Experience of assessing the level of management in medical institutions in Brazil

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Abstract

Modern management literature describes various approaches to measuring the effectiveness of managing organizational structures. As a result, many interpretations and definitions of efficiency, methods and measures for their measurement have appeared.

Objective. This article is a description of the experience of Brazilian scientists from the Federal University of Santa Catarina (UFSC) in developing a technology for evaluating the performance of hospitals in Brazil.

Material and methods. There were applied DEA (Data Envelopment Analysis) method, multi-stage quantitative and qualitative analysis, which can be useful in Russia.

Results. The result of the study was the development of specific positive scenarios for the enhancement of the managing structures of the hospitals participating in the study. The work is practice-oriented, in terms of quantitative indicators being clearly ranked. Russian colleagues participated in the study at the stage of discussion of the results. The conclusions reached by the working group of Brazilian and Russian researchers are also significant for Russian medical institutions.

Research limitation. The materials are limited to the results of scientific research of the Federal University of Santa Catarina, Brazil, and represent a sufficient reference sample obtained in 2017–2019.

Conclusion. The use of DEA is an effective instrument to reflect the operational efficiency of medical institutions. Based on the results of performance evaluations, hospital managers can monitor their actions, as well as compare their own management system with other participants in the healthcare market. As a powerful management tool, DEA allows evaluating and comparing the managing units in a medical institution, transforming the information into a single index, being used as a measure of relative global performance.

Compliance with ethical standards. Sources of information are reliable, relevant and do not have ethical and socio-cultural prohibitions. The outcomes of the study was approved by the program of the academic university UFSC and complies with the ethical standards of management training in Brazil.

Contribution:
Azevedo B.M. — research concept, design, conducting research, compilation of the list of literature, statistical data processing;
Stoian Ya.A. — discussing the results of the research, writing the text, editing;
Baturina L.I. — discussing the results of the research, writing the text, editing, organization of international cooperation, corresponding author;
Campos F.L.S. — collection and processing of material, statistical data.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors declare no conflict of interest.

Received: October 29, 2022
Accepted: December 15, 2022
Published: August 30, 2023

About the authors

Beatriz Marcondes Azevedo

Federal University of Santa Catarina

Author for correspondence.
Email: noemail@neicon.ru
ORCID iD: 0000-0002-5481-3619
Brazil

Yakov A. Stoian

Orel State University, Medical institute

Email: noemail@neicon.ru
ORCID iD: 0000-0002-2136-321X
Russian Federation

Lioudmila I. Baturina

MIREA — Russian Technological University

Email: baturina_l@yahoo.com
ORCID iD: 0000-0003-2668-7309

MD, PhD, Docent of the outpatient department of foreign languages of the MIREA — Russian Technological University, Moscow, 119454, Russian Federation.

e-mail: baturina_l@yahoo.com 

Russian Federation

Fred L.S. Campos

Federal University of Santa Catarina

Email: noemail@neicon.ru
ORCID iD: 0000-0002-6011-3010
Brazil

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