Title: Efficiency in accredited, high complexity hospitals of Bogota - Colombia

Authors: L.M. Pineda-Marín; R.G. García-Cáceres; J.C. Barrero-Calixto

Addresses: Department of Industrial Engineering, Pontificia Universidad Javeriana, Bogota, Colombia ' School of Industrial Engineering, Universidad Pedagógica y Tecnológica de Colombia – UPTC, Sogamoso, Colombia ' School of Engineering, Universidad Católica de Colombia, Bogota, Colombia

Abstract: The relative efficiency of a series of accredited, high complexity hospitals of the city of Bogota is assessed through data envelopment analysis. A set of hypotheses about the performance of each hospital are tested with respect to its efficiency references. The study proposes improvement strategies for tertiary and quaternary healthcare institutions. In such doing, they measure technical, pure technical and scale efficiencies. Additionally, the evolution of technical efficiency from 2015 to 2017 is studied using Window Analysis, which shows a group of outstanding institutions that provide a reference for the sector. The strong stability of the variables that determine the performance of the institutions does not facilitate significant changes in efficiency from year to year. This suggests the possibility to implement a series of reengineering and continuous improvement tactics for each hospital or clinic, all of which would support the strategic deployment presented in this work to improve the sector.

Keywords: tactical supply chain planning; distribution centre planning; meta-heuristics; hybrid optimisation methods; Colombia.

DOI: 10.1504/IJSOM.2024.138958

International Journal of Services and Operations Management, 2024 Vol.48 No.2, pp.234 - 255

Received: 21 Sep 2021
Accepted: 12 Mar 2022

Published online: 05 Jun 2024 *

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