SciELO - Scientific Electronic Library Online

 
vol.33 número4La violencia interpersonal en España a través del Conjunto Mínimo Básico de DatosAnálisis de las cesáreas en Uruguay por tipo de centro hospitalario índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Gaceta Sanitaria

versión impresa ISSN 0213-9111

Resumen

PEREZ-ROMERO, Carmen; ORTEGA-DIAZ, M. Isabel; OCANA-RIOLA, Ricardo  y  MARTIN-MARTIN, José Jesús. Multilevel analysis of the technical efficiency of hospitals in the Spanish National Health System by property and type of management. Gac Sanit [online]. 2019, vol.33, n.4, pp.325-332.  Epub 02-Dic-2019. ISSN 0213-9111.  http://dx.doi.org/10.1016/j.gaceta.2018.02.005.

Objective

To analyze technical efficiency by type of property and management of general hospitals in the Spanish National Health System (2010-2012) and identify hospital and regional explanatory variables.

Method

230 hospitals were analyzed combining data envelopment analysis and fixed effects multilevel linear models. Data envelopment analysis measured overall, technical and scale efficiency, and the analysis of explanatory factors was performed using multilevel models.

Results

The average rate of overall technical efficiency of hospitals without legal personality is lower than hospitals with legal personality (0.691 and 0.876 in 2012). There is a significant variability in efficiency under variable returns (TE) by direct, indirect and mixed forms of management. The 29% of the variability in TE es attributable to the Region. Legal personality increased the TE of the hospitals by 11.14 points. On the other hand, most of the forms of management (different to those of the traditional hospitals) increased TE in varying percentages. At regional level, according to the model considered, insularity and average annual income per household are explanatory variables of TE.

Discussion

Having legal personality favours technical efficiency. The regulatory and management framework of hospitals, more than public or private ownership, seem to explain technical efficiency. Regional characteristics explain the variability in TE.

Palabras clave : Efficiency; Data envelopment analysis; Multilevel analysis; National health service; Hospitals; Public-private partnership; Public hospital enterprises.

        · resumen en Español     · texto en Español     · Español ( pdf )