Evaluating the performance of Brazilian university hospitals

Evaluating the performance of Brazilian university hospitals

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Article ID: iaor20105027
Volume: 178
Issue: 1
Start Page Number: 247
End Page Number: 261
Publication Date: Jul 2010
Journal: Annals of Operations Research
Authors: , , , , ,
Keywords: education, statistics: data envelopment analysis, performance, measurement
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.

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