[Efficiency of outpatient clinics in Matanzas, Cuba, using data envelopment analysis]. / Niveles de eficiencia de las policlínicas de Matanzas, Cuba, según el método de análisis envolvente de datos.
Rev Panam Salud Publica
; 22(2): 100-9, 2007 Aug.
Article
em Es
| MEDLINE
| ID: mdl-17976276
OBJECTIVES: To rate the efficiency of all the outpatient clinics in Matanzas, Cuba; identify the best-performing clinics; and find opportunities for improvement at the others. METHODS: A descriptive study of the 40 outpatient clinics in the province of Matanza was carried out during the first trimester of 2006. Clinics were grouped according to the complexity of services they offer and the socioeconomic level of the municipality in which they are located. Five output and six input variables were analyzed. Calculations were performed using data envelopment analysis, including optimization of results and constant and variable returns-to-scale. RESULTS: In general, the clinics studied had high efficiency rates, with a mean of 0.95 +/- 0.11. Eleven (27.5%) clinics studied were rated inefficient (0.77 +/- 0.12). The following Three key areas for improvement were identified: increasing tuberculosis detection rates in the community, reducing rates of preventable infant mortality, and expanding immunization coverage. Among the 11 clinics rated as inefficient, there were resource gaps in at least one indicator. CONCLUSIONS: By recognizing successful clinics, best practices were identified that could be used to improve the weaker clinics. The resource distribution process should be reviewed to ensure that additional, unneeded resources are not used to improve efficiency.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Instituições de Assistência Ambulatorial
/
Pesquisa sobre Serviços de Saúde
Tipo de estudo:
Evaluation_studies
/
Guideline
/
Prognostic_studies
Aspecto:
Equity_inequality
Limite:
Adult
/
Humans
/
Infant
/
Newborn
País/Região como assunto:
Caribe
/
Cuba
Idioma:
Es
Revista:
Rev Panam Salud Publica
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Cuba
País de publicação:
Estados Unidos