Osmanli Bilimi Arastirmalari (Studies in Ottoman Science) 1303-3123 2458-7982 Istanbul University 10.26650/oba.1454701 Late Modern Ottoman History Yakınçağ Osmanlı Tarihi Osmanlı Devleti Vilayetlerinde Sağlık Hizmetlerinin Etkinliği: 1897 Yılı The Efficiency of Health Services in the Provinces of the Ottoman State: The Year 1897 https://orcid.org/0000-0002-2193-8052 Yeşilyurt Şahin Ankara Yıldırım Beyazıt University, Faculty of Political Sciences, Department of Public Finance https://orcid.org/0000-0002-4491-4459 Tirgil Abdullah Ankara Yıldırım Beyazıt University, Faculty of Political Sciences, Department of Economics 01 31 2025 26 1 16 28 03 18 2024 01 22 2025 Copyright © 1995, Osmanli Bilimi Arastirmalari (Studies in Ottoman Science) 1995 Osmanli Bilimi Arastirmalari (Studies in Ottoman Science)

Bu çalışma, 28 Osmanlı Devleti vilayeti için hastaneden taburcu olma ve hastane müracaat sayıları sağlık sonuçlarının üretilmesinde teknik etkinlik skorlarını incelemektedir. Etkinlik sonuçlarını, Osmanlı Devleti’nin 1897 tarihli ilk istatistik yıllığını kullanarak veri zarflama analizi uygulayarak ölçmekteyiz. Bulgularımız, iyi sağlık sonuçlarıyla Dersaadet, Kudüs, Adana ve Aydın, orta sağlık sonuçlarıyla Biga ve Bingazi ve kötü sağlık sonuçlarıyla Yemen gibi bazı vilayetlerin göreli verimlilik elde ettiğini göstermektedir. Sonuçlarımız ayrıca, etkin olmayan vilayetlerin hastane taburcu ve hastane müracaat oranlarını azaltmadan girdilerini önemli ölçüde azaltabileceğini göstermektedir. Sonuç itibariyle, bu çalışma Osmanlı’da sağlık hizmetlerinin etkinliğini 1897 yılı için ölçmektedir.

This study examines technical efficiency scores in producing health outcomes of hospital discharges and hospital visits for the twenty-eight Ottoman State provinces. We measure efficiency scores by implementing data envelopment analysis using the first statistical yearbook of the Ottoman State for 1897. Our findings indicate that some provinces achieve relative efficiency, including Dersaadet, Jerusalem, Adana, and Aydın with good health outcomes, Biga and Benghazi with moderate health outcomes, and Yemen with lousy health outcomes. Our results also suggest that inefficient provinces can substantially reduce their inputs without reducing hospital discharges and maintaining the same hospital visits. As a result, this study measures the efficiency of health services in the Ottoman State for 1897.

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