2015, Number 5
<< Back Next >>
Rev Med Inst Mex Seguro Soc 2015; 53 (5)
Hospital effi ciency measured by bed space use in a secondary care hospital
Moreno-Martínez R, Martínez-Cruz RA
Language: Spanish
References: 24
Page: 552-557
PDF size: 88.87 Kb.
ABSTRACT
Background: In recognition that the availability of resources in the medical
facility forms part of the factors that infl uence the quality of healthcare,
it is of vital importance to measure their outcome. The aim of this
study was determine the efficiency of the medical facility through the use
of beds in a secondary level hospital.
Methods: Through the Health Information Management System (HIMS),
we examined statistical reports from July 2012 to June 2013 including
variables such as expenses, patient days, occupancy rate, average
length of stay by specialty and medical division, results were obtained
for each strategic indicator, and these results were related assumptions
proposing to assess hospital effi ciency.
Results: Overall, we identified optimal efficiency of the medical facility
without analysis of services, leads to deteriorating and low efficiency.
The overall outcome of the five indicators applied overlooked saturation
of services within the medical unit. However, the overall analysis shows
the problem, noting the advantage of evaluating the same scenario from
different perspectives.
Conclusions: The include indicators measuring hospital efficiency
resource based bed, allows considering deficiencies identified, so that
decision making is strengthened the decision making health.
REFERENCES
World Health Organization. Informe sobre la salud en el mundo: Investigaciones para una cobertura sanitaria universal. World Health Organization. 2013.
Jiménez Paneque Rosa E. Indicadores de calidad y efi ciencia de los servicios hospitalarios: Una mirada actual. Rev Cubana Salud Pública [revista en la Internet]. 2004 Mar [citado 2015 Mar 09]; 30(1): Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext &pid=S0864- 34662004000100004&lng=es.
Chirinos E., Rivero E., Goyo A., Méndez E., Figueredo. Indicadores de Gestión para medir la Efi ciencia Hospitalaria. Negotium: revista de ciencias gerenciales 2008;4(10):50-63.
Murray CJL, Frenk J. A WHO framework for health system performance assessment. World Health Organization 2000.
World Health Organization. Informe sobre la salud en el mundo: La fi nanciación de los sistemas de salud; el camino hacia la cobertura universal. World Health Organization 2010.
Secretaría de Salud. Observatorio del Desempeño Hospitalario 2011. Dirección General de Evaluación del Desempeño. Secretaría de Salud. México, 2012.
Dirección de Prestaciones Médicas. Manual Metodológico de Indicadores Médicos 2013. Instituto Mexicano del Seguro Social. México 2013.
Donabedian A. Approaches to assessment: What to assess in evaluating the quality of medical care? Milbank Mem Fund Quart. 1986;44:167-70.
Ministerio de Salud Pública de Cuba. Indicadores Básicos para el Análisis del Estado de Salud de la Población. Dirección Nacional de Registros Médicos y Estadísticas de Salud. República de Cuba 2010.
Vargas-Fuentes Mauricio Gerencia de Servicios de Salud. Instituto Centroamericano de Salud Pública (ICAP). Costa Rica 1989.
Secretaría de Salud. Manual de Lineamientos para el Intercambio de Servicios en el Sector Salud. México 2011.
Posnett J. Are bigger hospitals better? In: Mckee M, Healy J, eds. Hospitals in a changing Europe. Buckingham, Open University Press, 2002.
Carreño A. Medición de la calidad, la efi ciencia y la productividad en hospitales públicos de tercer nivel de atención en Bogotá. Revista Universidad & Empresa. 2008;17:203-222.
Kuri-Morales P, Chávez-Cortés C. La transformación de sistema y los espacios de la salud pública. Gaceta Médica de México 2012; 148:509-517.
Olukoga A. Unit costs of inpatient days in district hospitals in South Africa. Singapore Med J 2007; 48 (2):143-7.
Kuntz L, Scholtes S, Vera A. Incorporating effi ciency in hospital-capacity planning in Germany. Eur J Health Econ. 2007;8(3):213-223.
Shah BR, Reed SD, Francis J, Ridley DB, Schulman KA. The cost of ineffi ciency in US hospitals, 1985- 1997. J Health Care Finance 2003;30(1):1-9.
Green LV. How many hospital beds? Inquiry 2002-2003;39(4):400-412.
Kirby A, Kjesbo A. Tapping into hidden hospital bed capacity. Healthc Financ Manage 2003;57(11):38-41.
Vargas-González. Indicadores de gestión hospitalaria. Revista de Ciencias Sociales 2007; 3 (XIII): 444-454.
Utley M., Gallivan S, Treasure T, Valencia O. Analytical methods for calculating the capacity required to operate an effective booked admissions policy for elective inpatient services. Health care Manag Sci 2003 May;6(2):97-104.
Mackay M, Lee M. Choice of models for the analysis and forecasting of hospital beds. Health Care Manag Sci 2005;8(3):221-30.
Mackay M. Practical experience with bed occupancy management and planning systems: an Australian view. Health Care Manag Sci 2001;4(1):47-56.
Jones SA, Joy MP, Pearson J. Forecasting demand of emergency care. Health care Manag Sci 2002; 5 (4):297-305.