Efficiency analysis in public health organizations in Brazil

Detalhes bibliográficos
Autor(a) principal: Jorge, Marcelino José
Data de Publicação: 2013
Outros Autores: Carvalho, Frederico A. de, Jorge, Marina Filgueiras, Medeiros, Renata de Oliveira, Ferreira, Daniela de Souza
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
DOI: 10.1108/JM2-03-2010-0015
Texto Completo: https://www.arca.fiocruz.br/handle/icict/35719
Resumo: 2020-09-20
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spelling Jorge, Marcelino JoséCarvalho, Frederico A. deJorge, Marina FilgueirasMedeiros, Renata de OliveiraFerreira, Daniela de Souza2019-09-20T13:55:17Z2019-09-20T13:55:17Z2013JORGE, Marcelino José et al. Efficiency analysis in public health organizations in Brazil. Journal of Modelling in Management, v. 8, n. 2, p. 241-254, 2013.1746-5664https://www.arca.fiocruz.br/handle/icict/3571910.1108/JM2-03-2010-0015engEmeraldEfficiency analysis in public health organizations in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2020-09-20Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Rio de Janeiro, RJ, Brasil.Federal University at Rio de Janeiro. Rio de Janeiro, RJ, Brasil.National Institute of Industrial Property. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Rio de Janeiro, RJ, Brasil.Purpose – This paper aims to discuss and collect evidence about the hypothesis that, under imperfect information, the multipurpose public organization emulates its peers, arguing that this hypothesis can be fruitful to the study of this kind of organization. Design/methodology/approach – At IPEC – Instituto de Pesquisa Clı´nica Evandro Chagas, the clinical research institute affiliated to FIOCRUZ – Fundação Oswaldo Cruz, activities relating to infectious diseases –, e.g. diagnostic exams; outpatient care and patient admissions; teaching and research – are structured in the form of integrated action programs (briefly, PAIs). Taking into account the complexity of this organizational format, this paper applies a mathematical model allowing to define and compute managerial indicators referring to the eight main PAI programs with a view to measure their performance, to investigate whether there are any scale inefficiencies in the eight programs selected as decision-making units (DMUs) and to assess the effectiveness of the whole organizational structure. To accomplish those objectives, the paper employs the so-called DEA models with variable returns to scale – whereby two input and seven output variables were used to represent the eight DMUs. Findings – Findings suggest that PAIs related to clinical research operated under increasing returns to scale between 2002 and 2006. To that extent, both the choice of PAIs as an organizational format and the current growth strategy at the Institute may be considered adequate. Originality/value – This approach is valuable to complement the cost minimization analysis of specific activities of multipurpose organizations and has general application to the overall assessment of performance, structures and strategies in these organizations.Organizational assessmentStrategyPublic organizationClinical researchEfficiency analysisDEA modelPublic healthBrazilinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txttext/plain1748https://www.arca.fiocruz.br/bitstream/icict/35719/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51ORIGINALve_Jorge_Marcelino_etal_INI_2013.pdfve_Jorge_Marcelino_etal_INI_2013.pdfapplication/pdf92093https://www.arca.fiocruz.br/bitstream/icict/35719/2/ve_Jorge_Marcelino_etal_INI_2013.pdfcf3f8054ff53a541c9bcc5f4c2640e30MD52TEXTve_Jorge_Marcelino_etal_INI_2013.pdf.txtve_Jorge_Marcelino_etal_INI_2013.pdf.txtExtracted texttext/plain42895https://www.arca.fiocruz.br/bitstream/icict/35719/3/ve_Jorge_Marcelino_etal_INI_2013.pdf.txt58f692d896ee8b30a54455d8aa86fe98MD53icict/357192021-03-24 16:32:36.639oai:www.arca.fiocruz.br:icict/35719Tk9URTogUExBQ0UgWU9VUiBPV04gTElDRU5TRSBIRVJFClRoaXMgc2FtcGxlIGxpY2Vuc2UgaXMgcHJvdmlkZWQgZm9yIGluZm9ybWF0aW9uYWwgcHVycG9zZXMgb25seS4KCk5PTi1FWENMVVNJVkUgRElTVFJJQlVUSU9OIExJQ0VOU0UKCkJ5IHNpZ25pbmcgYW5kIHN1Ym1pdHRpbmcgdGhpcyBsaWNlbnNlLCB5b3UgKHRoZSBhdXRob3Iocykgb3IgY29weXJpZ2h0Cm93bmVyKSBncmFudHMgdG8gRFNwYWNlIFVuaXZlcnNpdHkgKERTVSkgdGhlIG5vbi1leGNsdXNpdmUgcmlnaHQgdG8gcmVwcm9kdWNlLAp0cmFuc2xhdGUgKGFzIGRlZmluZWQgYmVsb3cpLCBhbmQvb3IgZGlzdHJpYnV0ZSB5b3VyIHN1Ym1pc3Npb24gKGluY2x1ZGluZwp0aGUgYWJzdHJhY3QpIHdvcmxkd2lkZSBpbiBwcmludCBhbmQgZWxlY3Ryb25pYyBmb3JtYXQgYW5kIGluIGFueSBtZWRpdW0sCmluY2x1ZGluZyBidXQgbm90IGxpbWl0ZWQgdG8gYXVkaW8gb3IgdmlkZW8uCgpZb3UgYWdyZWUgdGhhdCBEU1UgbWF5LCB3aXRob3V0IGNoYW5naW5nIHRoZSBjb250ZW50LCB0cmFuc2xhdGUgdGhlCnN1Ym1pc3Npb24gdG8gYW55IG1lZGl1bSBvciBmb3JtYXQgZm9yIHRoZSBwdXJwb3NlIG9mIHByZXNlcnZhdGlvbi4KCllvdSBhbHNvIGFncmVlIHRoYXQgRFNVIG1heSBrZWVwIG1vcmUgdGhhbiBvbmUgY29weSBvZiB0aGlzIHN1Ym1pc3Npb24gZm9yCnB1cnBvc2VzIG9mIHNlY3VyaXR5LCBiYWNrLXVwIGFuZCBwcmVzZXJ2YXRpb24uCgpZb3UgcmVwcmVzZW50IHRoYXQgdGhlIHN1Ym1pc3Npb24gaXMgeW91ciBvcmlnaW5hbCB3b3JrLCBhbmQgdGhhdCB5b3UgaGF2ZQp0aGUgcmlnaHQgdG8gZ3JhbnQgdGhlIHJpZ2h0cyBjb250YWluZWQgaW4gdGhpcyBsaWNlbnNlLiBZb3UgYWxzbyByZXByZXNlbnQKdGhhdCB5b3VyIHN1Ym1pc3Npb24gZG9lcyBub3QsIHRvIHRoZSBiZXN0IG9mIHlvdXIga25vd2xlZGdlLCBpbmZyaW5nZSB1cG9uCmFueW9uZSdzIGNvcHlyaWdodC4KCklmIHRoZSBzdWJtaXNzaW9uIGNvbnRhaW5zIG1hdGVyaWFsIGZvciB3aGljaCB5b3UgZG8gbm90IGhvbGQgY29weXJpZ2h0LAp5b3UgcmVwcmVzZW50IHRoYXQgeW91IGhhdmUgb2J0YWluZWQgdGhlIHVucmVzdHJpY3RlZCBwZXJtaXNzaW9uIG9mIHRoZQpjb3B5cmlnaHQgb3duZXIgdG8gZ3JhbnQgRFNVIHRoZSByaWdodHMgcmVxdWlyZWQgYnkgdGhpcyBsaWNlbnNlLCBhbmQgdGhhdApzdWNoIHRoaXJkLXBhcnR5IG93bmVkIG1hdGVyaWFsIGlzIGNsZWFybHkgaWRlbnRpZmllZCBhbmQgYWNrbm93bGVkZ2VkCndpdGhpbiB0aGUgdGV4dCBvciBjb250ZW50IG9mIHRoZSBzdWJtaXNzaW9uLgoKSUYgVEhFIFNVQk1JU1NJT04gSVMgQkFTRUQgVVBPTiBXT1JLIFRIQVQgSEFTIEJFRU4gU1BPTlNPUkVEIE9SIFNVUFBPUlRFRApCWSBBTiBBR0VOQ1kgT1IgT1JHQU5JWkFUSU9OIE9USEVSIFRIQU4gRFNVLCBZT1UgUkVQUkVTRU5UIFRIQVQgWU9VIEhBVkUKRlVMRklMTEVEIEFOWSBSSUdIVCBPRiBSRVZJRVcgT1IgT1RIRVIgT0JMSUdBVElPTlMgUkVRVUlSRUQgQlkgU1VDSApDT05UUkFDVCBPUiBBR1JFRU1FTlQuCgpEU1Ugd2lsbCBjbGVhcmx5IGlkZW50aWZ5IHlvdXIgbmFtZShzKSBhcyB0aGUgYXV0aG9yKHMpIG9yIG93bmVyKHMpIG9mIHRoZQpzdWJtaXNzaW9uLCBhbmQgd2lsbCBub3QgbWFrZSBhbnkgYWx0ZXJhdGlvbiwgb3RoZXIgdGhhbiBhcyBhbGxvd2VkIGJ5IHRoaXMKbGljZW5zZSwgdG8geW91ciBzdWJtaXNzaW9uLgo=Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352021-03-24T19:32:36Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Efficiency analysis in public health organizations in Brazil
title Efficiency analysis in public health organizations in Brazil
spellingShingle Efficiency analysis in public health organizations in Brazil
Jorge, Marcelino José
Organizational assessment
Strategy
Public organization
Clinical research
Efficiency analysis
DEA model
Public health
Brazil
title_short Efficiency analysis in public health organizations in Brazil
title_full Efficiency analysis in public health organizations in Brazil
title_fullStr Efficiency analysis in public health organizations in Brazil
title_full_unstemmed Efficiency analysis in public health organizations in Brazil
title_sort Efficiency analysis in public health organizations in Brazil
author Jorge, Marcelino José
author_facet Jorge, Marcelino José
Carvalho, Frederico A. de
Jorge, Marina Filgueiras
Medeiros, Renata de Oliveira
Ferreira, Daniela de Souza
author_role author
author2 Carvalho, Frederico A. de
Jorge, Marina Filgueiras
Medeiros, Renata de Oliveira
Ferreira, Daniela de Souza
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Jorge, Marcelino José
Carvalho, Frederico A. de
Jorge, Marina Filgueiras
Medeiros, Renata de Oliveira
Ferreira, Daniela de Souza
dc.subject.en.pt_BR.fl_str_mv Organizational assessment
Strategy
Public organization
Clinical research
Efficiency analysis
DEA model
Public health
Brazil
topic Organizational assessment
Strategy
Public organization
Clinical research
Efficiency analysis
DEA model
Public health
Brazil
description 2020-09-20
publishDate 2013
dc.date.issued.fl_str_mv 2013
dc.date.accessioned.fl_str_mv 2019-09-20T13:55:17Z
dc.date.available.fl_str_mv 2019-09-20T13:55:17Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv JORGE, Marcelino José et al. Efficiency analysis in public health organizations in Brazil. Journal of Modelling in Management, v. 8, n. 2, p. 241-254, 2013.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/35719
dc.identifier.issn.pt_BR.fl_str_mv 1746-5664
dc.identifier.doi.none.fl_str_mv 10.1108/JM2-03-2010-0015
identifier_str_mv JORGE, Marcelino José et al. Efficiency analysis in public health organizations in Brazil. Journal of Modelling in Management, v. 8, n. 2, p. 241-254, 2013.
1746-5664
10.1108/JM2-03-2010-0015
url https://www.arca.fiocruz.br/handle/icict/35719
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Emerald
publisher.none.fl_str_mv Emerald
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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