Impact of the funding reform of teaching hospitals in Brazil

Authors

  • MSC Lobo Universidade Federal do Rio de Janeiro; Hospital Universitário Clementino Fraga Filho; Serviço de Epidemiologia e Avaliação
  • ACM Silva UFRJ; COPPE; Instituto Alberto Luiz Coimbra de Pós-Graduação e Pesquisa em Engenharia
  • MPE Lins UFRJ; COPPE; Instituto Alberto Luiz Coimbra de Pós-Graduação e Pesquisa em Engenharia
  • R Fiszman Universidade Federal do Rio de Janeiro; Hospital Universitário Clementino Fraga Filho; Serviço de Epidemiologia e Avaliação

DOI:

https://doi.org/10.1590/S0034-89102009005000023

Keywords:

Hospitals, Teaching^i2^sorganization & administrat, Costs and Cost Analysis, Rates^i2^sRatios and Proporti, Rates^i2^smeth, Financial Management, Hospital, Economics, Efficiency, Organizational

Abstract

OBJECTIVE: To assess the impact of funding reform on the productivity of teaching hospitals. METHODS: Based on the Information System of Federal University Hospitals of Brazil, 2003 and 2006 efficiency and productivity were measured using frontier methods with a linear programming technique, data envelopment analysis, and input-oriented variable returns to scale model. The Malmquist index was calculated to detect changes during the study period: "technical efficiency change," or the relative variation of the efficiency of each unit; and "technological change" after frontier shift. RESULTS: There was 51% mean budget increase and improvement of technical efficiency of teaching hospitals (previously 11, 17 hospitals reached the empirical efficiency frontier) but the same was not seen for the technology frontier. Data envelopment analysis set benchmark scores for each inefficient unit (before and after reform) and there was a positive correlation between technical efficiency and teaching intensity and dedication. CONCLUSIONS: The reform promoted management improvements but there is a need of further follow-up to assess the effectiveness of funding changes.

Published

2009-06-01

Issue

Section

Original Articles

How to Cite

Lobo, M., Silva, A., Lins, M., & Fiszman, R. (2009). Impact of the funding reform of teaching hospitals in Brazil . Revista De Saúde Pública, 43(3), 437-445. https://doi.org/10.1590/S0034-89102009005000023