<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-1429</journal-id>
<journal-title><![CDATA[Revista Costarricense de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. costarric. salud pública]]></abbrev-journal-title>
<issn>1409-1429</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Salud Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-14292019000100059</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Sustentabilidad financiera y excelencia de la atención hospitalaria]]></article-title>
<article-title xml:lang="en"><![CDATA[Financial sustainability and excellence of hospital care]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leyton Pavez]]></surname>
<given-names><![CDATA[Carolina Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Medina Giacomozzi]]></surname>
<given-names><![CDATA[Alex Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gallegos Muñoz]]></surname>
<given-names><![CDATA[Cecilia Del Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villablanca Elgueta]]></surname>
<given-names><![CDATA[Mónica Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gil Martín]]></surname>
<given-names><![CDATA[Joan Carles]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Bío-Bío Facultad de Ciencias Empresariales ]]></institution>
<addr-line><![CDATA[ Chillán]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad del Bío-Bío Facultad de Ciencias Empresariales ]]></institution>
<addr-line><![CDATA[ Chillán]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad del Bío-Bío Facultad de Ciencias Empresariales ]]></institution>
<addr-line><![CDATA[ Chillán]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad del Bío-Bío Facultad de Ciencias Empresariales Departamento de Gestión Empresarial]]></institution>
<addr-line><![CDATA[ Chillán]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Politécnica de Catalunya  ]]></institution>
<addr-line><![CDATA[ Barcelona]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>28</volume>
<numero>1</numero>
<fpage>59</fpage>
<lpage>73</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-14292019000100059&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-14292019000100059&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-14292019000100059&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Este artículo identifica y analiza la relación entre la sustentabilidad financiera y la excelencia de la atención hospitalaria de la salud pública chilena. Los datos se obtienen directamente del Cuadro de Mando Integral de los 57 hospitales chilenos de mayor complejidad. Se realiza un análisis univariado, para determinar el comportamiento tendencial de los indicadores que componen las estrategias de sustentabilidad financiera y excelencia de la atención; luego un análisis bivariado para establecer asociaciones entre indicadores y variables relevantes, y analizar el funcionamiento de los establecimientos; y finalmente un análisis multivariado, donde se utiliza la técnica de análisis factorial confirmatoria. Demuestra que existe una relación negativa entre los resultados de ambas estrategias en estudio, por lo que se concluye que mejoras en los resultados de la sustentabilidad financiera no se traducen directamente en los resultados de excelencia de la atención hospitalaria, ya que no existe una canalización efectiva entre ambas estrategias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Objective: To determine. This article identifies and analyzes the relationship between financial sustainability and the excellence of hospital care in Chilean public health. The data is obtained directly from the Balanced Scorecard of the 57 most complex Chilean hospitals. A univariate analysis is carried out to determine the trend behavior of the indicators that make up the strategies of financial sustainability and excellence of care; then a bivariate analysis to establish associations between indicators and relevant variables, and analyze the operation of the establishments; and finally a multivariate analysis, where the technique of confirmatory factor analysis is used. It shows that there is a negative relationship between the results of both strategies under study, so it is concluded that improvements in the results of financial sustainability do not translate directly into the results of excellence in hospital care, since there is no effective channeling between both strategies.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Indicadores de gestión]]></kwd>
<kwd lng="es"><![CDATA[centros de salud]]></kwd>
<kwd lng="es"><![CDATA[salud pública]]></kwd>
<kwd lng="en"><![CDATA[Management indicators]]></kwd>
<kwd lng="en"><![CDATA[Healthcare centers]]></kwd>
<kwd lng="en"><![CDATA[Public health]]></kwd>
</kwd-group>
</article-meta>
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