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| dc.title | Economic Evaluation of Hospital María, Especialidades Pediátricas, Tegucigalpa, Honduras |
| dc.contributor.author | Góngora, Pamela |
| dc.contributor.author | Fahr, Patrick |
| dc.contributor.author | Alvarez Corrales, Dina |
| dc.contributor.author | Sauceda Acosta, Dilcia |
| dc.contributor.author | Andino Vilchez, Michel |
| dc.contributor.author | Godoy, Hugo Danilo |
| dc.contributor.orgunit | Health, Nutrition and Population Division |
| dc.coverage | Honduras |
| dc.date.available | 2025-06-25T00:06:00 |
| dc.date.issue | 2025-06-24T00:06:00 |
| dc.description.abstract | The Hospital María, Pediatric Specialties (HMEP), located in Tegucigalpa, Honduras, is a key public institution for pediatric care, research, and medical training. This study evaluates its performance in 2023 through two approaches: (i) an operational analysis using indicators such as length of stay, bed occupancy, and bed turnover; and (ii) a cost-effectiveness analysis based on the cost per disability-adjusted life year (DALY) averted compared to the national willingness-to-pay threshold. The hospital reported a 64.6% bed occupancy rate and a 36.5% bed turnover rate but faces critical limitations in reducing waiting lists, particularly for cardiac surgery. The economic analysis included 168 patients and revealed that all analyzed services offered excellent value for money. The cost per DALY averted ranged from US$112 (neurology) to US$762 (plastic surgery), with cost-effectiveness ratios below 1.0 across all specialties. Although the results are solid, monitoring is recommended for higher-cost services. In conclusion, HMEP provides efficient care but requires additional human and financial resources to improve access to pediatric surgeries and reduce waiting times. |
| dc.format.extent | 41 |
| dc.identifier.doi | http://dx.doi.org/10.18235/0013580 |
| dc.identifier.url | https://publications.iadb.org/publications/english/document/Economic-Evaluation-of-Hospital-Maria-Especialidades-Pediatricas-Tegucigalpa-Honduras.pdf |
| dc.identifier.url | https://publications.iadb.org/publications/spanish/document/Evaluacion-economica-del-Hospital-Maria-Especialidades-Pediatricas-HMEP-Tegucigalpa-Honduras.pdf |
| dc.language.iso | en |
| dc.publisher | Inter-American Development Bank |
| dc.subject | Health Facilities |
| dc.subject | Rating |
| dc.subject | Health |
| dc.subject | Disease |
| dc.subject | Person with Disability |
| dc.subject | Delivery of Health Care |
| dc.subject | Population Aging |
| dc.subject | Cost-Benefit Analysis |
| dc.subject.jelcode | I18 - Government Policy • Regulation • Public Health |
| dc.subject.jelcode | I10 - Health: General |
| dc.subject.jelcode | I11 - Analysis of Health Care Markets |
| dc.subject.jelcode | D24 - Production • Cost • Capital • Capital, Total Factor, and Multifactor Productivity • Capacity |
| dc.subject.jelcode | D61 - Allocative Efficiency • Cost—Benefit Analysis |
| dc.subject.jelcode | H51 - Government Expenditures and Health |
| dc.subject.keywords | Health system performance;Pediatric hospital efficiency;Cost-effectiveness analysis;Disability-adjusted life years (DALYs);Public hospital management;Health economics;Surgical waiting times;Health resource allocation;Value for money in health;Quality and access to health services |
| dc.type | Technical Notes |
| idb.identifier.pubnumber | IDB-TN-03162 |
| idb.operation | HO-L1239 |