[Evolution value of quantitative performance indicators of a large hospital (La Fe. 1974-1986)]

Area of Science:

• Healthcare Management
• Hospital Administration
• Health Services Research

Context:

• Analysis of quantitative hospital performance indicators over a 13-year period (1974-1986).
• Focus on a 2,000-bed hospital center comprising General, Children's, Maternity, and Traumatology-Rehabilitation units.

Purpose:

• To conduct a historical-developmental analysis of hospital performance indicators.
• To identify disparities in performance and demand across autonomous hospital units within a larger center.

Summary:

• A comprehensive analysis of hospital performance indicators revealed significant variations in demand and capacity across different departments.
• The General and Traumatology-Rehabilitation hospitals experienced overload, while the Children's and Maternity hospitals faced less pressure.
• Overall center overload was non-uniform, causing internal imbalances and distortions.

Impact:

• Highlights the limitations of aggregate performance metrics, emphasizing the need for unit-specific analysis.
• Suggests that structural and functional deficiencies in primary care likely contribute to the rising demand for hospital services.
• Provides insights for optimizing resource allocation and strategic planning in complex healthcare systems.