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Performance Evaluation of Public Hospitals with Data Envelopment Analysis (DEA) Method

Year 2023, Volume: 8 Issue: 3, 333 - 351, 27.10.2023
https://doi.org/10.23834/isrjournal.1328311

Abstract

In recent years, the importance of health services has been increasing due to the improvement in people's quality of life, technological developments in the field of medicine and the aging of the population around the world. Hospitals, which are one of the main institutions of the health care system, are expected to reduce their expenditure values and improve their service quality. For this reason, health systems, and especially hospitals, need to constantly control their performance and provide quality service in order to identify and eliminate their inefficient resources. Although there are different methods used in the evaluation of efficiency in the field of health, Data Envelopment Analysis (DEA) is known as the most frequently used method. This study, it is aimed to carry out efficiency measurements of public hospitals for 81 provinces in Turkiye. In the study, efficiency analyzes were performed using input-oriented CCR and CCR-super-efficiency (SE). According to the results of the CCR model, 33 DMUs are efficient. and 48 DMUs are inefficient. Using the CCR-SE model, the efficient provinces were ranked. As a results of the CCR model, it has been determined which DMUs should be taken as a reference for inefficient DMUs to be efficient.

References

  • Acer, A. (2021). Determining the Efficiency of Entrepots in Logistics Activities by Data Envelopment Analysis. Journal of Business Research-Turk 13(4), 2976-2989. https://doi.org/10.20491/isarder.2021.1302
  • Acer, A., andTimor, M. (2017). The Evaluation of Turkish Container Terminal Efficiency Using by Data Envelopment Analysis (DEA). Alphanumeric Journal, 5(2), 339-352. DOI: 10.17093/alphanumeric.356455
  • Akgöbek, Ö., Nişanci, İ., Kaya, S., and Eren, T. (2015). Using Data Envelopment Analysis Approach for Measuring the Performance of the Branch of an Educational Institution. Social Sciences Research Journal (SSRJ), 4(3), 43-54.
  • Alatawi, A. D., Niessen, L. W., and Khan, J. A. M. (2020). Efficiency Evaluation of Public Hospitals in Saudi Arabia: An Application of Data Envelopment Analysis. BMJ Open, 10(1), 1-10. http://dx.doi.org/10.1136/bmjopen-2019-031924
  • Aletras, V., Kontodimopoulos, N., Zagouldoudis, A., and Niakas, D. (2007). The Short-term Effect on Technical and Scale Efficiency of Establishing Regional Health Systems and General Management in Greek NHS Hospitals. Health Policy, 83(2-3), 236-245. https://doi.org/10.1016/j.healthpol.2007.01.008
  • Ali, M., Debela, M., and Bamud, T. (2017). Technical Efficiency of Selected Hospitals in Eastern Ethiopia. Health Economic Review, 7 (24), 1-13. DOI 10.1186/s13561-017-0161-7
  • Asker, V. (2021). Measurement of Efficiency with Two-Stage Data Envelopment Analysis in Airline Companies. MANAS Journal of Social Studies, 10(4), 2373-2385. https://doi.org/10.33206/mjss.795885
  • 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. https://doi.org/10.1287/mnsc.30.9.1078
  • Bağci, H., and Konca, M. (2021) Evaluating the Technical Efficiency of Hospitals Providing Tertiary Health Care in Turkey: An Application Based on Data Envelopment Analysis, Hospital Topics, 99(2), 49-63. https://doi.org/10.1080/00185868.2020.1830008

VZA Yöntemi ile Kamu Hastanelerinin Performans Değerlendirmesi

Year 2023, Volume: 8 Issue: 3, 333 - 351, 27.10.2023
https://doi.org/10.23834/isrjournal.1328311

Abstract

Son yıllarda dünya genelinde insanların yaşam kalitelerinin artması, tıp alanındaki teknolojik gelişmeler ve nüfusun yaşlanması nedeniyle sağlık hizmetlerinin önemi giderek artmaktadır. Sağlık sisteminin temel kuruluşlarından biri olan hastanelerin harcama değerlerini düşürmesi ve hizmet kalitesini yükseltmesi beklenmektedir. Bu nedenle sağlık sistemlerinin ve özellikle hastanelerin verimsiz kaynaklarını tespit edip ortadan kaldırabilmeleri için performanslarını sürekli kontrol etmeleri ve kaliteli hizmet vermeleri gerekmektedir. Sağlık alanında etkinliğin değerlendirilmesinde kullanılan farklı yöntemler olmakla birlikte en sık kullanılan yöntem Veri Zarflama Analizi (VZA) olarak bilinmektedir. Bu çalışmada, Türkiye'de 81 ilde kamu hastanelerinin etkinlik ölçümlerinin yapılması amaçlanmaktadır. Çalışmada girdi odaklı CCR ve CCR-Süper Etkinlik (SE) kullanılarak etkinlik analizleri yapılmıştır. CCR modelinin sonuçlarına göre 33 KVB etkin ve 48 KVB etkin değildir. CCR-SE modeli kullanılarak etkin iller sıralanmıştır. CCR modeli sonucunda etkin olmayan KVB'lerin etkin olabilmesi için hangi KVB'lerin referans alınması gerektiği belirlenmiştir.

Thanks

Kapadokya Üniversitesine ve veri setlerinden yararlanılan kamu kurum ve kuruluşlarına teşekkür ederiz.

References

  • Acer, A. (2021). Determining the Efficiency of Entrepots in Logistics Activities by Data Envelopment Analysis. Journal of Business Research-Turk 13(4), 2976-2989. https://doi.org/10.20491/isarder.2021.1302
  • Acer, A., andTimor, M. (2017). The Evaluation of Turkish Container Terminal Efficiency Using by Data Envelopment Analysis (DEA). Alphanumeric Journal, 5(2), 339-352. DOI: 10.17093/alphanumeric.356455
  • Akgöbek, Ö., Nişanci, İ., Kaya, S., and Eren, T. (2015). Using Data Envelopment Analysis Approach for Measuring the Performance of the Branch of an Educational Institution. Social Sciences Research Journal (SSRJ), 4(3), 43-54.
  • Alatawi, A. D., Niessen, L. W., and Khan, J. A. M. (2020). Efficiency Evaluation of Public Hospitals in Saudi Arabia: An Application of Data Envelopment Analysis. BMJ Open, 10(1), 1-10. http://dx.doi.org/10.1136/bmjopen-2019-031924
  • Aletras, V., Kontodimopoulos, N., Zagouldoudis, A., and Niakas, D. (2007). The Short-term Effect on Technical and Scale Efficiency of Establishing Regional Health Systems and General Management in Greek NHS Hospitals. Health Policy, 83(2-3), 236-245. https://doi.org/10.1016/j.healthpol.2007.01.008
  • Ali, M., Debela, M., and Bamud, T. (2017). Technical Efficiency of Selected Hospitals in Eastern Ethiopia. Health Economic Review, 7 (24), 1-13. DOI 10.1186/s13561-017-0161-7
  • Asker, V. (2021). Measurement of Efficiency with Two-Stage Data Envelopment Analysis in Airline Companies. MANAS Journal of Social Studies, 10(4), 2373-2385. https://doi.org/10.33206/mjss.795885
  • 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. https://doi.org/10.1287/mnsc.30.9.1078
  • Bağci, H., and Konca, M. (2021) Evaluating the Technical Efficiency of Hospitals Providing Tertiary Health Care in Turkey: An Application Based on Data Envelopment Analysis, Hospital Topics, 99(2), 49-63. https://doi.org/10.1080/00185868.2020.1830008
There are 9 citations in total.

Details

Primary Language English
Subjects Public Economy, Public Administration, Production and Operations Management
Journal Section Articles
Authors

Tugce Hanım Ersoy 0000-0001-8066-578X

Polathan Küsbeci 0000-0002-4858-3853

Publication Date October 27, 2023
Submission Date July 16, 2023
Published in Issue Year 2023 Volume: 8 Issue: 3

Cite

APA Ersoy, T. H., & Küsbeci, P. (2023). Performance Evaluation of Public Hospitals with Data Envelopment Analysis (DEA) Method. The Journal of International Scientific Researches, 8(3), 333-351. https://doi.org/10.23834/isrjournal.1328311