Cost Performance Analysis in Terms of Efficiency and Effectiveness

Year 2019, Volume: 1 Issue: 1, 37 - 50, 03.01.2019

Yavuz Besak

Abstract

The
increasing of competition in the health sector and rising of the expenses force
the public hospitals being the keystone of enterprises in the sector to use
their resources more efficiently. So the public hospitals are required to
decide their activity levels, to take reference in case of inactivity and to
decide which strategy they will use to be active.

In
this study, the performance and cost anaysis are performed by practising the
evaluation of activity and productivity of health institutions which are the members
of Turkish Republic Ministry of Health Turkish Public Hospitals İstanbul
Bakırköy district public hospitals general secretary.  With the method of data enveloping analysis,
it is understood that relatively 80 percent of health instituions which are the
parts of İstanbul Bakırköy district public hospitals Union generel secretary,
are entirely active and productive but 20 percent of those can not use their
resources actively. It is understood that all of the training and research
hospitals are productive and active, they serve at maximum level by using their
resources more rationally. 

Keywords

Cost, Effectiveness, Efficiency, Performance, Hospital

Verimlilik ve Etkililik Açısından Maliyet Performans Analizi

Abstract

Sağlık sektöründeki rekabetin artması ve hastanelerdeki giderlerin artması, kamu hastanelerinin var olan temel kaynaklarını daha verimli kullanmalarını zorunlu kılmaktadır. Bu nedenle, devlet hastanelerinin faaliyet seviyelerine karar vermeleri, belirsizlik durumunda başvuracakları ve aktif olarak kullanacakları stratejileri belirlemeleri ve bu konuda net bir karar almaları zorunluluk haline gelmiş durumdadır. Bu çalışmada, Türkiye Cumhuriyeti Sağlık Bakanlığı Türk Kamu Hastaneleri İstanbul Bakırköy ilçesi devlet hastaneleri genel sekreteri üyesi olan sağlık kuruluşlarının etkinlik ve verimliliğinin değerlendirilmesi ile performans ve maliyet analizi yapılmıştır. Veri zarflama analizi yöntemi ile İstanbul Bakırköy ilçe devlet hastaneleri birliği genel sekreteri olan sağlık kurumlarının yüzde 80'inin tamamen aktif ve üretken oldukları, ancak yüzde 20'sinin kaynaklarını aktif olarak kullanamayacağı anlaşılmaktadır. Tüm eğitim ve araştırma hastanelerinin üretken ve aktif oldukları, kaynaklarını daha rasyonel kullanarak en üst düzeyde hizmet ettikleri tespit edilmiştir.

Keywords

Maliyet, Etkililik, Verimlilik, Performans, Hastane

References

• Akdal, S.E., Performance Management in Health Institutions and Application of Regional Effectiveness Analysis with Data Envelopment Analysis, Beykent University, SBE, YYLT, İstanbul, 2013
• Aktan, C.C., Işık, A.A., “The Changing Role of the Government in Health Services”, Health Economy and Health management, Editor: Coşkun Can Aktan, Ulvi Saran, Aura Kitapları, İstanbul, 2007
• State Planning Organization, the Ninth Development Plan (2007-2013), T.C. Prime Ministry State Planning Organization, Ankara, 2007
• Elbek, O., Adaş, E.B., “Transformation in Health A Critical Evaluation” Turkish Psychiatry Association Bulletin, C:12, S:1, 2009
• Eryılmaz, B., Public Adminitration, Der Publication, 2000
• Eryılmaz, B., Public Adminitration, Erkam Press, İstanbul, 2007
• Saltman, R.B., Figueras, J., Europe Health Reform: Current Strategy Analysis, T.C. Health Ministry Health Project General Coordinatorship, Ankara, 1998
• Stoker, G., “Governance As Theory: Five Positions”, International Sociel Science Journal, Vol: 50, No: 1, 1998
• Sülkü, S.N., The Health Serices in Turkey Before and After the Transformation Programme in Health, Finance and Health Expenses, T.C. Finance Ministry Strategy Development Authority, Hermes Press, Ankara, 2011
• Tengilimoğlu, D., Işık, O., Akbolat, M., Health Business Management, Nobel Publication Delivery, Printing No: 4, Ankara, 2012
• Wills, J., “Community Alliances And The New Governance”, Australian Journal Of Public Administration, Vol: 54, No: 3, Australia, 1995
• Yüksel, M., “About the term of Governance”, Ankara Bar Journal, C: 58, S: 3, 2000