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Economias de escala e de diversificação: uma análise da bibliografia no contexto das fusões hospitalares

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Economias de escala e de diversificação: uma análise da bibliografia no contexto das fusões hospitalares. / Azevedo, Helda; Mateus, Céu.
In: Revista Portuguesa de Saúde Pública, Vol. 32, No. 1, 2014, p. 106-117.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

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Azevedo H, Mateus C. Economias de escala e de diversificação: uma análise da bibliografia no contexto das fusões hospitalares. Revista Portuguesa de Saúde Pública. 2014;32(1):106-117. Epub 2014 Feb 11. doi: 10.1016/j.rpsp.2013.12.001

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Azevedo, Helda ; Mateus, Céu. / Economias de escala e de diversificação : uma análise da bibliografia no contexto das fusões hospitalares. In: Revista Portuguesa de Saúde Pública. 2014 ; Vol. 32, No. 1. pp. 106-117.

Bibtex

@article{9c2b9099fb8a4d759615a645e14fbb87,
title = "Economias de escala e de diversifica{\c c}{\~a}o: uma an{\'a}lise da bibliografia no contexto das fus{\~o}es hospitalares",
abstract = "Driven by the current pressure on resources induced by budgetary cuts, the Portuguese Ministry of Health is imposing changes in the management model and organization of NHS hospitals, including the creation of hospital centres as a result of administrative mergers of existing hospitals. According to the political discourse, one of the main goals expected from this measure is the creation of synergies and more efficiency in the use of available resources by adjusting their scale optimisation. Given this active policy of hospital merger, this study intends to describe the underlying reasons and the impact on efficiency gains, by looking at economies of scale namely through reductions in expenditures, based on the literature review. It was also sought to analyse the appropriate techniques to evaluate the hospitals{\textquoteright} efficiency and the cost structure. The literature suggests that there are economies of scale and scope to explore, but only mergers of relatively small and similar hospitals were successful.",
keywords = "Economies of scale, Economies of scope, Frontier analysis, Cost function model, Hospital mergers",
author = "Helda Azevedo and C{\'e}u Mateus",
year = "2014",
doi = "10.1016/j.rpsp.2013.12.001",
language = "Portuguese",
volume = "32",
pages = "106--117",
journal = "Revista Portuguesa de Sa{\'u}de P{\'u}blica",
issn = "0870-9025",
publisher = "Elsevier Doyma",
number = "1",

}

RIS

TY - JOUR

T1 - Economias de escala e de diversificação

T2 - uma análise da bibliografia no contexto das fusões hospitalares

AU - Azevedo, Helda

AU - Mateus, Céu

PY - 2014

Y1 - 2014

N2 - Driven by the current pressure on resources induced by budgetary cuts, the Portuguese Ministry of Health is imposing changes in the management model and organization of NHS hospitals, including the creation of hospital centres as a result of administrative mergers of existing hospitals. According to the political discourse, one of the main goals expected from this measure is the creation of synergies and more efficiency in the use of available resources by adjusting their scale optimisation. Given this active policy of hospital merger, this study intends to describe the underlying reasons and the impact on efficiency gains, by looking at economies of scale namely through reductions in expenditures, based on the literature review. It was also sought to analyse the appropriate techniques to evaluate the hospitals’ efficiency and the cost structure. The literature suggests that there are economies of scale and scope to explore, but only mergers of relatively small and similar hospitals were successful.

AB - Driven by the current pressure on resources induced by budgetary cuts, the Portuguese Ministry of Health is imposing changes in the management model and organization of NHS hospitals, including the creation of hospital centres as a result of administrative mergers of existing hospitals. According to the political discourse, one of the main goals expected from this measure is the creation of synergies and more efficiency in the use of available resources by adjusting their scale optimisation. Given this active policy of hospital merger, this study intends to describe the underlying reasons and the impact on efficiency gains, by looking at economies of scale namely through reductions in expenditures, based on the literature review. It was also sought to analyse the appropriate techniques to evaluate the hospitals’ efficiency and the cost structure. The literature suggests that there are economies of scale and scope to explore, but only mergers of relatively small and similar hospitals were successful.

KW - Economies of scale

KW - Economies of scope

KW - Frontier analysis

KW - Cost function model

KW - Hospital mergers

U2 - 10.1016/j.rpsp.2013.12.001

DO - 10.1016/j.rpsp.2013.12.001

M3 - Journal article

VL - 32

SP - 106

EP - 117

JO - Revista Portuguesa de Saúde Pública

JF - Revista Portuguesa de Saúde Pública

SN - 0870-9025

IS - 1

ER -