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Eficiencia de los hospitales públicos de Bogotá

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  • Nupia Oscar Andrés
  • Fabio Sánchez

Abstract

Este trabajo aborda la eficiencia de los 31 hospitales públicos de Bogotá, utilizando información de producción e insumos de los hospitales en 1999. Mediante la aplicación de técnicas DEA (Data Envelopment Analysis) , se obtienen medidas de eficiencia, tanto técnicas como asignativas, usando funciones de producción multiproducto y uniproducto, respectivamente, con diferentes supuestos de rendimientos a escala. Para explicar sus determinantes, se utilizan modelos de regresión lineal con técnicas de componentes principales, con la inclusión de variables exógenas que recogen aspectos de la estructura de ingresos y gastos de los hospitales, la estructura de mercado, la estructura laboral, la demanda de servicios y la localización geográfica. Los resultados sugieren que aproximadamente la mitad de los hospitales del distrito poseen ineficiencias de tipo técnico y la gran mayoría afronta ineficiencias de tipo asignativo. Como posibles causas de tal situación se encuentran la estructura sindical, de contratación y de subsidios a la oferta

Suggested Citation

  • Nupia Oscar Andrés & Fabio Sánchez, 2001. "Eficiencia de los hospitales públicos de Bogotá," Revista Desarrollo y Sociedad, Universidad de los Andes,Facultad de Economía, CEDE, September.
    • Handle: RePEc:col:000090:002441
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    File URL: http://economia.uniandes.edu.co/revistadys/Articulo48_2.pdf
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    References listed on IDEAS

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    1. Rajiv D. Banker & Robert F. Conrad & Robert P. Strauss, 1986. "A Comparative Application of Data Envelopment Analysis and Translog Methods: An Illustrative Study of Hospital Production," Management Science, INFORMS, vol. 32(1), pages 30-44, January.
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    Cited by:

    1. Galvis-Aponte, Luis Armando, 2016. "Eficiencia en el uso de los recursos del SGP : los casos de la salud y la educación," Chapters, in: Bonet-Morón, Jaime Alfredo & Galvis-Aponte, Luis Armando (ed.), Sistemas de transferencias subnacionales : lecciones para una reforma en Colombia, chapter 7, pages 163-191, Banco de la Republica de Colombia.
    2. Andrés Camilo Santos Ospina & Mario García Molina & Liliana Chicaíza Becerra, 2016. "¿Crisis financiera o de gestión? Evolución del sector salud desde la perspectiva de los entes territoriales," Apuntes del Cenes, Universidad Pedagógica y Tecnológica de Colombia, vol. 35(61), pages 177-206, January.

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    More about this item

    Keywords

    eficiencia asignativa; producción de salud; política;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis

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