Hospitales públicos registran caída sostenida en productividad entre 2007 y 2021

TL;DR

Colombian public hospitals experienced a consistent productivity decline from 2007 to 2021.
Key factors contributing to this decline include slow technological adoption and a persistent loss of technical efficiency.
Public hospitals, though fewer in number, hold a substantial share of hospital beds and serve a large portion of the population covered by the subsidized regime.
Hospitals at Level 3 are identified as the most productive and efficient.
The study used a meta-frontier methodology to analyze 10,123 ESEs, incorporating physical inputs and human talent data.
Regional disparities exist, with Antioquia, Boyacá, Santander, and Nariño having the most public hospitals, while others have limited coverage.
The COVID-19 pandemic exacerbated pre-existing structural tensions, and past reforms have not resolved financial issues between insurers and providers.
Improving productivity requires differentiated technological policies based on hospital complexity levels, focusing on Levels 1 and 2.

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