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Analysis of the technical efficiency of the forms of hospital management based on public‐private collaboration of the Madrid Health Service, as compared with traditional management
Author(s) -
Franco Miguel José Luis,
Fullana Belda Carmen,
Rúa Vieites Antonio
Publication year - 2018
Publication title -
the international journal of health planning and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.672
H-Index - 41
eISSN - 1099-1751
pISSN - 0749-6753
DOI - 10.1002/hpm.2678
Subject(s) - data envelopment analysis , public–private partnership , business , managed care , operations management , general partnership , facility management , public hospital , service (business) , health care , medicine , finance , marketing , nursing , economics , mathematical optimization , mathematics , economic growth
Summary Fundamentals The study aims to carry out a comparative analysis of the technical efficiency of hospital management based on public‐private collaboration, as compared with traditional management. Specifically, we compare traditionally managed public hospitals, public hospitals managed by a private finance initiative (PFI), public hospitals managed through a public‐private partnership (PPP), and hospitals managed through other forms of management, during the period 2009 to 2014, in the hospitals dependent on the Madrid Health Service (SERMAS). Methods The study covers all publicly owned general hospitals under SERMAS, consisting of seven PFI hospitals, three PPP hospitals, 11 traditionally managed public hospitals (with the category of general hospital), and four hospitals managed through other forms of hospital management. The technical efficiency indices of the hospitals were calculated using the data envelopment analysis technique. Subsequently, a sensitivity analysis was performed by bootstrapping and variation of model variables to verify their impact on efficiency. Finally, an analysis of the evolution of efficiency in the analyzed period was carried out using the Malmquist Index. Results In all the analysis models carried out in the analyzed period, the hospitals managed based on public‐private collaboration were more efficient than the hospitals under traditional management. Conclusions The greater efficiency of hospitals managed based on public‐private collaboration, as compared with traditional management, could be attributed to greater organizational and management flexibility.