Evaluación de la producción y eficiencia hospitalaria del Hospital Básico Jaime Roldos A.

Abstract

The aim of this study was to evaluate hospital efficiency and production at the Jaime Roldos Aguilera Basic Hospital located in the canton Ventas. We reviewed theories and concepts related to Health Economics and different efficiency evaluation models such as the DEA data envelopment analysis and the Pabon Lasso model. The approach was quantitative, not experimental and longitudinal. Data were analyzed from January to December 2018, indicators such as bed rotation, bed replacement, bed occupancy and average length of stay were considered. A descriptive analysis was made through Pabon Lasso quadrants. The main findings were very high rates of bed occupancy in the specialties of gynecology and pediatrics, high in internal medicine and very low in surgery. Based on these findings, actions to improve physical reorganization and on patient admission and discharge processes are proposed. It is concluded that at present the areas of hospitalization of the unit under study are not efficient and therefore require significant improvements.