title: Efficiency determinants and capacity issues in Brazilian for-profit hospitals.
abstract: This paper reports on the use of different approaches for assessing efficiency of a sample of major Brazilian for-profit hospitals. Starting out with the bootstrapping technique, several DEA estimates were generated, allowing the use of confidence intervals and bias correction in central estimates to test for significant differences in efficiency levels and input-decreasing/output-increasing potentials. The findings indicate that efficiency is mixed in Brazilian for-profit hospitals. Opportunities for accommodating future demand appear to be scarce and strongly dependent on particular conditions related to the accreditation and specialization of a given hospital.
authors.affiliation: Center for Studies in Healthcare Services, COPPEAD Graduate Business School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil, claraujo@coppead.ufrj.br.
authors.forename: Cláudia
authors.initials: C
authors.lastname: Araújo
authors.forename: Carlos P
authors.initials: CP
authors.lastname: Barros
authors.forename: Peter
authors.initials: P
authors.lastname: Wanke
mesh_terms: D001938:Brazil; D017598:Efficiency, Organizational; D006739:Hospital Administration; D006742:Hospital Bed Capacity; D016304:Hospitals, Private / Q000458:organization & administration*; D006801:Humans
references.citation: Health Econ. 2008 Oct;17(10):1107-28
references.pmid: 18702091
references.citation: Health Care Manag Sci. 2012 Dec;15(4):310-26
references.pmid: 22297925
references.citation: Health Care Manag Sci. 2003 Nov;6(4):271-83
references.pmid: 14686633
references.citation: J Health Care Finance. 2012 Summer;38(4):19-35
references.pmid: 22894019
references.citation: Health Serv Manage Res. 2001 Nov;14(4):263-74
references.pmid: 11725593
references.citation: Health Care Manag Sci. 2003 Nov;6(4):203-18
references.pmid: 14686627
references.citation: Rev Saude Publica. 2007 Jun;41(3):427-35
references.pmid: 17515997
references.citation: Health Care Manag Sci. 1999 Jul;2(3):161-72
references.pmid: 10934540
references.citation: Health Care Manag Sci. 2013 Jun;16(2):139-51
references.pmid: 23104497
references.citation: Health Policy. 2006 Mar;76(1):49-57
references.pmid: 15927299
references.citation: J Med Syst. 2009 Aug;33(4):307-15
references.pmid: 19697697
references.citation: Health Policy. 2006 Aug;77(3):268-78
references.pmid: 16129509
references.citation: J Med Syst. 2000 Dec;24(6):307-20
references.pmid: 11143589
references.citation: Health Serv Manage Res. 2011 May;24(2):75-80
references.pmid: 21471577
references.citation: J Behav Health Serv Res. 1998 Nov;25(4):377-96
references.pmid: 9796161
references.citation: Health Policy. 2012 Feb;104(2):163-71
references.pmid: 22177417
references.citation: Health Care Manag Sci. 2008 Dec;11(4):373-81
references.pmid: 18998596
references.citation: J Med Syst. 1997 Apr;21(2):67-74
references.pmid: 9297615
references.citation: Health Care Manag Sci. 2002 Feb;5(1):7-14
references.pmid: 11860081
references.citation: Health Policy. 2008 Jul;87(1):41-9
references.pmid: 18023913