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Evaluating Colombia's Hospital Bed Expansion From 2010 to 2022 Using Interrupted Time Series Analysis During the
Paul Rodríguez Lesmes1, Dalya Sofía Rua1, Catalina Durán1
1School of Economics, Universidad del Rosario, Bogotá, Colombia.
Health Services Insights
|July 17, 2025
Summary
Colombia
Area of Science:
- Healthcare management
- Public health policy
- Epidemiology
Background:
- COVID-19 pandemic's strain on global healthcare systems.
- Need for rapid expansion of hospital bed capacity.
- Colombia's healthcare system response evaluation.
Purpose of the Study:
- Analyze changes in hospital bed allocation in Colombia from 2010-2022.
- Assess the impact of the COVID-19 pandemic on bed capacity.
- Identify trends in hospital bed expansion and reallocation.
Main Methods:
- Observational study using national healthcare facility census data.
- Analysis of hospital size, ownership, and service types.
- Interrupted time series models applied at hospital and municipal levels.
Main Results:
- Significant reduction in adult and pediatric beds in 2020.
- Consistent increase in adult Intensive Care Unit (ICU) beds.
- Expansion primarily in small, public hospitals and existing high-supply areas.
Conclusions:
- Colombia's healthcare system showed dynamic resource reallocation during the pandemic.
- Need for financial and organizational reforms for future crisis preparedness.
- Challenges in managing complex healthcare system configurations.
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