Brazilian hospitals’ performance: an assessment of the unified health system (SUS)

This paper assesses the economic efficiency of Brazilian general hospitals that provide inpatient care for the Unified Health System (SUS). We combined data envelopment analysis (DEA) and spatial analysis to identify predominant clusters, measure hospital inefficiency and analyze the spatial pattern...

Full description

Saved in:
Bibliographic Details
Published in:Health care management science 2020-09, Vol.23 (3), p.443-452
Main Authors: de Almeida Botega, Laura, Andrade, Mônica Viegas, Guedes, Gilvan Ramalho
Format: Article
Language:English
Subjects:
Brazil
Business and Management
Data envelopment analysis
Econometrics
Efficiency, Organizational - economics
Health Administration
Health Care Costs - statistics & numerical data
Health Informatics
Hospital Bed Capacity - statistics & numerical data
Hospitalization - statistics & numerical data
Hospitals, General - economics
Hospitals, General - organization & administration
Hospitals, General - standards
Humans
Management
Operations Research/Decision Theory
Personnel, Hospital - statistics & numerical data
Universal Health Care
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c509t-219ed0f3d53263d6a70f1e30b930677b3f611529c6a57af8c0c26eb50ff02b613
cites cdi_FETCH-LOGICAL-c509t-219ed0f3d53263d6a70f1e30b930677b3f611529c6a57af8c0c26eb50ff02b613
container_end_page 452
container_issue 3
container_start_page 443
container_title Health care management science
container_volume 23
creator de Almeida Botega, Laura
Andrade, Mônica Viegas
Guedes, Gilvan Ramalho
description This paper assesses the economic efficiency of Brazilian general hospitals that provide inpatient care for the Unified Health System (SUS). We combined data envelopment analysis (DEA) and spatial analysis to identify predominant clusters, measure hospital inefficiency and analyze the spatial pattern of inefficiency throughout the country. Our findings pointed to a high level of hospital inefficiency, mostly associated with small size and distributed across all Brazilian states. Many of these hospitals could increase production and reduce inputs to achieve higher efficiency standards. These findings suggest room for optimization, but inequalities in access and the matching of demand and supply must be carefully considered in any attempt to reorganize the hospital system in Brazil.
doi_str_mv 10.1007/s10729-020-09505-5
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2399243229</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2429348953</sourcerecordid><originalsourceid>FETCH-LOGICAL-c509t-219ed0f3d53263d6a70f1e30b930677b3f611529c6a57af8c0c26eb50ff02b613</originalsourceid><addsrcrecordid>eNp9kMtuFDEQRS0URB7wAyyQpWySRUO5PHaPswtRAkiRWMxkbbm7y5mO-jG4uhfJit_g9_gSDBOClAWrsnRP3bKOEG8VvFcA5QdWUKIrAKEAZ8AU5oU4UKbEwuml28tvvbSFswj74pD5DgAMWPVK7GvUJaJdHIj1xxQe2q4Ng9yMvG2n0PHP7z_kllIcUx-Gms5kDgMzMfc0THKMctqQnIc2ttTIDYVu2ki-54l6ebK6WZ2-Fi9j7qE3j_NI3Fxdri8-F9dfP325OL8uagNuKlA5aiDqxmi0urGhhKhIQ-U02LKsdLRKGXS1DaYMcVlDjZYqAzECVlbpI3Gy692m8dtMPPm-5Zq6Lgw0zuxRO4cLjegyevwMvRvnNOTfeVzkfLF0RmcKd1SdRuZE0W9T24d07xX43879zrnPzv0f597kpXeP1XPVU_O08ldyBvQO4BwNt5T-3f5P7S8ZXou6</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2429348953</pqid></control><display><type>article</type><title>Brazilian hospitals’ performance: an assessment of the unified health system (SUS)</title><source>EconLit s plnými texty</source><source>Business Source Ultimate</source><source>ABI/INFORM Global</source><source>Springer Link</source><creator>de Almeida Botega, Laura ; Andrade, Mônica Viegas ; Guedes, Gilvan Ramalho</creator><creatorcontrib>de Almeida Botega, Laura ; Andrade, Mônica Viegas ; Guedes, Gilvan Ramalho</creatorcontrib><description>This paper assesses the economic efficiency of Brazilian general hospitals that provide inpatient care for the Unified Health System (SUS). We combined data envelopment analysis (DEA) and spatial analysis to identify predominant clusters, measure hospital inefficiency and analyze the spatial pattern of inefficiency throughout the country. Our findings pointed to a high level of hospital inefficiency, mostly associated with small size and distributed across all Brazilian states. Many of these hospitals could increase production and reduce inputs to achieve higher efficiency standards. These findings suggest room for optimization, but inequalities in access and the matching of demand and supply must be carefully considered in any attempt to reorganize the hospital system in Brazil.</description><identifier>ISSN: 1386-9620</identifier><identifier>EISSN: 1572-9389</identifier><identifier>DOI: 10.1007/s10729-020-09505-5</identifier><identifier>PMID: 32372264</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Brazil ; Business and Management ; Data envelopment analysis ; Econometrics ; Efficiency, Organizational - economics ; Health Administration ; Health Care Costs - statistics &amp; numerical data ; Health Informatics ; Hospital Bed Capacity - statistics &amp; numerical data ; Hospitalization - statistics &amp; numerical data ; Hospitals, General - economics ; Hospitals, General - organization &amp; administration ; Hospitals, General - standards ; Humans ; Management ; Operations Research/Decision Theory ; Personnel, Hospital - statistics &amp; numerical data ; Universal Health Care</subject><ispartof>Health care management science, 2020-09, Vol.23 (3), p.443-452</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c509t-219ed0f3d53263d6a70f1e30b930677b3f611529c6a57af8c0c26eb50ff02b613</citedby><cites>FETCH-LOGICAL-c509t-219ed0f3d53263d6a70f1e30b930677b3f611529c6a57af8c0c26eb50ff02b613</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2429348953/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2429348953?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,11687,27923,27924,36059,36060,44362,74666</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32372264$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Almeida Botega, Laura</creatorcontrib><creatorcontrib>Andrade, Mônica Viegas</creatorcontrib><creatorcontrib>Guedes, Gilvan Ramalho</creatorcontrib><title>Brazilian hospitals’ performance: an assessment of the unified health system (SUS)</title><title>Health care management science</title><addtitle>Health Care Manag Sci</addtitle><addtitle>Health Care Manag Sci</addtitle><description>This paper assesses the economic efficiency of Brazilian general hospitals that provide inpatient care for the Unified Health System (SUS). We combined data envelopment analysis (DEA) and spatial analysis to identify predominant clusters, measure hospital inefficiency and analyze the spatial pattern of inefficiency throughout the country. Our findings pointed to a high level of hospital inefficiency, mostly associated with small size and distributed across all Brazilian states. Many of these hospitals could increase production and reduce inputs to achieve higher efficiency standards. These findings suggest room for optimization, but inequalities in access and the matching of demand and supply must be carefully considered in any attempt to reorganize the hospital system in Brazil.</description><subject>Brazil</subject><subject>Business and Management</subject><subject>Data envelopment analysis</subject><subject>Econometrics</subject><subject>Efficiency, Organizational - economics</subject><subject>Health Administration</subject><subject>Health Care Costs - statistics &amp; numerical data</subject><subject>Health Informatics</subject><subject>Hospital Bed Capacity - statistics &amp; numerical data</subject><subject>Hospitalization - statistics &amp; numerical data</subject><subject>Hospitals, General - economics</subject><subject>Hospitals, General - organization &amp; administration</subject><subject>Hospitals, General - standards</subject><subject>Humans</subject><subject>Management</subject><subject>Operations Research/Decision Theory</subject><subject>Personnel, Hospital - statistics &amp; numerical data</subject><subject>Universal Health Care</subject><issn>1386-9620</issn><issn>1572-9389</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>M0C</sourceid><recordid>eNp9kMtuFDEQRS0URB7wAyyQpWySRUO5PHaPswtRAkiRWMxkbbm7y5mO-jG4uhfJit_g9_gSDBOClAWrsnRP3bKOEG8VvFcA5QdWUKIrAKEAZ8AU5oU4UKbEwuml28tvvbSFswj74pD5DgAMWPVK7GvUJaJdHIj1xxQe2q4Ng9yMvG2n0PHP7z_kllIcUx-Gms5kDgMzMfc0THKMctqQnIc2ttTIDYVu2ki-54l6ebK6WZ2-Fi9j7qE3j_NI3Fxdri8-F9dfP325OL8uagNuKlA5aiDqxmi0urGhhKhIQ-U02LKsdLRKGXS1DaYMcVlDjZYqAzECVlbpI3Gy692m8dtMPPm-5Zq6Lgw0zuxRO4cLjegyevwMvRvnNOTfeVzkfLF0RmcKd1SdRuZE0W9T24d07xX43879zrnPzv0f597kpXeP1XPVU_O08ldyBvQO4BwNt5T-3f5P7S8ZXou6</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>de Almeida Botega, Laura</creator><creator>Andrade, Mônica Viegas</creator><creator>Guedes, Gilvan Ramalho</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20200901</creationdate><title>Brazilian hospitals’ performance: an assessment of the unified health system (SUS)</title><author>de Almeida Botega, Laura ; Andrade, Mônica Viegas ; Guedes, Gilvan Ramalho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c509t-219ed0f3d53263d6a70f1e30b930677b3f611529c6a57af8c0c26eb50ff02b613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Brazil</topic><topic>Business and Management</topic><topic>Data envelopment analysis</topic><topic>Econometrics</topic><topic>Efficiency, Organizational - economics</topic><topic>Health Administration</topic><topic>Health Care Costs - statistics &amp; numerical data</topic><topic>Health Informatics</topic><topic>Hospital Bed Capacity - statistics &amp; numerical data</topic><topic>Hospitalization - statistics &amp; numerical data</topic><topic>Hospitals, General - economics</topic><topic>Hospitals, General - organization &amp; administration</topic><topic>Hospitals, General - standards</topic><topic>Humans</topic><topic>Management</topic><topic>Operations Research/Decision Theory</topic><topic>Personnel, Hospital - statistics &amp; numerical data</topic><topic>Universal Health Care</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Almeida Botega, Laura</creatorcontrib><creatorcontrib>Andrade, Mônica Viegas</creatorcontrib><creatorcontrib>Guedes, Gilvan Ramalho</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Health care management science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Almeida Botega, Laura</au><au>Andrade, Mônica Viegas</au><au>Guedes, Gilvan Ramalho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Brazilian hospitals’ performance: an assessment of the unified health system (SUS)</atitle><jtitle>Health care management science</jtitle><stitle>Health Care Manag Sci</stitle><addtitle>Health Care Manag Sci</addtitle><date>2020-09-01</date><risdate>2020</risdate><volume>23</volume><issue>3</issue><spage>443</spage><epage>452</epage><pages>443-452</pages><issn>1386-9620</issn><eissn>1572-9389</eissn><abstract>This paper assesses the economic efficiency of Brazilian general hospitals that provide inpatient care for the Unified Health System (SUS). We combined data envelopment analysis (DEA) and spatial analysis to identify predominant clusters, measure hospital inefficiency and analyze the spatial pattern of inefficiency throughout the country. Our findings pointed to a high level of hospital inefficiency, mostly associated with small size and distributed across all Brazilian states. Many of these hospitals could increase production and reduce inputs to achieve higher efficiency standards. These findings suggest room for optimization, but inequalities in access and the matching of demand and supply must be carefully considered in any attempt to reorganize the hospital system in Brazil.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32372264</pmid><doi>10.1007/s10729-020-09505-5</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1386-9620
ispartof Health care management science, 2020-09, Vol.23 (3), p.443-452
issn 1386-9620
1572-9389
language eng
recordid cdi_proquest_miscellaneous_2399243229
source EconLit s plnými texty; Business Source Ultimate; ABI/INFORM Global; Springer Link
subjects Brazil
Business and Management
Data envelopment analysis
Econometrics
Efficiency, Organizational - economics
Health Administration
Health Care Costs - statistics & numerical data
Health Informatics
Hospital Bed Capacity - statistics & numerical data
Hospitalization - statistics & numerical data
Hospitals, General - economics
Hospitals, General - organization & administration
Hospitals, General - standards
Humans
Management
Operations Research/Decision Theory
Personnel, Hospital - statistics & numerical data
Universal Health Care
title Brazilian hospitals’ performance: an assessment of the unified health system (SUS)
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T08%3A59%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Brazilian%20hospitals%E2%80%99%20performance:%20an%20assessment%20of%20the%20unified%20health%20system%20(SUS)&rft.jtitle=Health%20care%20management%20science&rft.au=de%20Almeida%20Botega,%20Laura&rft.date=2020-09-01&rft.volume=23&rft.issue=3&rft.spage=443&rft.epage=452&rft.pages=443-452&rft.issn=1386-9620&rft.eissn=1572-9389&rft_id=info:doi/10.1007/s10729-020-09505-5&rft_dat=%3Cproquest_cross%3E2429348953%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c509t-219ed0f3d53263d6a70f1e30b930677b3f611529c6a57af8c0c26eb50ff02b613%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2429348953&rft_id=info:pmid/32372264&rfr_iscdi=true