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Veri Zarflama Analizi ile Türkiye’deki Kamu Hastanelerinin Teknik Etkinliğinin Ölçülmesi

Yıl 2019, Cilt: 19 Sayı: 3, 373 - 387, 30.07.2019
https://doi.org/10.21121/eab.475514

Öz

Çalışmada, veri zarflama analizi ile Türkiye’nin 81 ilindeki 1533 kamu hastanesinin performans ve etkinlik düzeyleri belirlenerek işletmenin etkinliğini artırmak hedeflenmiş, ayrıca hastanelerde aksamalara neden olan birimlerin sorunları belirlenerek çözüm önerileriyle bu sorunları düzeltmek amaçlanmaktadır. Uygulama yapılan sağlık işletmelerinden elde edilen veriler kontrolden geçirilecek etkinlik dereceleri değerlendirilmiş ve analiz sonuçları elde edilmiştir. Çalışmadan elde edilen bu sonuçlar, uygulamanın yapıldığı hastanelerin etkinliği artırmak veya eksikliklerinin giderilmesi için yapılacak iyileştirme çalışmalarında kullanılmıştır. Elde edilen sonuçlara göre, 81 ilde faaliyet gösteren ve benzer sağlık hizmetleri sunan 1533 hastanenin teknik etkinliği veri zarflama analizi ile ölçülmüş ve bu hastanelerden 36 ilde bulunan 775 tanesinin etkin olarak çalıştığı, 45 ilde bulunan 758 hastanenin de etkin olarak çalışmadığı belirlenmiştir.

Kaynakça

  • Akal, Z. (2000). Performance Measurement and Control in Operations, Multipurpose Performance Indicators, MPM, No: 473, Ankara.
  • Aslan, S. and Mete, M. (2007). Data Envelopment Analysis Method in Performance Measurement: Example of Birth and Children Hospitals Depended on Ministry of Health, Istanbul University, Faculty of Business Administration, Management Journal, Vol: 36, No: 1, p.44-63.
  • Ayrıcay, Y. and Ozcalıcı, M. (2014). Between the years of 1997-2012 in Turkey DEA Related Published Studies of Academic, Kahramanmaras Sütcüimam University, Faculty of Economics Journal, Volume 4, Number 1, p. 246-279.
  • Bayraktutan, Y. and Pehlivanoglu, F. (2012). Efficiency Analysis in Healthcare Establishments: Kocaeli Example, Journal of Kocaeli University Social Sciences Institute, Issue 23, p. 127-162
  • Bernd, H. and Irvine, L. (2001). On the Efficiency of Public, Welfare and Private Hospitals in Germany Over Time – A Sectoral DEA-Study. Health Services Management Research, Vol. 14, 2001, pp. 263-274. Available at: http://ssrn.com/abstract=993391
  • Bowlin, W. F. (1998). Measuring Performance: An Introduction to Data Envelopment Analysis (DEA), The Journal of Cost Analysis, 3–27.
  • Charnes, A., Cooper, W.W., Rhodes, E. (1978). Measuring the efficiency of decision making units, European Journal of Operation Research, 2, p.429-444.
  • Chowdhury, H. and Zelenyuk, V. (2016). Performance of hospital services in Ontario: DEA with truncated regression approach, Omega, Volume 63, September 2016, p.111-122.
  • Cooper, W.W., Seiford, L. M. and Zhu, J. (2004). Handbook on Data Envelopment Analysis, Kluwer Academic Publishers, Boston.
  • Caglar, A. (2003). Activity Measurement of Municipalities by Data Envelopment Analysis. Doctorate Thesis, Hacettepe University Institute of Science, Department of Statistics, Ankara.
  • Celik, T. and Esmeray, A. (2014). Measurement of Cost Effectiveness in Private Hospitals in Kayseri by Data Envelopment Method, International Alanya Business Administration Journal, Volume: 6, Issue : 2, p. 45-54.
  • Davis, P., Barry, M., Karl P., Phil H., Roy Lay-Yee, Jackie, C. and Patrick G. (2013). Efficiency, effectiveness, equity (E3). Evaluating hospital performance in three dimensions. Health Policy, 112(2013):19-27, https://www.elsevier.com/locate/healthpol
  • Dimas, G., Goula, A. and Soulis, S. (2012). Productive performance and its components in Greek public hospitals. Operational Research, May 2012, DOI: 10.1007/s12351-010-0082-2, https://www.researchgate.net/publication/225985728
  • Ferrier, G.D. and Valdmanis, V.G. (2004). Do mergers improve hospital productivity? Journal of the Operational Research Society, Volume: 55, Issue: 10, pp.1071-1080
  • Garcia-Lacalle, J. and Martin, E. (2010). Rural vs Urban hospital performance in a 'competitive' public health service, Social Science & Medicine, Doi: 10.1016/j.socscimed.2010.05.043
  • Gholami, R., Dolores A.H. and Ali, E. (2015). Hospital performance: efficiency or quality? Can we have both with it? Expert Systems with Applications, Volume: 42, Issue: 12, p.5390-5400
  • Guzel, D., Celik, A.K. and Akbaba, A.I. (2012). Relevant Efficiency Analysis of University and State Hospitals in Erzurum with Data Envelopment Method, 12th Production Research Symposium-UAS 2012 Proceedings Book, p.975-981, İzmir.
  • Helmig, B. and Lapsley, I. (2001). On the Efficiency of Public, Welfare and Private Hospitals in Germany Over Time – A Sectorial DEA-Study, Health Services Management Research, Vol. 14, pp. 263-274. http://ssrn.com/abstract=993391
  • Hofmarcher, M. M., Paterson, I. and Riedel, M. (2002). Measuring Hospital Efficiency in Austria-A DEA Approach. Health Care Management Science, 5, p.7-14. Kluwer Academic Publishers.
  • Hu, J. and Huang, Y. (2004). Technical Efficiencies in Large Hospitals: A Managerial Perspective, International Journal of Management, Vol. 21 No. 4, December 2004, p.506-513.
  • Karagoz S, and Balci, A. (2007). Effectiveness of health management departments of universities that train health managers in Turkey, International Journal of Health Planning and Management, 22(4): 263-288.
  • Karahan, M. and Akdag, R. (2014). Service Efficiency Measurement by Data Envelopment Analysis: Diyarbakir DISKI Example, Selçuk University Social Sciences Institute Magazine, Dr. Mehmet YILDIZ Special Issue.
  • Kirigia, J.M., Emrouznejad, A., Sambo, L.G., Munguti, N. and Liambila, W. (2004). Using Data Envelopment Analysis to Measure the Technical Efficiency of Public Health Centers in Kenya DEA Analytical Framework, Journal of Medical Systems, Vol. 28, No. 2, p.155-166.
  • Oderkirk, J., Ronchi, E. and Klazinga, N. (2013). International comparisons of health system performance among OECD countries: Opportunities and data privacy protection challenges, Health Policy, 112 (2013): 9-18.
  • Parkin, D. and Hollingsworth, B. (1997). Measuring production efficiency of acute hospitals in Scotland, 1991–94: Validity issues in data envelopment analysis. Appl. Econ. 29(11):1425-1433.
  • Tavares, G. (2002). A Bibliography of Data Envelopment Analysis (1978-2001), Rutcor Research Report, 01-02.
  • Tetik, S. (2003). Data Envelopment Analysis in Determining Operational Performance, Celal Bayar University Faculty of Economics and Administrative Sciences, Journal of Management and Economics, Vol: 10, No: 2, p.221-229, Manisa.
  • Thanassoulis, E., Boussfofiane, A., and Dyson, R.G. (1995). Exploring output quality targets in the provision of perinatal-care in England using data envelopment analysis. Eur. J. Oper. Res. 80:588-607.
  • Tunca, M.Z., Omurbek, N. and Bal, V. (2010). An Activity Measurement Study in Training and Research Hospitals with Data Envelopment Analysis, 10th National Production Research Symposium, 16-18 September 2010, Proceding Book, p.1-8.
  • Widiarto, I., Emrouznejad, A. and Anastasakis, L. (2017). Observing choice of loan methods in not-for-profit microfinance using data envelopment analysis, Expert Systems With Applications, 82 (2017): 278–290, journal homepage: www.elsevier.com/locate/eswa
  • Yu, J. and Zhang Y. (2017) Comparison of Single-Payer and Non Single-Payer Health Care Systems: A Study of Health Administration Efficiency. Modern Economy, 8, p.816-833. https://doi.org/10.4236/me.2017.86057
  • Yun, Y. B., Nakayama H. and Tanino T. (2004). A Generalized Model for Data Envelopment Analysis, European Journal of Operational Research, 157, p.87-105.

Using Data Envelopment Analysis to Measure the Technical Efficiency of Public Hospitals in Turkey

Yıl 2019, Cilt: 19 Sayı: 3, 373 - 387, 30.07.2019
https://doi.org/10.21121/eab.475514

Öz

In the study, it was
targeted to increase the efficiency of business by identifying the performance
and efficiency levels of 1533 public hospitals in 81 provinces of Turkey by
means of data envelopment analysis and, in addition to this, identifying the
problems of units causing disruptions; it was aimed to sort out these problems
by suggesting solutions. The data obtained from health businesses, in which
application was performed, were checked; their efficiency degrees were
assessed; and analysis results were obtained. These results obtained from the
study were used in the improvement studies that are going to be carried out to
increase the efficiency of or remove the deficiencies of hospitals, in which
application is performed. According to the results obtained, the technical
efficiencies of 1533 businesses being active in 81 provinces and presenting
similar health services were measured by means of data envelopment analysis and
it was identified that 775 of these hospitals that are present in 36 provinces
worked efficiently, and that 758 of them that are present in 45 provinces did
not work efficiently.

Kaynakça

  • Akal, Z. (2000). Performance Measurement and Control in Operations, Multipurpose Performance Indicators, MPM, No: 473, Ankara.
  • Aslan, S. and Mete, M. (2007). Data Envelopment Analysis Method in Performance Measurement: Example of Birth and Children Hospitals Depended on Ministry of Health, Istanbul University, Faculty of Business Administration, Management Journal, Vol: 36, No: 1, p.44-63.
  • Ayrıcay, Y. and Ozcalıcı, M. (2014). Between the years of 1997-2012 in Turkey DEA Related Published Studies of Academic, Kahramanmaras Sütcüimam University, Faculty of Economics Journal, Volume 4, Number 1, p. 246-279.
  • Bayraktutan, Y. and Pehlivanoglu, F. (2012). Efficiency Analysis in Healthcare Establishments: Kocaeli Example, Journal of Kocaeli University Social Sciences Institute, Issue 23, p. 127-162
  • Bernd, H. and Irvine, L. (2001). On the Efficiency of Public, Welfare and Private Hospitals in Germany Over Time – A Sectoral DEA-Study. Health Services Management Research, Vol. 14, 2001, pp. 263-274. Available at: http://ssrn.com/abstract=993391
  • Bowlin, W. F. (1998). Measuring Performance: An Introduction to Data Envelopment Analysis (DEA), The Journal of Cost Analysis, 3–27.
  • Charnes, A., Cooper, W.W., Rhodes, E. (1978). Measuring the efficiency of decision making units, European Journal of Operation Research, 2, p.429-444.
  • Chowdhury, H. and Zelenyuk, V. (2016). Performance of hospital services in Ontario: DEA with truncated regression approach, Omega, Volume 63, September 2016, p.111-122.
  • Cooper, W.W., Seiford, L. M. and Zhu, J. (2004). Handbook on Data Envelopment Analysis, Kluwer Academic Publishers, Boston.
  • Caglar, A. (2003). Activity Measurement of Municipalities by Data Envelopment Analysis. Doctorate Thesis, Hacettepe University Institute of Science, Department of Statistics, Ankara.
  • Celik, T. and Esmeray, A. (2014). Measurement of Cost Effectiveness in Private Hospitals in Kayseri by Data Envelopment Method, International Alanya Business Administration Journal, Volume: 6, Issue : 2, p. 45-54.
  • Davis, P., Barry, M., Karl P., Phil H., Roy Lay-Yee, Jackie, C. and Patrick G. (2013). Efficiency, effectiveness, equity (E3). Evaluating hospital performance in three dimensions. Health Policy, 112(2013):19-27, https://www.elsevier.com/locate/healthpol
  • Dimas, G., Goula, A. and Soulis, S. (2012). Productive performance and its components in Greek public hospitals. Operational Research, May 2012, DOI: 10.1007/s12351-010-0082-2, https://www.researchgate.net/publication/225985728
  • Ferrier, G.D. and Valdmanis, V.G. (2004). Do mergers improve hospital productivity? Journal of the Operational Research Society, Volume: 55, Issue: 10, pp.1071-1080
  • Garcia-Lacalle, J. and Martin, E. (2010). Rural vs Urban hospital performance in a 'competitive' public health service, Social Science & Medicine, Doi: 10.1016/j.socscimed.2010.05.043
  • Gholami, R., Dolores A.H. and Ali, E. (2015). Hospital performance: efficiency or quality? Can we have both with it? Expert Systems with Applications, Volume: 42, Issue: 12, p.5390-5400
  • Guzel, D., Celik, A.K. and Akbaba, A.I. (2012). Relevant Efficiency Analysis of University and State Hospitals in Erzurum with Data Envelopment Method, 12th Production Research Symposium-UAS 2012 Proceedings Book, p.975-981, İzmir.
  • Helmig, B. and Lapsley, I. (2001). On the Efficiency of Public, Welfare and Private Hospitals in Germany Over Time – A Sectorial DEA-Study, Health Services Management Research, Vol. 14, pp. 263-274. http://ssrn.com/abstract=993391
  • Hofmarcher, M. M., Paterson, I. and Riedel, M. (2002). Measuring Hospital Efficiency in Austria-A DEA Approach. Health Care Management Science, 5, p.7-14. Kluwer Academic Publishers.
  • Hu, J. and Huang, Y. (2004). Technical Efficiencies in Large Hospitals: A Managerial Perspective, International Journal of Management, Vol. 21 No. 4, December 2004, p.506-513.
  • Karagoz S, and Balci, A. (2007). Effectiveness of health management departments of universities that train health managers in Turkey, International Journal of Health Planning and Management, 22(4): 263-288.
  • Karahan, M. and Akdag, R. (2014). Service Efficiency Measurement by Data Envelopment Analysis: Diyarbakir DISKI Example, Selçuk University Social Sciences Institute Magazine, Dr. Mehmet YILDIZ Special Issue.
  • Kirigia, J.M., Emrouznejad, A., Sambo, L.G., Munguti, N. and Liambila, W. (2004). Using Data Envelopment Analysis to Measure the Technical Efficiency of Public Health Centers in Kenya DEA Analytical Framework, Journal of Medical Systems, Vol. 28, No. 2, p.155-166.
  • Oderkirk, J., Ronchi, E. and Klazinga, N. (2013). International comparisons of health system performance among OECD countries: Opportunities and data privacy protection challenges, Health Policy, 112 (2013): 9-18.
  • Parkin, D. and Hollingsworth, B. (1997). Measuring production efficiency of acute hospitals in Scotland, 1991–94: Validity issues in data envelopment analysis. Appl. Econ. 29(11):1425-1433.
  • Tavares, G. (2002). A Bibliography of Data Envelopment Analysis (1978-2001), Rutcor Research Report, 01-02.
  • Tetik, S. (2003). Data Envelopment Analysis in Determining Operational Performance, Celal Bayar University Faculty of Economics and Administrative Sciences, Journal of Management and Economics, Vol: 10, No: 2, p.221-229, Manisa.
  • Thanassoulis, E., Boussfofiane, A., and Dyson, R.G. (1995). Exploring output quality targets in the provision of perinatal-care in England using data envelopment analysis. Eur. J. Oper. Res. 80:588-607.
  • Tunca, M.Z., Omurbek, N. and Bal, V. (2010). An Activity Measurement Study in Training and Research Hospitals with Data Envelopment Analysis, 10th National Production Research Symposium, 16-18 September 2010, Proceding Book, p.1-8.
  • Widiarto, I., Emrouznejad, A. and Anastasakis, L. (2017). Observing choice of loan methods in not-for-profit microfinance using data envelopment analysis, Expert Systems With Applications, 82 (2017): 278–290, journal homepage: www.elsevier.com/locate/eswa
  • Yu, J. and Zhang Y. (2017) Comparison of Single-Payer and Non Single-Payer Health Care Systems: A Study of Health Administration Efficiency. Modern Economy, 8, p.816-833. https://doi.org/10.4236/me.2017.86057
  • Yun, Y. B., Nakayama H. and Tanino T. (2004). A Generalized Model for Data Envelopment Analysis, European Journal of Operational Research, 157, p.87-105.
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Ekonomi
Bölüm Makaleler
Yazarlar

Mehmet Karahan 0000-0002-0402-0020

Yayımlanma Tarihi 30 Temmuz 2019
Kabul Tarihi 23 Haziran 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 19 Sayı: 3

Kaynak Göster

APA Karahan, M. (2019). Using Data Envelopment Analysis to Measure the Technical Efficiency of Public Hospitals in Turkey. Ege Academic Review, 19(3), 373-387. https://doi.org/10.21121/eab.475514
AMA Karahan M. Using Data Envelopment Analysis to Measure the Technical Efficiency of Public Hospitals in Turkey. eab. Temmuz 2019;19(3):373-387. doi:10.21121/eab.475514
Chicago Karahan, Mehmet. “Using Data Envelopment Analysis to Measure the Technical Efficiency of Public Hospitals in Turkey”. Ege Academic Review 19, sy. 3 (Temmuz 2019): 373-87. https://doi.org/10.21121/eab.475514.
EndNote Karahan M (01 Temmuz 2019) Using Data Envelopment Analysis to Measure the Technical Efficiency of Public Hospitals in Turkey. Ege Academic Review 19 3 373–387.
IEEE M. Karahan, “Using Data Envelopment Analysis to Measure the Technical Efficiency of Public Hospitals in Turkey”, eab, c. 19, sy. 3, ss. 373–387, 2019, doi: 10.21121/eab.475514.
ISNAD Karahan, Mehmet. “Using Data Envelopment Analysis to Measure the Technical Efficiency of Public Hospitals in Turkey”. Ege Academic Review 19/3 (Temmuz 2019), 373-387. https://doi.org/10.21121/eab.475514.
JAMA Karahan M. Using Data Envelopment Analysis to Measure the Technical Efficiency of Public Hospitals in Turkey. eab. 2019;19:373–387.
MLA Karahan, Mehmet. “Using Data Envelopment Analysis to Measure the Technical Efficiency of Public Hospitals in Turkey”. Ege Academic Review, c. 19, sy. 3, 2019, ss. 373-87, doi:10.21121/eab.475514.
Vancouver Karahan M. Using Data Envelopment Analysis to Measure the Technical Efficiency of Public Hospitals in Turkey. eab. 2019;19(3):373-87.