Avaliação da eficiência relativa de 12 hospitais da rede EBSERH no contexto da pandemia de COVID 19

Abstract

The present work consists of the evaluation of the relative efficiency of 12 hospitals of the EBSERH network in the context of the COVID-19 pandemic. The objective was to identify the level of hospital efficiency before and after the period of the Covid-19 pandemic. The method used was the data envelopment analysis together with the Malmquist index. Three variables or Inputs were selected for input: number of professionals registered in the national registry of health establishments; total monthly amount of hospital admission authorizations and number of hospital beds. As a result or output variable, the number of hospital admissions was used, the model was applied considering constant returns to scale. The efficiency scores obtained for the pandemic period were presented, comparing them with the efficiency scores of the control period before the pandemic. As a result, during the pandemic, there was an increase in the average number of professionals, hospital beds and total AIH values, but these increases did not represent a gain in total hospitalizations. The average of total hospitalizations decreased during the pandemic compared to the 2nd half of 2019. During the pandemic period, there was a loss of relative efficiency among hospitals, and that the total productivity of the factors had a decrease in the pandemic influenced by changes in technological efficiency.