Propuesta de integración de dos hospitales para hacer más productivas las empresas sociales del estado, ESE en Palmira

This work tries to demonstrate the current failings that are had in the service of health in Palmira and in the financial results as the public hospitals and to evaluate the possible solutions from the operative and financial point of view to generate a more efficient public financial and operative institution. Using the financial information and of production of the hospitals, one thought that both hospitals have an inadequate opportunity in the service, they do not realize the administrative processes adequately, have operational losses and have not managed to construct a competitive advantage that leads them to being supported in a mediate future, high administrative loads that make them inefficient and using the methodology of internal analysis, analysis with base in five forces of Porter and the method of hardiness, I achieve to demonstrate that of the possible strategies that the municipal administration uses to improve the productivity of the institutions, the most viable it is the merger, since this one was generating economies on a large scale, to optimize the plant of charges to the royal needs of the organization, the model of provision of services reorders, to shape integrated networks of services that will make the service more efficient from the financial point of view and to improve the process of attention in health.