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Evaluating Portuguese Public Hospitals Performance: Any Difference before and during COVID-19?

dc.contributor.authorNunes, A.
dc.contributor.authorFerreira, Diogo
dc.date.accessioned2023-08-21T11:22:39Z
dc.date.available2023-08-21T11:22:39Z
dc.date.issued2022-12-24
dc.description.abstractCOVID-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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationNunes, 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/ su15010294pt_PT
dc.identifier.doi10.3390/su15010294pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.5/28117
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectpublic hospitals; performance; efficiency; effectiveness; quality; COVID-19; network-based data envelopment analysispt_PT
dc.titleEvaluating Portuguese Public Hospitals Performance: Any Difference before and during COVID-19?pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.startPage294pt_PT
oaire.citation.titleSustainabilitypt_PT
oaire.citation.volume15pt_PT
person.familyNameMartins Morais Nunes
person.familyNameCunha Ferreira
person.givenNameAlexandre Manuel
person.givenNameDiogo Filipe
person.identifier.ciencia-idF010-75B0-F76A
person.identifier.ciencia-idCF13-9741-551E
person.identifier.orcid0000-0002-6808-7769
person.identifier.orcid0000-0001-5418-9337
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationcbb19a6f-d6f8-4a6f-84db-d0cf151dc22b
relation.isAuthorOfPublication7ee3508c-76f3-4d20-9c76-b3b727b02f93
relation.isAuthorOfPublication.latestForDiscovery7ee3508c-76f3-4d20-9c76-b3b727b02f93

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