[go: up one dir, main page]
More Web Proxy on the site http://driver.im/ Skip to main content
Log in

Evaluating the performance of Brazilian university hospitals

  • Published:
Annals of Operations Research Aims and scope Submit manuscript

Abstract

In order to demonstrate how DEA modeling can be helpful to aid decision making relative to the Brazilian Teaching Hospital Policy by means of hospital performance assessment, we develop a case study with 30 general hospitals linked to Brazilian Federal Universities. We consider data on medical care (Medical Model—MM), teaching and research (Teaching-Research Model—TRM) and use the software IDEAL (Interactive Data Envelopment Analysis Laboratory) as a tool for the units’ efficiency evaluation. IDEAL, developed in Brazil, is unique in providing a 3-D frontiers visualization, assisting in exploratory analysis and allowing a better understanding of the DEA modeling (envelopment and multiplier). Both models are input-oriented and each hospital is categorized according to its relative efficiency in the MM and TRM. In this phase, it is very important to discuss with the decision-makers the results and patterns of the DEA models. Finally, the modelling indicates the necessary changes for the inefficient units and generates recommendations for teaching ratios and public financing.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
£29.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (United Kingdom)

Instant access to the full article PDF.

Similar content being viewed by others

References

  • AAFP State Government Relations (2005). http://www.aafp.org/online/etc/medialib/aafp_org/documents/policy/state/medicaid-gme.Par.0001.File.dat/stateadvocacy_MedicaidGME.pdf.

  • Chen, A., Hwang, Y., & Shao, B. (2005). Measurement and sources of overall and input inefficiencies: evidences and implications in hospital services. European Journal of Operational Research, 161, 447–468.

    Article  Google Scholar 

  • Chilingerian, J. A., & Sherman, H. D. (2004). Health care applications: From hospitals to physicians. From productive efficiency to quality frontiers. In W. Cooper (Eds.), Handbook on data envelopment analysis (pp. 481–537). Norwell: Kluwer Academic. Chap. 17.

    Google Scholar 

  • Cook, W. D., & Zhu, J. (2007). Classifying inputs and outputs in data envelopment analysis. European Journal of Operational Research, 180(2), 692–699.

    Article  Google Scholar 

  • Cooper, W. W., Seiford, L. M., & Tone, K. (2000). Data envelopment analysis: a comprehensive text with models, applications references and DEA-solver software. Norwell: Kluwer Academic.

    Google Scholar 

  • Ersoy, K., Kavuncubasi, S., Ozcan, Y., & Harris, J. M. (1997). Technical efficiencies of Turkish hospitals: DEA approach. Journal of Medical Systems, 21(2), 67–74.

    Article  Google Scholar 

  • Färe, R., & Grosskopf, S. (2000). Network DEA. Socio-Economic Planning Sciences, 34, 35–49.

    Article  Google Scholar 

  • Grosskopf, S., Margaritis, D., & Valdmanis, V. (2001a). Comparing teaching and non-teaching hospitals: a frontier approach. Health Care Management Science, 4, 83–90.

    Article  Google Scholar 

  • Grosskopf, S., Margaritis, D., & Valdmanis, V. (2001b). The effects of teaching on hospital productivity. Socio-Economic Planning Sciences, 35, 189–204.

    Article  Google Scholar 

  • Grosskopf, S., Margaritis, D., & Valdmanis, V. (2004). Competitive effects on teaching hospitals. European Journal of Operational Research, 154, 515–525.

    Article  Google Scholar 

  • Hollingsworth, B. (2003). Non-parametric and parametric applications measuring efficiency in health care. Heath Care Management Science, 6, 203–218.

    Article  Google Scholar 

  • Lins, M. P. E., Sollero, M. K. V., Calôba, G. M., & Silva, A. C. M. (2006). Integrating the regulatory and utility firm perspectives when measuring the efficiency of electricity distribution. European Journal of Operational Research, doi:10.1016/j.ejor.2005.10.072.

    Google Scholar 

  • Lins, M. P. E., Lobo, M. S. C., Fiszman, R., & Silva, A. M. (2007). O uso da análise envoltória de dados—DEA—para avaliação de hospitais universitários brasileiros. Revista Ciência e Saúde Coletiva, 12(4), 985–998.

    Google Scholar 

  • Lobo, M. S. C., Bloch, K. V., Fiszman, R., Oliveira, M. R., & Ribeiro, V. J. P. (2006). Sistema de Informações dos Hospitais Universitários (SIHUF/MEC): Um banco de dados administrativo. Information System of Federal Teaching Hospitals (SIHUF/MEC): an administrative database. Cadernos Saúde Coletiva, Rio de Janeiro, 14(1), 149–162.

    Google Scholar 

  • Marinho, A., & Façanha, L. O. (2000). Hospitais universitários: avaliação comparativa de eficiência técnica. Brazilian Journal of Applied Economics, 4(2), 315–349.

    Google Scholar 

  • O’Neill, L., Rauner, M., Heidenberger, K., & Kraus, M. (2008). A cross-national comparison and taxonomy of DEA-based hospital efficiency studies. Socio-Economic Planning Sciences, 42(3), 158–189.

    Article  Google Scholar 

  • Ozcan, Y. A. (1993). Sensitivity analysis of hospital efficiency under alternative output/input and peer group: a review. Knowledge and policy. The International Journal of Knowledge Transfer and Utilization, 5(4), 1–29.

    Google Scholar 

  • Ozcan, Y. A. (1995). Efficiency of hospital service production in local markets: the balance sheet of U.S. medical armament. Socio-Economic Planning Sciences, 29(2), 139–150.

    Article  Google Scholar 

  • Ozcan, Y. A. (2008). Health care benchmarking and performance evaluation: an assessment using data envelopment analysis. Norwell: Springer.

    Book  Google Scholar 

  • WHO/SDS/DHS/96.1 (1995). Institute for health policy studies—IEPS/World Health Organization. Seminar report: The proper function of teaching hospitals within health systems—September.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yasar A. Ozcan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ozcan, Y.A., Lins, M.E., Lobo, M.S.C. et al. Evaluating the performance of Brazilian university hospitals. Ann Oper Res 178, 247–261 (2010). https://doi.org/10.1007/s10479-009-0528-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10479-009-0528-1

Keywords

Navigation