Estudios originales
Published on 28 de julio de 2023 | http://doi.org/10.5867/medwave.2023.06.2682
Efficiency and productivity of the Chilean public health system between 2010 and 2019
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National Health Services System efficiency and productivity indicators from 2010 to 2019.
| Total operating cost in Ch$ million (TC) | $2 509 199 | $2 658 922 | $2 923 904 | $3 224 950 | $3 590 022 | $3 918 955 | $4 384 415 | $4 732 981 | $5 196 153 | $5 311 950 | 111.7% | 8.7% |
| Production (X) | 11 275 982 | 13 006 912 | 13 578 000 | 13 276 785 | 14 033 423 | 14 731 841 | 15 365 987 | 16 794 689 | 18 242 629 | 18 863 967 | 67.3% | 5.9% |
| Physician personnel expense in Ch$ million | $464 409 | $489 731 | $527 761 | $586 043 | $645 401 | $697 725 | $808 554 | $925 621 | $1 012 893 | $1 087 868 | 134.2% | 9.9% |
| Non-physician personnel expense in Ch$ million (MM) | $709 048 | $746 036 | $808 950 | $797 813 | $850 555 | $882 795 | $955 898 | $ 1 031 656 | $1 157 913 | $1 176 216 | 65.9% | 5.8% |
| Total personnel expense in Ch$ million (W*L) | $1 589 240 | $1 648 945 | $1 800 576 | $2 022 879 | $2 200 251 | $2 360 813 | $2 609 336 | $2 839 433 | $3 107 117 | $3 217 170 | 102.4% | 8.2% |
| Consumer goods and services expense in Ch$ million (CTB&S) | $948 253 | $1 053 768 | $1 134 935 | $1 295 747 | $1 484 724 | $1 600 171 | $1 721 168 | $1 894 403 | $2 089 036 | $2 094 780 | 120.9% | 9.2% |
| Total average operating cost in pesos (CMeX = TC/X) | $222 526 | $204 424 | $215 341 | $242 901 | $255 819 | $266 019 | $285 332 | $281 814 | $284 836 | $281 592 | 26.5% | 2.7% |
| Average operating cost of salaries in pesos (W*L/X) | $140 940 | $126 775 | $132 610 | $152 362 | $156 786 | $160 252 | $169 812 | $169 067 | $170 322 | $170 546 | 21.0% | 2.1% |
| Average operating cost of consumer goods and services in pesos (CTByS/X) | $84 095 | $81 016 | $83 586 | $97 595 | $105 799 | $108 620 | $112 012 | $112 798 | $114 514 | $111 047 | 32.0% | 3.1% |
| Share of wage costs in healthcare expenditure | 63.3% | 62.0% | 61.6% | 62.7% | 61.3% | 60.2% | 59.5% | 60.0% | 59.8% | 60.6% | -4.4% | -0.5% |
| Share of consumer goods and services costs in healthcare expenditure | 37.8% | 39.6% | 38.8% | 40.2% | 41.4% | 40.8% | 39.3% | 40.0% | 40.2% | 39.4% | 4.4% | 0.5% |
| Staffing in hours per week (L) | 3 579 443 | 3 779 688 | 3 889 070 | 4 022 175 | 4 201 980 | 4 360 809 | 4 708 372 | 5 067 721 | 5 300 223 | 5 690 330 | 59.0% | 5.3% |
| Staffing of equivalent positions | 87 181 | 92 010 | 94 785 | 98 007 | 102 317 | 106 627 | 115 314 | 124 377 | 130 601 | 140 289 | 60.9% | 5.4% |
| Physician staffing in hours per week | 458 190 | 479 172 | 501 731 | 516 790 | 533 878 | 588 599 | 649 732 | 719 665 | 793 004 | 857 729 | 87.2% | 7.2% |
| Non-physician staffing in hours per week | 3 121 253 | 3 300 516 | 3 387 339 | 3 505 385 | 3 668 102 | 3 772 210 | 4 058 640 | 4 348 056 | 4 507 219 | 4 832 601 | 54.8% | 5.0% |
| Average monthly physician remuneration in pesos | $2 368 271 | $2 387 734 | $2 457 470 | $2 649 200 | $2 823 955 | $2 769 218 | $2 907 046 | $3 004 586 | $2 983 927 | $2 963 105 | 25.1% | 2.5% |
| Average monthly non-physician remuneration in pesos | $834 100 | $829 836 | $876 757 | $835 525 | $851 190 | $859 115 | $864 575 | $870 997 | $943 110 | $893 556 | 7.1% | 0.8% |
| Average monthly remuneration in pesos | $1 519 100 | $1 493 450 | $1 583 035 | $1 720 021 | $1 792 028 | $1 845 075 | $1 885 682 | $1 902 437 | $1 982 578 | $1 911 036 | 25.8% | 2.6% |
| Expenditure efficiency: production per million (X/CT) | 4.5 | 4.9 | 4.6 | 4.1 | 3.9 | 3.8 | 3.5 | 3.5 | 3.5 | 3.6 | -21.0% | -2.6% |
| Estimated average productivity over average staffing (X/L) | 129.3 | 141.4 | 143.3 | 135.5 | 137.2 | 138.2 | 133.3 | 135.0 | 139.7 | 134.5 | 4.0% | 0.4% |
| Output (X) (without diagnostic tests) in equivalent units | 2 996 933 | 3 246 565 | 3 232 973 | 3 049 455 | 3 032 776 | 3 028 078 | 3 044 085 | 3 213 779 | 3 325 511 | 3 345 166 | 11.6% | 1.23% |
| Spending efficiency: output per million (X/CT) (without diagnostic tests) | 1.2 | 1.2 | 1.1 | 0.9 | 0.8 | 0.8 | 0.7 | 0.7 | 0.6 | 0.6 | -47.3% | -6.9% |
| Estimated average productivity over average endowments (X/L) (without diagnostic tests) | 34.4 | 35.3 | 34.1 | 31.1 | 29.6 | 28.4 | 26.4 | 25.8 | 25.5 | 23.8 | -30.6% | -4.0% |
MM$, million 2020 Chilean pesos.
Source: Prepared by the authors based on the results of the study.