Management and efficiency in highly complex public healthcare: an analysis of financial ratios and non-parametric statistic

Introduction: the objective of the study was to evaluate the management and technical efficiency of public health, taking as a sample the 25 specialized public hospitals in Colombia as well as the data of their annual financial statements and income statements from 2017 to 2022.Method: a total of 28 financial ratios were developed for each hospital and year, then a correlation test was carried out, selecting nine of the best results to determine those with the greatest contribution to the data and their changes. To evaluate the management and technical efficiency, the SPSS and R software were used for the statistical analysis.Results: according to Kruskall-Wallis’ test, they do not have technical efficiency, the results are below average and mostly negative, which allowed identifying opportunities for improvement of the financial and operational management systems, efficiency and productivity. Therefore, the research hypothesis is rejected.Conclusion: there is no technical efficiency in the hospitals analyzed, high degrees of management asymmetry are observed in most of the ratios analyzed, there are possibilities of operational and financial risk, hence it is suggested to enhance management control, and thereby some recommendations and new research are given.