Efficiency dynamics in Latin American healthcare reforms : a comprehensive growth mixture analysis within institutional theory
Vivas Tobar, Claudia Isabel (Pontificia Universidad Javeriana)
Escandon, Diana (Pontificia Universidad Javeriana)
Salas-Paramo, Jairo (Pontificia Universidad Javeriana)
Giménez, Víctor (Universitat Autònoma de Barcelona)

Data:	2025
Descripció:	19 pàg.
Resum:	Purpose - This study examines the efficiency dynamics of public health service providers in Colombia between 2010 and 2021. In order to achieve this objective, a data panel is utilized to assess the effectiveness of 841 institutions across three levels of complexity (1, 2 and 3) in providing patient care, taking into account user satisfaction from 2010 to 2021. Design/methodology/approach - By employing growth mixture analysis (GMA) and other statistical techniques, we may identify unique efficiency profiles among hospitals with different levels of complexity. Findings - The results demonstrate varied efficiency patterns, with certain profiles generally retaining or improving efficiency over time, while others observe fluctuations or reductions. Efficiency outcomes are significantly impacted by factors such as capital investment, operational costs and workforce mix. Efficiency levels can be improved by making strategic investments in capital infrastructure and implementing effective operational cost management. Originality/value - Changes in the healthcare market conditions in recent years in Colombia have compelled healthcare providers (IPS) to transform themselves into sustainable organizations.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Hospitals ; Healthcare system ; Quality ; Trajectories model analysis ; Marketization perspective ; SDG 3 - Good Health and Well-being
Publicat a:	Journal of Health Organization and Management, Vol. 39 Núm. 9 (2025) , p. 158-176, ISSN 1477-7266

DOI: 10.1108/JHOM-11-2022-0347
PMID: 40009203

19 p, 294.2 KB

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