Estimación de una función de costos utilizando el modelo COBB Douglas para el sector salud en el Ecuador: aplicación en un Hospital Gineco-Obstétrico.
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2013-11
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Facultad de Ciencias Económicas. Universidad de Guayaquil.
Resumen
El gasto en salud a través de los años tiene una tendencia al alza, incluso algunos hospitales del sector fueron declarados en estado de emergencia en el año 2011, lo que originó una inversión mayor por parte del Estado Ecuatoriano; sin embargo, siendo un sector prioritario, no tiene los controles suficientes para determinar el buen uso del recurso y medir la eficiencia con que se han manejado los pacientes de acuerdo a las patologías tratadas; ya sea por falta de control del órgano rector o por falta de sistemas que permitan la elaboración de mejores análisis y del registro de información de manera oportuna y sistemática así como la calidad de la información registrada. El presente trabajo de investigación tiene como principal objetivo hacer uso de un modelo de clasificación de pacientes(AP-GRD v.25) y utilizar el modelo Cobb Douglas para determinar una función de costos para un hospital gineco-obstétrico, de manera que se viabilice la obtención de indicadores que permitan controlar el gasto asociado a un paciente de acuerdo a su patología y a las complicaciones asociadas a esta. Esto permitirá un mejor control del gasto y a su vez establecer protocolos por patología que permitan establecer que se consume en cada grupo de pacientes.
Throughout the years, the health public expense has had rising trend, some public hospitals were even declared in state of emergency which caused to Ecuadorian government to increase the investment in public health. However, despite being a prioritary area, there isn’t enough control to determinate the good use of resources and measure the efficiency of patients’ treatment according to their pathology; either due to the lack of hospital control or lack of systems which allow the development of better analysis and data registration on a timely and systematic way, as well as data registration quality. This paper has as main objective to use a patient classification model(GRD) and use Cobb Douglas model to determine a cost function for a Obstetrical and gynecological hospital, in order to make the possible of attainment pointers that would allow the control of expense-patient association according to pathologies and the medical complications that may derive from them. This will enable a better expense control and in the meantime set protocols for each pathology in order to establish what resources each group of patients consume.
Throughout the years, the health public expense has had rising trend, some public hospitals were even declared in state of emergency which caused to Ecuadorian government to increase the investment in public health. However, despite being a prioritary area, there isn’t enough control to determinate the good use of resources and measure the efficiency of patients’ treatment according to their pathology; either due to the lack of hospital control or lack of systems which allow the development of better analysis and data registration on a timely and systematic way, as well as data registration quality. This paper has as main objective to use a patient classification model(GRD) and use Cobb Douglas model to determine a cost function for a Obstetrical and gynecological hospital, in order to make the possible of attainment pointers that would allow the control of expense-patient association according to pathologies and the medical complications that may derive from them. This will enable a better expense control and in the meantime set protocols for each pathology in order to establish what resources each group of patients consume.
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FUNVIÓN COBB-DOUGLAS, CONJUNTO MÍNIMO BÁSICO DE DATOS, GRUPO RELACIONADO DE DIAGNÓSTICO, FUNCIÓN DE COSTOS
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APA