Related Experiment Video
Updated: Jul 14, 2026
06:48
Breakfast Habits among Schoolchildren in the City of Uruguaiana, Brazil
Published on: July 29, 2020
[Data envelopment analysis for evaluating public hospitals in Brazilian state capitals]
Antonio C Gonçalves1, Cláudio P Noronha, Marcos P E Lins
1Secretaria Municipal da Saúde, Rio de Janeiro, RJ, Brasil.
Revista De Saude Publica
|May 23, 2007
Summary
Data Envelopment Analysis (DEA) effectively evaluated public hospital performance for clinical medical admissions in Brazil. Significant efficiency variations were found across state capitals, highlighting areas for improvement in healthcare delivery.
Area of Science:
- Healthcare Management
- Operations Research
- Public Health Policy
Background:
- Public hospitals are crucial for healthcare delivery in Brazil.
- Evaluating their efficiency is essential for resource allocation and quality improvement.
- Clinical medical admissions represent a key service area for performance assessment.
Purpose of the Study:
- To apply Data Envelopment Analysis (DEA) methodology for evaluating public hospital performance.
- To assess efficiency in clinical medical admissions across Brazilian state capitals.
- To identify variations in hospital efficiency and correlate them with socioeconomic factors.
Main Methods:
- Data Envelopment Analysis (DEA) was employed to measure hospital efficiency.
- Key variables included mortality rate, length of stay, cost of stay, and disease profile.
- Canonical correlation analysis was used to refine variable ranges, and a constant returns to scale model generated efficiency scores.
Main Results:
- Circulatory diseases were the most common reason for admission (23.6%), with a 10.3% mortality rate.
- Four state capitals achieved 100% efficiency: Palmas, Macapá, Teresina, and Goiânia.
- Efficiency scores varied widely, with 7 hospitals above 85%, 10 between 70-85%, and 10 below 70%.
Conclusions:
- Data Envelopment Analysis (DEA) is a suitable tool for evaluating public hospital performance.
- Significant disparities in clinical medical admission efficiency exist among Brazilian state capitals.
- Findings suggest a need for targeted interventions to improve efficiency in lower-performing hospitals.
Related Concept Videos
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:28Hospitals-I
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
00:59Hospitals-II
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...
Nurses that work in hospitals have...
01:29Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:18Healthcare Agencies I
Healthcare agencies provide healthcare services to people. In the United States, voluntary agencies are often non-profit centers sponsored by donations, grants, or fundraisers. One such organization is Meals on Wheels, which provides meals to the elderly and homebound. The American Heart Association and the American Lung Association are other non-profit community organizations. Doctors and nurses are frequently active members of these organizations, which offer health checks and educational...
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...