost importance to evaluate the performance of Primary Health Care providers taking into account both efficiency, quality and equity. This paper aims to contribute to a better understanding of the performance of Primary Health Care by measuring it in a Portuguese region (Lisbon and Tagus Valley) and identifying best practices. It also intends to evaluate the quality and equity provided.MethodsFor the purpose of measuring the efficiency of the health care centers (ACES) the non-parametric full frontier technique of data envelopment analysis (DEA) was adopted. The recent partial frontier method of order-m was also used to estimate the influence of exogenous variables on the efficiency of the ACES. The horizontal equity was investigated by applying the non-parametric Kruskal-Wallis test with multiple comparisons. Moreover, the quality of service was analyzed by using the ratio between the complaints and the total activity of the ACES.ResultsOn the whole, a significant level of inefficiency was observed, although there was a general improvement in efficiency between 2009 and 2010. It was found that nursing was the service with the lowest scores. Concerning the horizontal equity, the analysis showed that there is no evidence of relevant disparities between the different subregions(NUTS III). Concerning the exogenous variables, the purchasing power, the percentage of patients aged 65 years old or older and the population size affect the efficiency negatively.ConclusionsThis research shows that better usage of the available resources and the creation of a learning network and dissemination of best practices will contribute to improvements in the efficiency of the ACES while maintaining or even improving quality and equity. It was also proved that the market structure does matter when efficiency measurement is addressed.

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Section: Discussionmentioning

confidence: 99%

“…After that, some studies were performed, including: Huang and McLaughlin [8], Pinillos and Antoñanzas [9], Linna et al [10], Akazili et al [11], Kirigia et al [12], Amado and Santos [13], Sebastian and Lemma [14], Halsteinli et al [15] and Nuti et al [16].…”

Section: Introductionmentioning

confidence: 99%

On evaluating health centers groups in Lisbon and Tagus Valley: efficiency, equity and quality

Ferreira

Marques

Nicola

2013

BMC Health Serv Res

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“…Esse modelo tem sido aplicado em saúde pública (clínicas e hospitais) 8,9,10 , universidades, escolas, bancos, restaurantes e indústrias.…”

Section: Metodologiaunclassified

Avaliação da eficiência produtiva de hospitais do SUS de Santa Catarina, Brasil

2008

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“…Pinillos (2002) plantea que en especial el DEA es importante cuando los niveles de productividad dependen del compromiso del talento humano cuando se presta un servicio dentro de una entidad de salud. Sin embargo, es importante aclarar que los niveles de eficiencia dependerán de las variables seleccionadas cuando se analizan las entradas y salidas de las organizaciones a evaluar.…”

Section: Introductionunclassified

Eficiencia De Los Hospitales De Bolívar- Colombia Por Medio Análisis Envolvente De Datos // Efficiency of Hospitals Bolivar- Colombia Through Data Envelopment Analysis // Eficiência Dos Hospitais Bolívar-Colombia Análise Por Moradia De Dados

Herrera¹,

Herrera²

2015

Dempresarial

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Esta investigación estudió la eficiencia de 44 Hospitales de Bolívar en el año 2010. Lo anterior por medio de la aplicación de Análisis Envolvente de Datos DEA. Se calcularon las eficiencias técnicas de los Hospitales utilizando el modelo DEA enfocado en salidas CCR-O, lo anterior por medio del estudio de los estados financieros de estos Hospitales. De los 44 Hospitales estudiados, 35 presentaron eficiencia baja, uno presentó una eficiencia media, dos presentaron una eficiencia alta y seis Hospitales mostraron ser eficientes, estos fueron: ESE Hospital local Santa María, ESE Hospital local San José de Achi, seguido por el ESE Centro de salud con camas Cantagallo, ESE Hospital San Antonio de Padua, ESE centro de salud Giovani Cristini, y por último el ESE Hospital local San Fernando. Con esta investigación se pudo concluir que el 13,64% del total de los Hospitales evaluados presentaron una eficiencia óptima. El promedio de la eficiencia de los Hospitales objeto de esta investigación fue de 47,61%.

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La Atención Primaria de Salud: descentralización y eficiencia

Abstract: The results obtained from the model of efficiency measurement used did not indicate that decentralization improves the productive efficiency of primary care centers.

Cited by 14 publications

References 10 publications

On evaluating health centers groups in Lisbon and Tagus Valley: efficiency, equity and quality

On evaluating health centers groups in Lisbon and Tagus Valley: efficiency, equity and quality

Avaliação da eficiência produtiva de hospitais do SUS de Santa Catarina, Brasil

Eficiencia De Los Hospitales De Bolívar- Colombia Por Medio Análisis Envolvente De Datos // Efficiency of Hospitals Bolivar- Colombia Through Data Envelopment Analysis // Eficiência Dos Hospitais Bolívar-Colombia Análise Por Moradia De Dados

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