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Avaliação do desempenho dos serviços de cirurgia geral dos hospitais públicos portugueses
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Abstract(s)
O presente estudo pretende analisar a eficiência dos Serviços de Cirurgia Geral dos hospitais públicos das cinco regiões Portuguesas, no ano de 2018. Inicialmente obteve-se a eficiência relativa das Unidades Hospitalares, através do método Data Envelopment Analysis (DEA), onde os indicadores de entradas (inputs) e saídas (outputs) foram analisados com pressupostos de rendimentos constantes à escala (CRS), orientação para maximização de outputs e com recurso à super-eficiência.
Uma vez que a nossa amostra era composta por Unidades Hospitalares Integradas e não Integradas a um Centro Hospitalar, aplicámos o Índice de Malmquist para contrastar o nível de produtividade desses dois grupos.
Os resultados obtidos e observados individualmente permitiram concluir que é na região do Norte onde se localizam as unidades hospitalares mais eficientes, seguindo-se a região do Centro e Alentejo. Já as unidades que operam na região de Lisboa e do Algarve são as que apresentam taxas de eficiência mais baixas. Ainda assim, é na região de Lisboa que encontramos a unidade que serve de benchmark a um maior número de unidades ineficientes. Quando analisamos a produtividade das unidades hospitalares dos dois grupos (integradas e não integradas a um Centro Hospitalar), conclui-se que a maioria dos hospitais públicos revelam ser mais produtivos quando não integrados num Centro Hospitalar, mostrando que, por vezes, a fusão das unidades pode não ser a solução mais adequada para gerar ganhos de produtividade em determinadas especialidades.
The present study intends to analyze the efficiency of the General Surgery Services of public hospitals in the five Portuguese regions, in the year 2018. Initially, the relative efficiency of the hospital units was obtained through the Data Envelopment Analysis (DEA) technique, where the input and output indicators were analyzed with assumptions of constant returns to scale (CRS), orientation towards maximizing outputs and resorting to super-efficiency. Since our sample consisted of Hospital Units Integrated and not Integrated to a Hospital Center, we applied the Malmquist Index to contrast the productivity of these two groups. The results obtained and observed individually, allowed us to conclude that it is in the North region where the most efficient Hospital Units are located, followed by the Center and Alentejo regions. Regarding the lowest average efficiency, this is observed in the regions of Lisbon and Algarve. Interestingly, the only efficient unit in Lisbon region, is also the one that is considered a benchmark for most hospital units. When analyzing the productivity of the hospital units of the two groups (integrated and not integrated into a Hospital Center), we conclude that the majority of Public Hospitals prove to be more productive when not integrated into a Hospital Center, showing that, sometimes, the merger of units may not be the most appropriate solution to generate productivity gains in certain specialties.
The present study intends to analyze the efficiency of the General Surgery Services of public hospitals in the five Portuguese regions, in the year 2018. Initially, the relative efficiency of the hospital units was obtained through the Data Envelopment Analysis (DEA) technique, where the input and output indicators were analyzed with assumptions of constant returns to scale (CRS), orientation towards maximizing outputs and resorting to super-efficiency. Since our sample consisted of Hospital Units Integrated and not Integrated to a Hospital Center, we applied the Malmquist Index to contrast the productivity of these two groups. The results obtained and observed individually, allowed us to conclude that it is in the North region where the most efficient Hospital Units are located, followed by the Center and Alentejo regions. Regarding the lowest average efficiency, this is observed in the regions of Lisbon and Algarve. Interestingly, the only efficient unit in Lisbon region, is also the one that is considered a benchmark for most hospital units. When analyzing the productivity of the hospital units of the two groups (integrated and not integrated into a Hospital Center), we conclude that the majority of Public Hospitals prove to be more productive when not integrated into a Hospital Center, showing that, sometimes, the merger of units may not be the most appropriate solution to generate productivity gains in certain specialties.
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eficiência centros hospitalares dea índice de malmquist benchmark