Efficiency dynamics in Latin American healthcare reforms: a comprehensive growth mixture analysis within institutional theory.

IF 1.7 4区医学 Q3 HEALTH POLICY & SERVICES

Journal of Health Organization and Management Pub Date : 2025-02-20 DOI:10.1108/JHOM-11-2022-0347

Claudia Isabel Vivas Tobar, Diana Escandon-Barbosa, Jairo Salas-Paramo, Víctor Giménez

{"title":"Efficiency dynamics in Latin American healthcare reforms: a comprehensive growth mixture analysis within institutional theory.","authors":"Claudia Isabel Vivas Tobar, Diana Escandon-Barbosa, Jairo Salas-Paramo, Víctor Giménez","doi":"10.1108/JHOM-11-2022-0347","DOIUrl":null,"url":null,"abstract":"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.","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"39 9","pages":"158-176"},"PeriodicalIF":1.7000,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866052/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Health Organization and Management","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1108/JHOM-11-2022-0347","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

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.

查看原文本刊更多论文

拉丁美洲医疗改革的效率动态：制度理论中的综合增长混合分析。

目的：本研究考察了2010年至2021年间哥伦比亚公共卫生服务提供者的效率动态。为了实现这一目标，利用数据面板评估了841家机构在提供患者护理方面的有效性，其复杂性分为三个级别（1、2和3），并考虑了2010年至2021年的用户满意度。设计/方法/方法：通过采用生长混合分析（GMA）和其他统计技术，我们可以在不同复杂程度的医院中确定独特的效率概况。研究结果：结果显示了不同的效率模式，随着时间的推移，某些剖面通常保持或提高效率，而其他剖面则出现波动或下降。效率结果受到资本投资、运营成本和劳动力组合等因素的显著影响。通过对资本基础设施进行战略性投资和实施有效的运营成本管理，可以提高效率水平。独创性/价值：近年来哥伦比亚医疗保健市场条件的变化迫使医疗保健提供者（IPS）将自己转变为可持续发展的组织。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Health Organization and Management HEALTH POLICY & SERVICES-

CiteScore

3.20

自引率

7.10%

发文量

期刊介绍： ■International health and international organizations ■Organisational behaviour, governance, management and leadership ■The inter-relationship of health and public sector services ■Theories and practices of management and leadership in health and related organizations ■Emotion in health care organizations ■Management education and training ■Industrial relations and human resource theory and management. As the demands on the health care industry both polarize and intensify, effective management of financial and human resources, the restructuring of organizations and the handling of market forces are increasingly important areas for the industry to address.