Evaluating the performance of Brazilian university hospitals

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.

Avaliação de desempenho e integração docente-assistencial nos hospitais universitários

“…21 The set of variables proposed by Ozcan to deal with the health care dimension in a hospital environment has been a consensus in the literature. Among inputs, this set considers human resources, costs and beds (along with service-mix, it is proxy for capital); while, among outputs, the production adjusted for severity.…”

Eficiência técnica e inovatividade: um estudo em hospitais privados brasileiros

“…Estudos que analisam a eficiência de hospitais no Brasil, por meio do modelo matemático Análise por Envoltória de Dados (DEA), frequentemente têm utilizado de maneira combinada indicadores operacionais e financeiros e têm analisado principalmente hospitais prestadores de serviços ao Sistema Único de Saúde do Brasil, tanto públicos quanto privados (Proite et Sousa, 2004;Varela et Martins, 2011;Guerra et al, 2012), e hospitais universitários (Frainer, 2004;Lins et al, 2007;Ozcan et al, 2010). Ao analisar 1.170 hospitais brasileiros, sendo 852 privados e 319 públicos, Proite et Souza (2004) concluíram que os públicos tendem a ser mais eficientes do que os privados, já que estes estariam mais focados na melhoria da qualidade dos serviços prestados, comprometendo mais recursos do que os públicos.…”

Relative Performance Evaluation of Competing Crude Oil Prices’ Volatility Forecasting Models: A Slacks-Based Super-Efficiency DEA Model

“…All DEA models allow one to classify DMUs into efficient and inefficient ones, but only a limited number of models are designed for ranking DMUs. DEA-based methodologies have been used in many application areas such as education (Johnson and Ruggiero [20]); electricity distribution (Korhonen and Syrjanen [21]); and hospitals (Ozcan et al [22]). The reader is referred to Seiford [23], Cooper et al [24] and Liu et al [25] for further surveys on application areas.…”