Economic Factors that Affect the Technical Efficiency Index of the Public Hospitals of the State of Nariño -Colombia (2008-2014)

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Danyeli Maricel Portillo Melo
Francely Brigit Enriquez Guerra
Julio César Riascos Hermoza


This paper analyzes the economic factors that affect the relative technical efficiency indexes of the public hospitals of the state of Nariño between 2008 and 2014. In this study, the TEI were calculated through data envelopment analysis (DEA) that evaluates the productive and relative performance of each hospital. The results indicate that, on average, 38.27% of hospitals operate efficiently from a product-oriented approach. Finally through econometrics models with panel data and fixed effects, the paper suggest that the potential demand, the hospital services portfolio and the installed capacity, explains the variations of the technical efficiency measurements obtained.


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Aguilar, V., Garrido-Vega, P. & González, M. (2016). Applying the Theory of Constraints to the Logistics Service of Medical Records of a Hospital. European Research on Management and Business Economics, 22, 139-146.

Argimón, I., Artola, C. & González-Páramo, J. (1997). Empresa pública y empresa privada: titularidad y eficiencia relativa. España: Banco de España, Servicio de Estudios.

Banker, R.D., Charnes, A. & Cooper, W. (1984). Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis. Management Science, 30(9), 1078-1092.

Barahona, P. (2011). Análisis de eficiencia hospitalaria en Chile. An. Fac. Med, 72(1), 33-38.

Berry, R. (1967). Returns to Scale in the Production of hospital Services. Health Serv Res., 2(2), 123-139.

Bonet, J. & Guzmán, K. (2015). Un análisis regional de la salud en Colombia. Borradores de Economía, (222), 1-48.

Cachanosky, I. (2012). Eficiencia técnica, eficiencia económica y eficiencia dinámica. Procesos de Mercado: Revista Europea de Economía Política, 9(2), 51-80.

Charnes, A., Cooper, W. & Rhodes, E. (1979). Measuring the Efficiency of Decision-Making Units. European Journal of Operational Research, 2(6), 429-444.

Coelli, T. (1996). A Guide to DEAP Version 2.1: A Data Envelopment Analysis [Computer Program]. Retrieved from
Correa, C. (2015). Medición de la actividad docente del profesor universitario mediante técnicas de análisis de eficiencia. (Tesis de Doctorado), Universidad de Sevilla, España.

Enthoven, A. (1993). The History and Principles of Managed Competition. Health Affairs, (13), 24-48.

Farrell, M. (1957). The Measurement of Productive Efficiency. Journal of the Royal Statistical Society, (120), 253-290.

García, C. (2002). Análisis de la eficiencia técnica y asignativa a través de las fronteras estocásticas de costes: una aplicación a los hospitales del INSALUD. (Tesis de Doctorado), Universidad de Valladolid, Valladolid.

García, F., Marcuello, C., Serrano, G. & Urbina, O. (1996). Evaluación de la eficiencia en centros de atención primaria. Una aplicación del análisis envolvente de datos. Rev. Esp. Salud Pública, 70, 211-220.

Gujarati, D. & Porter, D. (2011). Econometría básica. Madrid: AMGH.

Hurst, J. & Williams, S. (2012). Can NHS Hospitals Do More with Less? Retrieved from

Instituto Departamental de Salud de Nariño. (2008). Programa de reorganización, rediseño y modernización de las redes de prestación de servicios de salud del departamento de Nariño. Recuperado de

Kershaw, R. (2000). Using TOC to 'Cure' Healthcare Problems. Accounting Management Quarterly. Retrieved from ArtSumKershaw2000.htm.

Maldonado, N. & Tamayo, A. (2007) Estudio integral de eficiencia de los hospitales públicos. Archivos de Economía, (338), 1-64.

Ministerio de Salud y Protección Social. (2005). Política Nacional de Prestación de Servicios de Salud. Colombia. Recuperado de

Montoya, A. (2013). Análisis de eficiencia del sector hospitalario: el caso colombiano. (Tesis de Maestría), Universidad del Rosario, Bogotá.

Mutis, H., Díaz, G. & Toro, E. (2006). Eficiencia técnica de hospitales nivel II en Colombia. Recuperado de

Peñaloza, M. C. (2003). Evaluación de la eficiencia en instituciones hospitalarias públicas y privadas con Data Envelopment Analysis (DEA). Archivos de Economía, (244), 1-53.

Pinzón, M. J. (2003). Medición de eficiencia técnica relativa en hospitales públicos de baja complejidad mediante la metodología Data Envelopment Analysis (DEA). (Tesis de Magíster), Universidad Javeriana, Bogotá.

Procuraduría General de la Nación. (2012). Financiamiento del Sistema General de Seguridad Social en Salud. Seguimiento y control preventivo a las políticas públicas. Bogotá: ECOE.

Puig-Junoy, J. & Dalmau, E. (2000) ¿Qué sabemos acerca de la eficiencia de las organizaciones sanitarias en España? Rev. Esp. Salud Publica, (74), 483-495.

Santelices, E. et al. (2013). Análisis de los determinantes de la eficiencia hospitalaria: el caso de Chile. Artículos de investigación. Revista Medicina Chile, (141), 457-463.

Sarmiento, A., Castellanos, W., Nieto, A. & Alonso, C. (2006). Análisis de eficiencia técnica de la red Pública de prestadores de servicios dentro del Sistema General de Seguridad Social en Salud. Revista Gerencia y Políticas de Salud, 5(11), 70-95.

Tobar, F. (2002). ¿Cuál es el tamaño óptimo de un hospital? Recuperado de

Webster, R., Kennedy, S. & Johnson, L. (1998). Comparing Techniques for Measuring the Efficiency and Productivity of Australian Private Hospitals. Australia: Australian Bureau of Statistics.


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