Evidence map›Paper›PMID 39708782›Full record

ArticleAnales del sistema sanitario de Navarra2024

[New management models or traditional hospital management? Transition of a hospital-foundation in a Euroregion].

Juan Cueva Ares, Mateo Cacho Uzal, Fe Lopez-Juiz, Francisco Reyes-Santías

Abstract readComparative StudyEnglish Abstract
In one paragraph

Article in Anales del sistema sanitario de Navarra, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Juan Cueva AresUniversidad Carlos III. Facultad de Economía. Departamento de Economía. Madrid. España . juancuevaares@gmail.com.
Mateo Cacho UzalUniversidad Carlos III. Facultad de Economía. Departamento de Economía. Madrid. España. 100535702@alumnos.uc3m.es.
Fe Lopez-JuizMinisterio de Justicia. Tribunal Superior de Justicia de Galicia. A Coruña. España. flopezjuiz@yahoo.es.
Francisco Reyes-SantíasUniversidad de Vigo. Facultad de Ciencias Empresariales y Turismo. Departamento de Organización de Empresas y Marketing. Vigo. España . francisco.reyes@uvigo.es.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to assess the impact of transitioning a hospital/foundation from indirect management to direct management on the efficiency of hospital resource management. METHODOLOGY: Until 2010, the Virxe da Xunqueira hospital/foundation, located in the Galicia-North Portugal Euroregion, operated under indirect management. In 2010, it transitioned to direct management as a health centre within the Galician Health Service (Spain). Public management of hospital resources was compared using data development analysis for two periods: indirect management (2005-2009) and direct management (2011-2015). Inputs included labour (number of workers) and capital (number of beds), while outputs were measured by the number of consultations, emergencies, interventions, admissions (inpatients), hospital stays, patients on waiting the list, average length of stay, waiting times, and hospital occupancy rate. The synthetic index used was the basic care units.

resultsVirxe da Xunqueira demonstrated greater efficiency as a hospital/foundation in terms of the number of consultations, emergencies, admissions, inpatients, and indicators related to patient stay (including number and average length of stay). After transitioning to direct management, the hospital showed improved efficiency in average waiting times, the number of patients on the waiting list, and the number of surgical interventions. The production factors exhibited decreasing returns to scale in both types of governance.

conclusionsBoth type of management show greater efficiency in certain inputs. However, there is insufficient evidence to conclude that the previous management model (indirect management) is more efficient than direct management.

Indexed as

Hospital AdministrationModels, OrganizationalEfficiency, OrganizationalHumansPortugalSpain

Identifiers

PMID39708782
PMCPMC11770628

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