Metodología para la medición de la productividad en instituciones prestadoras de servicios de salud
Methodology for measuring productivity in health services providers institutions
Metodologia para medir a produtividade em instituições fornecedoras de serviços de saúde
Resumen (es)
Se presenta un análisis de las diferentes metodologías descritas a nivel mundial para la medición de la productividad en el sector de la salud. Para ello, se desarrolla una revisión bibliográfica descriptiva a partir de literatura encontrada en bases de datos indexados y búsqueda iterativa. Como resultados, se encontró que las principales metodologías empleadas actualmente para la medición de la productividad y eficiencia son el análisis envolvente de datos (DEA) en combinación con otros métodos. Finalmente, se concluye que son varias las metodologías de medición descritas en la literatura y en cada una de ellas se encuentra la combinación de diferentes métodos y variables a evaluar, de acuerdo con el enfoque del investigador; sin embargo, se hace necesario el desarrollo de estudios adicionales en los que se aborden nuevas variables que influyen en el crecimiento y decrecimiento de la eficiencia y productividad, así mismo, su relación con la calidad en la prestación de los servicios en salud.
Resumen (en)
An analysis of the different methodologies described worldwide for measuring productivity in the health sector is presented. For this, a descriptive literature review is developed from the literature found in indexed databases and an iterative search. As results, it was found that the main methodologies currently used for measuring productivity and efficiency are data envelopment analysis (DEA) in combination with other methods. Finally, it is concluded that there are several measurement methodologies described in the literature and in each one of them there is a combination of different methods and variables to be evaluated, according to the researcher's approach; However, developing further studies is necessary to address new variables that influence the growth and decrease of efficiency and productivity, as well as their relationship with quality in the provision of health services.
Resumen (pt)
É apresentada uma análise das diferentes metodologias descritas no nível mundial para a medição da produtividade no setor da saúde. Para isso, uma revisão descritiva da bibliografia é feita com base na bibliografia encontrada em bancos de dados indexados e pesquisa iterativa. Como resultado, verificou-se que as principais metodologias atualmente utilizadas para a medição da produtividade e eficiência são a Análise de Envoltória de Dados (DEA), em combinação com outros métodos. Finalmente, conclui-se que existem várias metodologias de medição descritas na bibiografia havendo em cada uma delas uma combinação de diferentes métodos e variáveis a serem avaliadas, conforme abordagem do pesquisador; Contudo, são necessários estudos adicionais que abordem novas variáveis que influenciam o crescimento e diminuição da eficiência e produtividade, bem como sua relação com a qualidade na prestação de serviços de saúde.
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