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Evaluation of Mus State Hospital’s Service Efficiencies with Data Envelopment Analysis

Year 2021, Volume: 5 Issue: 2, 999 - 1014, 31.05.2021
https://doi.org/10.29023/alanyaakademik.872062

Abstract

The purpose of study is to analyse the efficiencies of 23 services in Muş State hospital for 2014-2019 years. In the study, the analysis of non-parametric Data Envelopment Analysis (DEA) was performed. Then, the efficiency of the services was measured with window analyses consisting of four windows covering three years each for the relevant years. After that, efficiency changes of the services by years and Malmquist Index Total Factor Productivities were calculated. According to the CCR and BCC method of DEA calculations respectively, 8 and 12 services in 2014; 8 and 13 services in 2015; 7 and 13 services in 2016; 8 and 14 services in 2017; 7 and 12 services in 2018; 4 and 14 services in 2019 were efficient. It was concluded that most of the services of Muş State Hospital were more efficient in the last three years compared to the other years. In addition to this, there is a need for regulation regarding the number of staff and the distribution of bed capacities to make inefficient services efficient.

References

  • AL-SHAYEA, M. A., (2011). Measuring hospital’s units efficiency: A data envelopment analysis approach. International Journal of Engineering & Technology IJET - IJENS 11(06), 7-14.
  • ASMİLD, M., PARADI, J. C., AGGARWALL, V. and SCHAFFNIT, C. (2004). Combining DEA window analysis with the Malmquist index approach in a study of the Canadian banking industry. Journal of Productivity Analysis, 21, 67–89.
  • AYANOĞLU, Y., ATAN, M. ve BEYLİK, U. (2010). Hastanelerde veri zarflama analizi (VZA) yöntemiyle finansal performans ölçümü ve değerlendirilmesi. Sağlıkta Performans ve Kalite Dergisi, 2(2), 40-62.
  • BANKER, R. D., CHARNES, A. and COOPER, W.W. (1984). Some models for estimating technical and scale inefficiencies in data envelopment analysis. Management Science, 30(9), 1078-1092.
  • CANDEMİR, M. ve DELİKTAŞ, E. (2006). TİGEM işletmelerinde teknik etkinlik, ölçek etkinliği, teknik ilerleme, etkinlikteki değişme ve verimlilik analizi: 1999-2003, Ankara: TİGEM Yayın 141.
  • CAVES, D., CHRİSTİENSEN, L. R. and DİEWERT, W. E., (1982), The economic theory of indeks numbers and the mesurement of input, output and productivity, Econometrica, 50, 1393-1414.
  • CHARNES, A., COOPER, W.W. and RHODES, E. (1978). Measuring the efficiency of decision making units. North-Holland Publishing Company European Journal of Operational Research. 2, 429-444.
  • CHEN, L, ASHİK, K, GUTERMAN, S, RİDGWAY, A, ORAV, E., and EPSTEIN A. (2010), Hospital cost of care, quality of care, and readmission rates: penny wise and pound foolish? JAMA Intern Med, 170(4),340–6. DOI:10.1001/archinternmed.2009.511
  • COELLİ, T. J., RAO, D.S.P., O'DONNELL, C. J. and BATTESE, G. E. (1998). An introduction to efficiency and productivity analysis. Second Edition. New York: Springer.
  • COOPER, W. W., SEİFORD, L. M.and ZHU, J. (2011). Handbook on data envelopment analysis. Second Edition, New York: Springer.
  • ÇALIŞKAN, S. ve GİRGİNER, N. (2016). Türkiye’deki hastanelerin performanslarının veri zarflama analizi ile değerlendirilmesi. EconWorld2016@ImperialCollege Proceedings. London, 1-11.
  • DEBREU, G. (1951). The coefficient of resource utilization. Econometrica, 19(3), 273-292.
  • ESTACHE, A., DE La FE, B. T. and TRUJİLLO, L. (2004), Sources of efficiency gains in port reform: a DEA decomposition of a Malmquist TFP indeks for Mexico, Utulities Policy, 12, 221-230.
  • FARREL, M. J. (1957). The measurement of productive efficiency. Journal of the Royal Statistical Society. Series A (General), 120(3), 253-290.
  • GÜLSEVİN, G., ve TÜRKAN, A. H. (2012). Afyonkarahisar hastanelerinin etkinliklerinin veri zarflama analizi ile değerlendirilmesi. Afyon Kocatepe Üniversitesi Fen ve Mühendislik Bilimleri Dergisi, 12(2), 1-8.
  • KARADAYI, M. A., EKİNCİ, Y., AKKAN, C. ve ÜLENGİN, F. (2017). İstanbul için acil servis birimlerinin etkinliğinin kategorik veri zarflama analizi ile değerlendirilmesi. Journal of Yaşar University, 12, 31-39.
  • KAWAGUCHİ, H., TONE, K. and TSUTSUİ, M. (2014). Estimation of the efficiency of Japanese hospitals using a dynamic and network data envelopment analysis model. Health Care Manag Sci 17, 101-112.
  • KOOPMANS, T. C. (1951). Activity analysis of production and allocation. New York: John Wiley and Sons Inc.
  • KUTLAR, A., KABASAKAL, A. ve BABACAN, A. (2015). Dynamic efficiency analysis of Turkish banks: a DEA-window and Malmquist index analysis for the 2003-2012 period. Sosyoekonomi. 24, 71-97.
  • LIU, F. F. and WANG, P. H. (2008). DEA Malmquist productivity measure: Taiwanese semiconductor companies, International Journal of Production Ecoonomic, 112, 367-379.
  • MALMQUİST, S., (1953), Indeks number and indifferences surfaces, Trabajos De Estatistica, 4, 209-242.
  • MURİLLO-ZAMORANO, L. R. and VEGA-CERVERA, J. (2000). The use of parametric and non parametric frontier methods to measure the productive efficiency in the industrial sector. A comparative study. Department of Economics and Related Studies University of York. Discussion Papers in Economics. 17.
  • YİĞİT, V. (2016). Bir üniversite hastanesinin tıbbı bölümlerinin teknik verimlilik analizi. Süleyman Demirel Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, (23), 199-214.

Muş Devlet Hastanesi Servis Etkinliklerinin Veri Zarflama Analizi ile Değerlendirilmesi

Year 2021, Volume: 5 Issue: 2, 999 - 1014, 31.05.2021
https://doi.org/10.29023/alanyaakademik.872062

Abstract

Çalışmanın amacı; Muş Devlet Hastanesindeki 23 servisin 2014-2019 yılları için etkinliklerinin analiz edilmesidir. Çalışma parametrik olmayan Veri Zarflama Analizi (VZA) kullanılarak yapılmıştır. Sonrasında ilgili yıllar için üçer yılı kapsayan dört pencereden oluşan pencere analizleri ile servislerin etkinlikleri ölçülmüş, servislerin yıllara göre etkinlik değişimleri ve Malmquist İndeksi Toplam Faktör Verimlilikleri hesaplanmıştır. CCR ve BCC hesaplamalarına göre sırasıyla 2014’te 8 ve 12; 2015’te 8 ve 13; 2016’da 7 ve 13; 2017’de 8 ve 14; 2018’de 7 ve 12; 2019’da 4 ve 14 servis etkin çıkmıştır. Muş Devlet Hastanesi’nin servislerin birçoğunun son üç yılda diğer yıllara göre daha etkin olduğu sonucuna varılmıştır. Buna ek olarak; etkin olmayan servislerin ise etkin olması için personel sayısı ve yatak kapasitelerinin dağılımları ile ilgili düzenlemeye ihtiyaç duyulmaktadır.

References

  • AL-SHAYEA, M. A., (2011). Measuring hospital’s units efficiency: A data envelopment analysis approach. International Journal of Engineering & Technology IJET - IJENS 11(06), 7-14.
  • ASMİLD, M., PARADI, J. C., AGGARWALL, V. and SCHAFFNIT, C. (2004). Combining DEA window analysis with the Malmquist index approach in a study of the Canadian banking industry. Journal of Productivity Analysis, 21, 67–89.
  • AYANOĞLU, Y., ATAN, M. ve BEYLİK, U. (2010). Hastanelerde veri zarflama analizi (VZA) yöntemiyle finansal performans ölçümü ve değerlendirilmesi. Sağlıkta Performans ve Kalite Dergisi, 2(2), 40-62.
  • BANKER, R. D., CHARNES, A. and COOPER, W.W. (1984). Some models for estimating technical and scale inefficiencies in data envelopment analysis. Management Science, 30(9), 1078-1092.
  • CANDEMİR, M. ve DELİKTAŞ, E. (2006). TİGEM işletmelerinde teknik etkinlik, ölçek etkinliği, teknik ilerleme, etkinlikteki değişme ve verimlilik analizi: 1999-2003, Ankara: TİGEM Yayın 141.
  • CAVES, D., CHRİSTİENSEN, L. R. and DİEWERT, W. E., (1982), The economic theory of indeks numbers and the mesurement of input, output and productivity, Econometrica, 50, 1393-1414.
  • CHARNES, A., COOPER, W.W. and RHODES, E. (1978). Measuring the efficiency of decision making units. North-Holland Publishing Company European Journal of Operational Research. 2, 429-444.
  • CHEN, L, ASHİK, K, GUTERMAN, S, RİDGWAY, A, ORAV, E., and EPSTEIN A. (2010), Hospital cost of care, quality of care, and readmission rates: penny wise and pound foolish? JAMA Intern Med, 170(4),340–6. DOI:10.1001/archinternmed.2009.511
  • COELLİ, T. J., RAO, D.S.P., O'DONNELL, C. J. and BATTESE, G. E. (1998). An introduction to efficiency and productivity analysis. Second Edition. New York: Springer.
  • COOPER, W. W., SEİFORD, L. M.and ZHU, J. (2011). Handbook on data envelopment analysis. Second Edition, New York: Springer.
  • ÇALIŞKAN, S. ve GİRGİNER, N. (2016). Türkiye’deki hastanelerin performanslarının veri zarflama analizi ile değerlendirilmesi. EconWorld2016@ImperialCollege Proceedings. London, 1-11.
  • DEBREU, G. (1951). The coefficient of resource utilization. Econometrica, 19(3), 273-292.
  • ESTACHE, A., DE La FE, B. T. and TRUJİLLO, L. (2004), Sources of efficiency gains in port reform: a DEA decomposition of a Malmquist TFP indeks for Mexico, Utulities Policy, 12, 221-230.
  • FARREL, M. J. (1957). The measurement of productive efficiency. Journal of the Royal Statistical Society. Series A (General), 120(3), 253-290.
  • GÜLSEVİN, G., ve TÜRKAN, A. H. (2012). Afyonkarahisar hastanelerinin etkinliklerinin veri zarflama analizi ile değerlendirilmesi. Afyon Kocatepe Üniversitesi Fen ve Mühendislik Bilimleri Dergisi, 12(2), 1-8.
  • KARADAYI, M. A., EKİNCİ, Y., AKKAN, C. ve ÜLENGİN, F. (2017). İstanbul için acil servis birimlerinin etkinliğinin kategorik veri zarflama analizi ile değerlendirilmesi. Journal of Yaşar University, 12, 31-39.
  • KAWAGUCHİ, H., TONE, K. and TSUTSUİ, M. (2014). Estimation of the efficiency of Japanese hospitals using a dynamic and network data envelopment analysis model. Health Care Manag Sci 17, 101-112.
  • KOOPMANS, T. C. (1951). Activity analysis of production and allocation. New York: John Wiley and Sons Inc.
  • KUTLAR, A., KABASAKAL, A. ve BABACAN, A. (2015). Dynamic efficiency analysis of Turkish banks: a DEA-window and Malmquist index analysis for the 2003-2012 period. Sosyoekonomi. 24, 71-97.
  • LIU, F. F. and WANG, P. H. (2008). DEA Malmquist productivity measure: Taiwanese semiconductor companies, International Journal of Production Ecoonomic, 112, 367-379.
  • MALMQUİST, S., (1953), Indeks number and indifferences surfaces, Trabajos De Estatistica, 4, 209-242.
  • MURİLLO-ZAMORANO, L. R. and VEGA-CERVERA, J. (2000). The use of parametric and non parametric frontier methods to measure the productive efficiency in the industrial sector. A comparative study. Department of Economics and Related Studies University of York. Discussion Papers in Economics. 17.
  • YİĞİT, V. (2016). Bir üniversite hastanesinin tıbbı bölümlerinin teknik verimlilik analizi. Süleyman Demirel Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, (23), 199-214.
There are 23 citations in total.

Details

Primary Language Turkish
Subjects Operation
Journal Section Makaleler
Authors

Özgür Yeşilyurt 0000-0001-9252-3375

Fuad Selamzade 0000-0002-2436-8948

Publication Date May 31, 2021
Acceptance Date May 5, 2021
Published in Issue Year 2021 Volume: 5 Issue: 2

Cite

APA Yeşilyurt, Ö., & Selamzade, F. (2021). Muş Devlet Hastanesi Servis Etkinliklerinin Veri Zarflama Analizi ile Değerlendirilmesi. Alanya Akademik Bakış, 5(2), 999-1014. https://doi.org/10.29023/alanyaakademik.872062