Abstract
Abstract Introduction Multidimensional efficiency analysis can provide important insights into the performance of hospitals. In this paper, we propose a multidimensional model based on Data Envelopment Analysis (DEA) to investigate and compare the efficiency of public hospitals in Brazil. Methods Data from 21 public hospitals were collected from public databases (OECD - Organization for Economic Co-operation and Development; SIH-SUS - SUS Hospital Information System, Datasus, Brazil). Four inputs (Number of medical and non-medical staff, Annual revenue, Number of beds, Average length of patient hospitalization), four Variables of Influence (Type of hospital, Accredited hospital, Number of medical specialties, Resources from government) and four Outputs (Number of outpatient care services, Number of hospitalizations, Number of surgeries, Number of exams) were used to feed the DEA model. Results Seven hospital units reach 100% efficiency and, according to DEA, can be considered efficient units. Two units were considered “almost efficient” and the remaining twelve units perform poorly, considering the data supplied to the DEA model. As a whole, the average efficiency of the hospitals investigated was 79% (0.79). Conclusion A very heterogeneous performance has been found among the Brazilian public hospitals investigated. Besides, the reasonably low average efficiency seems to indicate that the system has a large potential for improvement in almost all areas associated with the input and output variables investigated in this paper.
Highlights
Multidimensional efficiency analysis can provide important insights into the performance of hospitals
Data from 21 Brazilian public hospitals were extracted from the OECD and SIH-SUS databases
There are more than 21 public hospitals in the country, those were the units with the complete set of variables (Inputs, Outputs and Variables of influence) available
Summary
Multidimensional efficiency analysis can provide important insights into the performance of hospitals. We propose a multidimensional model based on Data Envelopment Analysis (DEA) to investigate and compare the efficiency of public hospitals in Brazil. According to a health report published by the Foundation Institute of Administration of the University of São Paulo (FIA/USP - Brazil), in 2007 the Brazilian. A model for multidimensional efficiency analysis of public hospital management.
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