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PERFORMANCE ANALYSIS OF BRAZILIAN PUBLIC AND PHILANTHROPIC HOSPITALS (ANÁLISE DO DESEMPENHO DE HOSPITAIS PÚBLICOS E FILANTRÓPICOS BRASILEIROS)

Antônio Artur de Souza, Ewerton Alex Avelar, Alisson Maciel de Faria Marques, Douglas Rafael Moreira, Osmar Ferreira da Silva and Daniele Oliveira Xavier
Additional contact information
Antônio Artur de Souza: Department of Administrative Sciences, FACE/UFMG, Brazil
Ewerton Alex Avelar: Department of Administrative Sciences, FACE/UFMG, Brazil
Alisson Maciel de Faria Marques: Secretary of Health of Minas Gerais, Brazil
Douglas Rafael Moreira: Université du Québec – École de Technologie Supérieure, Canada
Osmar Ferreira da Silva: Department of Administrative Sciences, FACE/UFMG, Brazil
Daniele Oliveira Xavier: Department of Administrative Sciences, FACE/UFMG, Brazil

Portuguese Journal of Management Studies, 2014, vol. XIX, issue 2, 75-94

Abstract: This paper presents the results of a research that aimed at identifying optimal performance standards of Brazilian public and philanthropic hospitals. In order to carry out the analysis, a model based on Data Envelopment Analysis (DEA) was developed. We collected financial data from hospitals’ financial statements available on the internet, as well as operational data from the Information Technology Department of the Brazilian Public Health Care System – SUS (DATASUS). Data from 18 hospitals from 2007 to 2011 were analyzed. Our DEA model used both operational and financial indicators (variables). In order to develop this model, two indicators were considered inputs: Values (in Brazilian Reais) of Fixed Assets and Planned Capacity. On the other hand, the following indicators were considered outputs: Net Margin, Return on Assets and Institutional Mortality Rate. As regards the proposed model, there were five hospitals with optimal performance and four hospitals were considered inefficient, upon the analysis of the variables, considering the analyzed period. Analysis of the weights indicated the most relevant variables for determining efficiency and scale variable values, which is an important tool to aid the decision-making by hospital managers. Finally, the scale variables determined the returns on production, indicating that 14 hospitals work with scale diseconomies. This may indicate inefficiency in the resource management of the Brazilian public health-care system, by analyzing this set of proposed variables. Classification- JEL:

Keywords: Public and philanthropic hospitals; Data Envelopment Analysis (DEA); Financial and operational indicators. (search for similar items in EconPapers)
Date: 2014
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