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Evaluating Portuguese Public Hospitals Performance: Any Difference before and during COVID-19?
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Autores
Orientador(es)
Resumo(s)
COVID-19 is a well-known respiratory disease that has spread worldwide since January
2020, causing many deaths and massive pressure on health systems. This pandemic’s appearance
compromised health service sustainability and quality as many procedures were postponed or
canceled, with an expected increase of adverse events like nosocomial infections, in-hospital deaths,
and the worsening of the patient’s clinical status. For instance, the year 2020 featured an increase
in undesirable results in Portugal: a rise of 10% in delayed first medical appointments, 0.02% in
avoidable bloodstream infections, and more than 100 post-operative pulmonary embolisms and
septicemia cases per 100,000 inpatients. Therefore, assessing whether the healthcare providers’
performance has changed is paramount. In this case, we evaluated public hospitals in Portugal.
To this end, we developed a network data envelopment analysis model relating to efficiency and
effectiveness. We observed consistent drops in efficiency when the pandemic started, followed by a
recovery to levels above the pre-pandemic ones. Regarding effectiveness, we observed a positive
trend during the evaluated period. We conclude that, apart from the great resilience of public
healthcare providers, the Portuguese state was unprepared for a pandemic like COVID-19, but still
the actions taken (including massive vaccination) were beneficial.
Descrição
Palavras-chave
public hospitals; performance; efficiency; effectiveness; quality; COVID-19; network-based data envelopment analysis
Contexto Educativo
Citação
Nunes, A.M.; Ferreira, D.F.d.C. Evaluating Portuguese Public Hospitals Performance: Any Difference before and during COVID-19? Sustainability 2023, 15, 294. https://doi.org/10.3390/ su15010294
Editora
MDPI