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Assessing the technical efficiency of Brazil's teaching hospitals using data envelopment analysis
Aline Garmatz1, Guilherme Bergmann Borges Vieira2, Sérgio Antonio Sirena3
1Prefeitura Municipal de Porto Alegre. Praça Montevideo 10, Centro Histórico. 90010-170. Porto Alegre RS Brasil. garmatz@hotmail.com.
Ciencia & Saude Coletiva
|September 1, 2021
Summary
Data envelopment analysis (DEA) revealed that 12 of 29 large teaching hospitals in Brazil are technically efficient. Private for-profit hospitals demonstrated the highest efficiency, highlighting DEA
Area of Science:
- Healthcare Management
- Health Services Research
- Operations Research
Background:
- Assessing the technical efficiency of teaching hospitals is crucial for optimizing healthcare resource allocation.
- Brazil's healthcare system faces challenges in ensuring efficient operation of its large teaching hospitals.
- Data Envelopment Analysis (DEA) is a robust method for evaluating the relative efficiency of multiple decision-making units.
Purpose of the Study:
- To evaluate the technical efficiency of large teaching hospitals in Brazil.
- To identify factors influencing the efficiency of these healthcare facilities.
- To explore the applicability of DEA in the Brazilian hospital context.
Main Methods:
- A quantitative, exploratory study utilizing secondary data from Brazil's national health information system (DATASUS).
- An output-oriented Data Envelopment Analysis (DEA) model was applied to a sample of 29 large teaching hospitals.
- Efficiency scores were calculated, and benchmarking was performed for hospitals operating below the efficiency frontier.
Main Results:
- Twelve (41%) of the 29 teaching hospitals were found to be technically efficient, operating on the efficiency frontier.
- Seventeen (59%) hospitals were identified as technically inefficient, with calculated absolute efficiency values.
- Private for-profit hospitals exhibited the highest technical efficiency, followed by private not-for-profit and then public facilities.
Conclusions:
- Data Envelopment Analysis (DEA) is a valuable tool for assessing the technical efficiency of teaching hospitals in Brazil.
- Significant variations in technical efficiency exist among different ownership types of teaching hospitals.
- Findings suggest opportunities for performance improvement in inefficient hospitals through benchmarking and operational adjustments.
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