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

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 incr...

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Veröffentlicht in:Sustainability 2023-01, Vol.15 (1), p.294
Hauptverfasser: Nunes, Alexandre Morais, Ferreira, Diogo Filipe da Cunha
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description 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.
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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; MDPI - Multidisciplinary Digital Publishing Institute
subjects Coronaviruses
COVID-19
Data envelopment analysis
Disease transmission
Efficiency
Epidemics
Evaluation
Fatalities
Health care
Health services
Hospitals
Hospitals, Public
Hypotheses
Innovations
Intensive care
Knowledge management
Linear programming
Medical personnel
Medical research
Medicine, Experimental
Nosocomial infection
Pandemics
Patient outcomes
Performance evaluation
Pneumonia
Portugal
Respiratory diseases
Septicemia
Severe acute respiratory syndrome coronavirus 2
Social aspects
Sustainability
Vaccination
title Evaluating Portuguese Public Hospitals Performance: Any Difference before and during COVID-19?
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