Assessment of teaching-health care integration and performance in university hospitals.

Abstract:

OBJECTIVE:To assess the performance and integration between the health care and teaching dimensions in Brazilian university hospitals. METHODS:A network data envelopment analysis (DEA) model was designed to measure the performance of federal university hospitals, which enables the relationship between the teaching and health care dimensions to be considered simultaneously. Data from the Ministry of Education Information System of University Hospitals, in the second semester of 2003, were used. Results of the network model were compared to those of classical DEA models to assess the advantages of the new methodological proposal. RESULTS:The efficiency of the hospitals assessed varied between 0.19 and 1.00 (mean = 0.54). The dimensional score showed that hospitals prioritize the gain in health care efficiency. It was observed that there was a need to double the number of medical students and increase the number of residents by 14% to obtain efficiency in the teaching dimension. CONCLUSIONS:The model was useful for both unit managers, aiming to integrate teaching and health care, and regulatory organizations, when defining policies and incentives.

journal_name

Rev Saude Publica

journal_title

Revista de saude publica

authors

Castro Lobo MS,Lins MP,Silva AC,Fiszman R

doi

10.1590/s0034-89102010000400001

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

581-90

issue

4

eissn

0034-8910

issn

1518-8787

pii

S0034-89102010000400001

journal_volume

44

pub_type

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