My SciELO
Services on Demand
Journal
Article
Indicators
- Cited by SciELO
- Access statistics
Related links
- Cited by Google
- Similars in SciELO
- Similars in Google
Share
Gaceta Sanitaria
Print version ISSN 0213-9111
Abstract
SAN-JOSE, Leire; RETOLAZA, José Luis and BERNAL, Ramón. Social value added index: a proposal for analyzing hospital efficiency. Gac Sanit [online]. 2021, vol.35, n.1, pp.21-27. Epub Nov 22, 2021. ISSN 0213-9111. https://dx.doi.org/10.1016/j.gaceta.2019.08.011.
Objective
The objective of this paper is to demonstrate that it is possible to monetize the social value generated by a hospital and use it to establish a different perspective to analyze the efficiency of public spending.
Method
A public hospital in Spain was selected using the case method. It is suitable for two reasons; first, the hospital activity is small and therefore dialogue with stakeholders is easy; and second, as it is a hospital of a residential nature, it allows an easy, modifiable and testable approximation of social accounting in hospitals.
Results
It establishes the monetary translation of the activity of a hospital, including the social part of the economic transactions (market), the variables that have not been created based on economic transaction, but have been perceived and valued by the stakeholders (not market), and the satisfaction of the stakeholders (emotional). This socio-emotional value amounts to approximately 60 million Euros per year from 2013 to 2017.
Conclusions
The social value generated for the stakeholders, and its monetization, allows more efficient management of decisions towards the social purpose of public hospitals. In particular, the social value added index can be a tool for the social-efficiency of hospitals, as it establishes how much social value it generates from the public funding allocated to it. Thus, the decline in this value in recent years denotes a problem that, without this analysis with a social perspective and from the stakeholders, could not have been detected.
Keywords : Tenders; Integrated value; Shared value; Shadow prices; Public hospitals.