Journal of Medical Systems

, 41:163 | Cite as

Efficiency Analysis of Integrated Public Hospital Networks in Outpatient Internal Medicine

  • Miguel Angel Ortíz-Barrios
  • Juan P. Escorcia-Caballero
  • Fabián Sánchez-Sánchez
  • Fabio De Felice
  • Antonella Petrillo
Systems-Level Quality Improvement
Part of the following topical collections:
  1. Systems-Level Quality Improvement


Healthcare systems are evolving towards a complex network of interconnected services due to the increasing costs and the increasing expectations for high service levels. It is evidenced in the literature the importance of implementing management techniques and sophisticated methods to improve the efficiency of healthcare systems, especially in emerging economies. This paper proposes an integrated collaboration model between two public hospitals to reach the reduction of weighted average lead time in outpatient internal medicine department. A strategic framework based on value stream mapping and collaborative practices has been developed in real case study settled in Colombia.


Efficiency Public healthcare Value stream mapping Collaborative practices DSS 


Compliance with Ethical Standards

Conflict of Interest

Prof. Miguel Ortiz Barrios declares that he has no conflict of interest. Dr. Juan Escorcia Caballero declares that he has no conflict of interest. Dr. Fabián Sánchez Sánchez declares that he has no conflict of interest. Prof. Fabio De Felice declares that he has no conflict of interest. Prof. Antonella Petrillo declares that she has no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Miguel Angel Ortíz-Barrios
    • 1
  • Juan P. Escorcia-Caballero
    • 2
  • Fabián Sánchez-Sánchez
    • 3
  • Fabio De Felice
    • 4
  • Antonella Petrillo
    • 5
  1. 1.Universidad de la Costa CUCBarranquillaColombia
  2. 2.Department of Business ManagementUniversidad del NorteBarranquillaColombia
  3. 3.Department of Industrial EngineeringUniversidad Autónoma del CaribeBarranquillaColombia
  4. 4.Department of Civil and Mechanical EngineeringUniversity of Cassino and Southern LazioCassinoItaly
  5. 5.Department of EngineeringUniversity of Napoli “Parthenope”NapoliItaly

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