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Performance analysis: a study using data envelopment analysis in 26 Brazilian hospitals
Mariana Guerra1, Antônio Artur de Souza, Douglas Rafael Moreira
1Federal University of Brasilia. mariguerra_mg@yahoo.com.br
Journal of Health Care Finance
|August 17, 2012
Summary
This study proposes a financial and operational analysis for Brazilian public hospitals. It uses Data Envelopment Analysis to evaluate financial management effectiveness and identify performance benchmarks.
Area of Science:
- Health Services Management
- Financial Analysis
- Public Health Policy
Background:
- Public hospitals in Brazil, part of the Unified Health Care System (Sistema Unico de Saúde-SUS), face challenges in financial management.
- Assessing the effectiveness of financial management is crucial for optimizing resource allocation and service delivery.
Purpose of the Study:
- To propose and validate a model for analyzing the financial and operational performance of Brazilian public hospitals.
- To identify key financial and operational indicators for evaluating hospital management effectiveness.
- To establish performance benchmarks for Brazilian hospitals.
Main Methods:
- Utilized Data Envelopment Analysis (DEA) to construct and refine analytical models.
- Selected 26 public hospitals from the Brazilian Unified Health Care System (SUS) with available financial statements (from 2008) and operational data.
- Incorporated financial and non-financial (operational) rates based on established academic literature.
Main Results:
- Most financial indicators demonstrated significance across all models, with only one exception.
- Operational indicators showed limited relevance when the number of occupied beds was used as a variable.
Conclusions:
- The proposed framework effectively links financial and operational rates for hospital performance analysis.
- The study introduces standardized value ranges applicable to Brazilian hospitals, aiding future performance evaluations.
- The methodology has broad potential for assessing financial management across Brazilian healthcare institutions.
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