Evaluating Colombia's Hospital Bed Expansion From 2010 to 2022 Using Interrupted Time Series Analysis During the COVID-19 Pandemic.
Background: The COVID-19 pandemic posed unprecedented challenges to healthcare systems worldwide, prompting governments to rapidly expand hospital bed capacity to meet the surge in demand for medical care. This study focuses on evaluating Colombia's healthcare system response by examining the expans...
| Publicado en: | Health Services Insights pp. 1 - 10 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
7/15/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186775729&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186775729 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11786329 B10H jtl: Health Services Insights issn: 11786329 maglogo: Y pubinfo: dt: 7/15/2025 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 186775729 186775729 186775729 10.1177/11786329251356558 186775729 ppf: 1 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Evaluating Colombia's Hospital Bed Expansion From 2010 to 2022 Using Interrupted Time Series Analysis During the COVID-19 Pandemic. aug: au: Rodríguez Lesmes, Paul Rua, Dalya Sofía Durán, Catalina affil: School of Economics, Universidad del Rosario, Bogotá, Colombia sug: subj: Bed Occupancy Trends Hospitals Colombia COVID-19 Pandemic Psychosocial Factors Health Resource Allocation Evaluation Human Colombia Interrupted Time Series Analysis Funding Source Health Services Needs and Demand Nonexperimental Studies Economic and Social Security Organizational Structure Public Sector Private Sector Health Care Delivery Pediatric Care Pandemic Preparedness Organizational Development Descriptive Statistics Data Analysis Software Public Health Infrastructure Regression Local Government Hospital Design and Construction Geographic Factors ab: Background: The COVID-19 pandemic posed unprecedented challenges to healthcare systems worldwide, prompting governments to rapidly expand hospital bed capacity to meet the surge in demand for medical care. This study focuses on evaluating Colombia's healthcare system response by examining the expansion of hospital beds during the health crisis. Methods: In an observational study, we used a national census of all healthcare facilities in Colombia, compiled by the Ministry of Health and Social Protection (MPSP), to analyze changes in hospital bed allocation from 2010 to 2022. Our analysis accounted for the size of each provider, its public or private ownership, and the types of services it was authorized to deliver. We applied interrupted time series models to assess changes at both the hospital and municipal levels over time. Results: Findings reveal a significant reduction in hospital beds in 2020, with adult beds decreasing by 1049 units and pediatric beds by 0.709 units compared to 2019. However, there was an increase in ICU beds for adults across all years, which persisted after the end of the crisis. The expansion mainly targeted small hospitals and the public network of providers. Most of the expansion was restricted to areas of the country that already had a supply of ICU and hospitalization beds. Conclusion: Colombia's healthcare system responded dynamically to the COVID-19 pandemic by reallocating resources and expanding hospital bed capacity, despite the complex command and control configuration of its health system. Yet, it shows that the country needs to modify its financial and organizational structures to ensure better preparedness for future health crises. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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