TY - JOUR
T1 - Efficiency dynamics in Latin American healthcare reforms
T2 - a comprehensive growth mixture analysis within institutional theory
AU - Vivas Tobar, Claudia Isabel
AU - Escandon-Barbosa, Diana
AU - Salas-Paramo, Jairo
AU - Giménez, Víctor
PY - 2025/2/20
Y1 - 2025/2/20
N2 - 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
AB - 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
KW - Hospitals
KW - Healthcare system
KW - Quality
KW - Trajectories model analysis
KW - Marketization perspective
UR - https://www.mendeley.com/catalogue/f82a1fd3-1b6c-3216-b0af-0f6efd185f8f/
UR - http://www.scopus.com/inward/record.url?scp=85218905887&partnerID=8YFLogxK
U2 - 10.1108/JHOM-11-2022-0347
DO - 10.1108/JHOM-11-2022-0347
M3 - Article
C2 - 40009203
SN - 1477-7266
VL - 39
SP - 158
EP - 176
JO - Journal of Health Organization and Management
JF - Journal of Health Organization and Management
IS - 9
ER -
