Related Experiment Videos
[Activity and cost in hospitals managed by INSALUD in 1990-1993]
E Poves Martínez1, S Esteban Gonzalo, A Prieto Orzanco
1Ministerio de Sanidad y Consumo.
Revista Espanola De Salud Publica
|May 1, 1995
Summary
Management strategies in Insalud hospitals increased activity and controlled expenses. This led to greater hospital output with reduced financial increases, enhancing overall healthcare efficiency.
Area of Science:
- Health Services Management
- Hospital Administration
- Healthcare Economics
Background:
- Hospitals aim to improve efficiency through various management measures.
- Insalud has implemented strategies for continuous improvement in its managed hospitals.
- This study analyzes activity and expenses in Insalud hospitals over four years.
Purpose of the Study:
- To evaluate the impact of management measures on hospital efficiency.
- To analyze trends in hospital activity and expenses.
- To assess cost control and activity increases in Insalud hospitals.
Main Methods:
- Descriptive study of hospital activity and costs over four years.
- Analysis of 88 Insalud hospitals, individually and in groups.
- Utilized standard indicators for intermediate products, activity, and costs measured by Unit of Production Activity (UPA).
Main Results:
- Global increase in hospital activity: inpatients, outpatients, and surgery (especially ambulatory).
- Decreased average length of stay and increased bed turnover.
- Activity measured in UPAs increased by 2.54% (1993 vs. 1992), with UPA cost reduced by 688 pesetas in constant currency.
Conclusions:
- Implemented management measures successfully boosted hospital activity.
- Effective expense control led to greater hospital output with controlled financial increases.
- Hospital groups showed more consistent behavior in production and cost indicators.