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Sağlık Bakanlığı Genel Hastaneleri ve Sağlık Bakanlığına Devredilen SSK Genel Hastanelerinin Teknik Verimliliklerinin Karşılaştırmalı Analizi

Yıl 2008, Cilt: 11 Sayı: 1, 1 - 48, 01.02.2008

Öz

Bu çalışmanın amacı, Veri Zarflama Analizi tekniğini (VZA) kullanarak Sağlıkta Dönüşüm Programı bağlamında Sağlık Bakanlığına (SB) devredilen SSK hastanelerinin ve SB genel hastanelerinin teknik verimliliklerini değerlendirmektir. Araştırmanın veri kaynağı 2006 Yılı Yataklı Tedavi Kurumları İstatistik Yıllığı ve Sağlık Bakanlığı Performans ve Kalite Daire Başkanlığıdır. Araştırmaya toplam 48’i eski SSK hastanesi dâhil olmak üzere 50 yatak ve üzeri toplam 352 SB genel hastanesi alınmıştır. Teknik verimlilik ölçüm modeli üç çıktıdan (ayakta hasta, yatan hasta ve ameliyat sayısı) ve beş girdiden (fiili yatak, hekim, hemşire ve diğer personel sayısı ile hizmet üretim giderleri) oluşmuştur. Tanımlayıcı analiz niteliğindeki ölçeğe sabit getiri modeli VZA sonuçlarına göre, 2006 yılında SB genel hastanelerinin %12’si, ölçeğe değişken getiri modeli sonuçlarına göre ise %23’ü verimli bulunmuştur. Eski SSK hastanelerinin ortalama verimlilik (0,82) düzeyi, SB genel hastanelerin ortalama verimlilik (0,83) düzeyinden biraz daha düşüktür. Gözlem kümesindeki değişkenlerin toplam verimsizlik artışına potansiyel katkısı; fiili yatak %14, doktor %11,8, hemşire %16,8, diğer personel %16,8, hizmet üretim giderleri %13, ameliyat %18,9, yatan hasta %6,8 ve ayakta hasta %1,5 kadardır. Sonuç olarak, bu araştırmanın bulguları, SB genel hastaneleri arasında teknik verimlilik bakımından farklılık olduğuna işaret etmektedir ve hastanelerin verimliliği geliştirmelerinde ne yapabilecekleri konusunda ışık tutmaktadır

Kaynakça

  • Aigner, D.J.; Lovell, C.A.K.; Schmidt P.J. (1977) “Formulation and Estimation of Stochastic Frontier Production Function Models”, Journal of Econometrics. 6: 21–37.
  • Akal, Z. (1996) İşletmelerde Performans Ölçüm ve Denetimi Çok Yönlü Performans Göstergeleri. MPM Yayınları N:473. Ankara.
  • Alpugan, O. (1991) Hastanelerde Verimlilik Sorunu I. Verimlilik Kongresi Bildiriler. MPM Yayınları No:454. ss:59-70. Ankara
  • Athanassopoulos, A.; Gounaris, C. (2001) “Assessing the Technical and Allocative Efficiency of Hospital Operations in Greece and its Resource Allocation Implications”, European Journal of Operational Research. 133 (2): 416-432.
  • Banker, R.D.; Charnes, A.; Cooper, W.W. (1984) “Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis”, Management Science. 30(9): 1078 92.
  • Battese, G.E.; Coelli, T.J. (1992) “Frontier Production Functions, Technical Efficiency and Panel Data: With Application to Paddy Farmers in India”, Journal of Productivity Analysis. 3(1–2):153–169.
  • Biİrn, E.; Hagen, T. et al. (2003) “The Effect of Activity-Based Financing On Hospital Efficiency: A Panel Data Analysis of DEA Efficiency Scores 1992-2000”, Health Care Management Science. 6(4):271-283.
  • Burges JF.; Wison PW. (1995) “Decomposing Hospital Productivity Changes, 1985-1988: A Nonparametric Malmquist Aproach”, Journal of Productivity Analysis. 6(4):343-363.
  • Büyükkayıkçı, H.; Şahin İ. (2000) “SSK Ulus Hastanesi Cerrahi Servisinde Hasta Maliyetlerinin 1999 Yılı Fiyat Tarifesi ile Karşılşatırılması”, Hacettepe Sağlık İdaresi Dergisi. 5(3):119-138
  • Chang, H. H. (1998) “Determinants of Hospital Efficiency: the Case of Central Government-owned Hospitals in Taiwan”, Omega. 26(2):307-318.
  • Charnes, A.; Cooper W. W.; Rhodes E. (1978), “Measuring the Efficiency of Decision Making Units”, European Journal of Operational Research. 2 (6):429-444.
  • Chen, SN. (2006) “Productivity Changes in Taiwanese Hospitals and the National Health Insurance”, The Service Industry Journal. 26(4):459
  • Chern, J.Y.; Wan T.T. (2000) “The Iimpact of the Prospective Payment System on the Technical Efficiency of Hospitals”, Journal of Medical Systems. 24:159–72.
  • Chirikos, T.N.; Sear, A.M. (1994) “Technical Efficiency and the Competitive Behavior of Hospitals”, Socio-Economic Planning Sciences. 28(4), 219-227.
  • Choate, G.M.; Tanaka, K (1979) “Using Financial Ratio Analysis to Compare Hospitals’ Performance”, Hospital Progress. 60:43-50.
  • Chu, H.L.; Liu S.Z.; Romeis, J.C. (2004) “Does Capitated Contracting Improve Efficiency? Evidence from California Hospitals”, Health Care Management Review. 29(4):344-352.
  • Cleverley, W.O. (1980) “Assessing Financial Position with 29 Key Ratios”, Health Care Financial Management. 34:30-39.
  • Coelli, T.; Prasada, R.D.S.; Battese, G.E. (1998) An Itroduction to Efficiency and Productivity Analysis. Kluwer Academic Publishers: Boston.
  • Cooper, W.W.; Seiford, L.M., Tone, K. (2007) Data Envelopment Analysis: A Comprehensive Text with Models, Applications, References and DEA-Solver Software. Springer, Boston, MA.
  • Cooper, W.W.; Seiford L.; Zhu J. (2004) Handbook on Data Envelopment Analysis. Massachusetts: Kluwer Academic Publishers.
  • Cornwell, C.; Schmidt, P.; Sickles, R.C. (1990) “Production Frontiers with Cross- Sectional and Time-Series Variations in Efficiency Levels”, Journal of Econometrics. 46(1/2): 185–200.
  • Çakmak, E.H.; Dudu, H.; Öcal, N. (2008) Tarım Sektöründe Etkinlik:Yöntem ve Hanehalkı Düzeyinde Nicel Analiz. Türkiye Ekonomik Politikaları Araştırma Vakfı-TEPAV, Ankara.
  • Dalmau-Atarrodona, E.; Puig-Junoy, J. (1998) “Market Structure and Hospital Efficiency: Evaluating Potential Effects of Deregulation in a National Health Service”, Review of Industrial Organization. 13 (4):447- 466.
  • Donabedian, A., (1988) “The Quality of Care: How Can It Be Assessed?”, Journal of the American Medical Association. 260:1743-1748.
  • Ehreth, J.L. (1994) “The development and Evaluation of Hospital Performance Measures for Policy Analysis”, Medical Care. 32(6):568-587.
  • Ersoy, K.; Kavuncubaşı, S.; Ozcan, Y.A.; Harris, J.M. (1997) “Technical Efficiencies of Turkish Hospitals: DEA Approach”, Journal of Medical Systems. 21 (2):67-74.
  • Fare, R.; Grosskopf, S.; Lindgren, B.; Poullier, J.P. (1997) “Productivity Growth in Health-Care Delivery”, Medical Care. 35:354-366.
  • Fare, R.; Grosskopf, S.; Ross, P. (1992) “Pruductivity Changes in Swedish Pharmacies 1980-1989: A non parametric Malmquist Aproach”, Journal of Productivty Analysis. 3(1-2):85-101.
  • Fare, R.; Grosskopf, S., Lindgren, B.; Ross, P. (1993) Productivity Development in Swedish Hospitals: A Malmquist Output Index Approach” in Data Envelopment Analysis: Theory, Methodology and Aplications, edited by Charnes, A. Copoper,WW., Lewin, AY., Seiford, LM. Boston:Kluwert.
  • Ferrier, G.D.; Valdmanis, V. (2004) “Do Mergers Improve Hospital Productivity?”, Journal of the Operational Research Society. 55 (10):1071-1080.
  • Ferrier, G.D.; Valdmanis, V. (1996) “Rural Hospital Performance and its Correlates”, The Journal of Productivity Analysis.. 7:63-80.
  • Field, K.; Emrouznejad, A. (2003) “Measuring the Performance of Neonatal Care Units in Scotland”, Journal of Medical Systems. 27 (4):315-324.
  • Giokas, D.I. (2001) “Greek Hospitals: How Well Their Resources Are Used”, Omega. 29(1), 73-83.
  • Grosskopf, S.; Margaritis, D.; Valdmanis, V. (2001) “The Effects of Teaching on Hospital Productivity”, Socio-Economic Planning Sciences. 35(3):189-204.
  • Grosskopf, S.; Margaritis, D.; Valdmanis, V. (2004) “Competitive Effects on Teaching Hospitals”, European Journal of Operational Research. 154(2):515-525.
  • Grosskopf, S.; Valdmanis, V. (1987) “Measuring Hospital Performance: A Non-Parametric Approach”, Journal of Health Economics. 6:89-107.
  • Harris, J.M.; Ozgen H.; Ozcan Y.A. (2000) “Do Mergers Enhance the Performance of Hospital Efficiency?”, Journal of Operations Research Society. 51:801–11.
  • Harrison, J.P.; Coppola, M.N.; Wakefield, M. (2004) “Efficiency of Federal Hospitals in the United States”, Journal of Medical Systems. 28 (5):411- 422.
  • Harrison, J.P.; Sexton, C. (2006) “The Improving Efficiency Frontier of Religious Not-for-profit Hospitals”, Hospital Topics. 84 (1):2-10.
  • Helling, D.K.; Nelson, K,M.; Ramirez. J.E.; Humphries, T.L. (2006) “Kaiser Permanente Colorado Region Pharmacy Department: Innovative Leader in Pharmacy Practice”, Journal of American Pharmacy Association. 46(1), 67-76.
  • Helmig, B.; Lapsley, L. (2001) “On the Efficiency of Public, Welfare and Private Hospitals in Germany Over Time: A Sectoral Data Envelopment Analysis Study”, Health Services Management Research. 14 (4), 263- 274.
  • Hofmarcher, M.M.; Paterson, I., Riedel, M. (2002) “Measuring Hospital Efficiency in Austria: A DEA Approach”, Health Care Management Scienc. 5:7-14.
  • Hollingsworth, B. (2008) “The Measurement of Efficiency and Productivity of Health Care Delivery”, Health Economics. 17: 1107–1128.
  • Jacobs, R.; Smith, P.C.; Street, A. (2006) Measuring Efficiency in Health Care. Analytic Techniques and Health Policy. Cambrige University Press.UK.
  • Kavuncubaşı, Ş. (1995) Hastanelerde Göreli Verimlilik Ölçümü: Veri Çevreleme Analizinin Uygulanması, Yayınlanmamış Doktora Tezi. H.Ü. Sağlık Bilimleri Enstitüsü. Ankara.
  • Kavuncubaşı, Ş. (1996), “Hastanelerde Örgütsel Performans Ölçümü:Hastanelerarası Kalite ve Verimlilik Karşılaştırması,” Sağlık Hizmetlerinde Toplam Kalite Yönetimi ve Performans Ölçümü Sempozyumu Bildirileri. Haberal Vakfı. Ankara.
  • Kumbhakar, S.C. (1990) “Production Frontiers, Panel Data and Time- Varying Technical Inefficiency”, Journal of Econometrics. 46(1/2):201– 211.
  • Lee K.; Wan, T.T.H. (2004) “Information System Integration and Technical Efficiency in Urban Hospitals”, International Journal of Healthcare Technology and Management. 1(3/4):452.
  • Linna, M., (1988) “Measuring Hospital Cost Efficiency with Panel Data Models”, Health Economics. 7(5):415-427.
  • Lynch, J.R.; Ozcan, Y.A. (1994) “U.S. Hospital Closures: An Efficiency Analysis”, Hospital and Health Services Administration. 39(2):205-220.
  • Magnussen, J. (1996) “Efficiency Measurement and the Operationalization of Hospital Production”, Health Services Research. 31(1):21-37.
  • Maniadakis, N.; Thanassoulis, E. (2004) “A Cost Malmquist Productivity Index”, European Journal of Operational Research. 154(2):396-409.
  • McCallion, G.; Glass J.C.; Jackson, R.; Kerr, C.A.; McKilliop, D.G. (2000) “Investigating Productivity Change and Hospital Size: A Nonparametric Frontier Approach”, Applied Economics. 32:161-174.
  • Meeusen, W.; Van den Broeck, J. (1977) “Efficiency Estimation from Cobb-Douglas Production Functions with Composed Error”, International Economic Review. 18:435–444.
  • Mobley L.R.; Magnussen, J. (1998) “An International Comparison of Hospital Efficiency: Does Institutional Environment Matter?”, Applied Economics. 30 (8):1089-1100.
  • Mobley L.R.; Magnussen, J. (2002) “The Impact of Managed Care Penetration and Hospital Quality on Efficiency in Hospital Staffing”, Journal of Health Care Finance. 28(4):24-43.
  • Nunamaker, T.R.; Lewin, A.Y. (1983) “Measuring Routine Nursing Service Efficiency: A Comparison of Cost per Patient Day and Data Envelopment Analysis Models/Comment”, Health Services Research. 18 (2 (Part 1), 183-208.
  • OECD (2008) OECD Sağlık Sistemi İncelemeleri-Türkiye. OECD ve IBRD/Dünya Bankası. Paris
  • O'Neill, L.; Rauner, M.; Heidenberger, K., Kraus, M. (2007) A Cross- National Comparison and Taxonomy of DEA-Based Hospital Efficiency Studies. Socio-Economic Planning Sciences. doi:10.1016/j.seps. 2007.03.001.
  • O'Neill, L. (1998) “Multifactor Efficiency in Data Envelopment Analysis with an Application To Urban Hospitals”, Health Care Management Science. 1 (1):19-27.
  • Ouellette, P.; Vierstraete, V. (2004) “Technological Change and Efficiency in the Presence of Quasi-Fixed Inputs: A DEA Application to the Hospital Sector”, European Journal of Operational Research. 154(3):755-763.
  • Ozcan, A.Y.; Ersoy, K. (1994) Efficiency of Health Care in Republic of Turkey (bildiri) June 13, 1994. TIMS XXXII, Anchorage. Alaska. USA.
  • Ozcan, Y. A.; Luke, R.D.; Haksever, C., (1992) “Ownership and Organizational Performance: A Comparison of Technical Efficiency Across Hospital Types”, Medical Care. 30(9):781–794.
  • Ozcan, Y.A. (1993) “Sensitivity Analysis of Hospital Efficiency under Alternative Output/Input and Peer Groups: A Review”, Knowledge and Policy. 5 (4):1-29.
  • Ozcan, Y.A. (1995) “Efficiency of Hospital Service Production in Local Markets: The Balance Sheet of U.S. Medical Armament”, Socio-Economic Planning Science. 29 (2):139-150.
  • Ozcan, Y.A. (2008) Health care Benchmarking and Performance Evaluation. An Assessment using DEA. Springer, USA.
  • Ozcan, Y.A., Luke, R.D. (1993) “A National Study of the Efficiency of Hospitals in Urban Markets”, Health Services Research. 28 (6):719-739.
  • Ozcan, Y.A.; Lynch, J. (1992) “Rural Hospital Closures: An Inquiry to Efficiency,” in eds. Scheffler R. M. and L.F. Rossiter”, Advances in Health Economics and Health Services Research. 13:205-224.
  • Özgen, H.; Ozcan Y.A. (2004) “Longitudinal Analysis of Efficiency in Multiple Output Dialysis Markets”, Health Care Management Science 7:253–61.
  • Özgen, H.; Sahin, İ.; Gülcü, A. (2008) “Veri Zarflama Analizi ile Üniversite Hastanelerinin Verimlilik Ölçümü.” Uluslararası katılımlı Sağlık ve Hastane İdaresi Kongresi (22-26 Ekim 2008, Antalya) Bildiriler Kitabı. ss: 115-124.
  • Parkin, D.; Hollingsworth, B. (1997) “Measuring Production Efficiency of Acute Hospitals in Scotland: Validity Issues in Data Envelopment Analysis”, Applied Economics. 29:1425-33.
  • Pina, V.; Torres, L., (1996) “Methodological Aspects in Efficiency Evaluation Management. 12 (1):21-35. Hospitals”, Financial Accountability &
  • Pitt, M.M.; Lee, L.F. (1981) “The Measurement and Sources of Technical Inefficiency in the Indonesian Weaving Industry”, Journal of Development Economics. 9:43–64.
  • Rosko, M.D. (1990) "Measuring Technical Efficiency in Health Care Organizations", Journal of Medical Systems. 14 (5):307-22.
  • Ruchlin, H.R. (1977) "Problems in Measuring Institutional Productivity", Topics in Health Care Financing. 4 (2):13-27.
  • SB. (2006) TC Sağlık Bakanlığı Sağlık İstatistikleri 2006. Strateji Geliştirme Başkanlığı, Yayın No: 737. Ankara
  • SB. (2006) TC Sağlık Bakanlığı Yataklı Tedavi Kurumları İstatistik Yıllığı. Sağlık Bakanlığı Yayınevi, Ankara.
  • SB. (2008) Türkiye’de Sağlığa Bakış 2007. TC Sağlık Bakanlığı Refik Saydam Hıfzıssıhha Merkezi Başkanlığı, Hıfzıssıhha Mektebi Müdürlüğü. Ankara.
  • SB. (2009) Sağlıkta Kalite ve Performans Yönergesi. 31 Mart 2009, 1992 Sayılı yazı ekinde Yönerge ve ekleri
  • Schmidt, P.Ü Sickles, R.C. (1984) “Production Frontiers and Panel Data”, Journal of Business and Economic Statistics. 2:299-326.
  • Sherman, H.D. (1984) “Hospital Efficiency Measurement and Evaluation: Empirical Test of a New Technique,” Medical Care. 22(10), 922-938.
  • Sherman, H.D.; Zhu, J. (2006) Service Productivity Management: Improving Service Performance Using Data Envelopment Analysis (DEA). Springer: Boston, MA.
  • Singaroyan, R.; Seed, C.A.; R.M. Egdell (2006) “Is a Target Culture in Health Care Always Compatible With Efficient Use of Resources? A Cost- Effectiveness Analysis of an Intervention to Achieve Thrombolysis Targets”, Journal of Public Health. 28(1):31-34.
  • Smith, P. (2002) “Developing Composite Indicators for Assessing Health System Efficiency,” in Measuring up: Improving Health System Performance in OECD Countries. OECD Publishing, Paris.
  • Sola M.; Prior, D. (2001) “Measuring Productivity and Quality Changes Using Data Envelopment Analysis: An Application to Catalan Hospitals”, Financial Accountability and Management. 17(3): 219-246.
  • SSK (2006), Çalışma Bakanlığı Sosyal Sigortalar Kurumu Başkanlığı İstatistik Yıllığı 2005, SSK Başkanlığı, Yayın No:685. Ankara.
  • Şahin, İ. (1999), “Sağlık Kurumlarında Göreceli Verimlilik Ölçümü. Sağlık Bakanlığı Hastanelerinin İllere Göre Karşılaştırmalı Verimlilik Analizi”, Türkiye Ortadoğu Amme İdaresi Dergisi. Cilt: 32, s.123-145.
  • Şahin, İ.; Ozcan, Y.A. (2000) “Public Sector Hospital Efficiency for Provincial Markets in Turkey,” Journal of Medical Systems. 24 (6):307- 320.
  • Şahin, İ.; Özgen, H. (2000) “Sağlık Bakanlığı İl Devlet Hastanelerinin Karşılaştırmalı Verimlilik Analizi”, Hacettepe Sağlık İdaresi Dergisi. 5(3):41-61.
  • Tarım, A. (2001) “Veri Zarflama Analizi Matematiksel Programlama Tabanlı Göreli Etkinlik Ölçüm Yaklaşımı”, Sayıştay Yayın İşleri Müdürlüğü, Ankara.
  • Tatar, M. (1994) “Sağlık Hizmetlerinde Ekonomik Değerlendirme Yöntemleri”, MPM Verimlilik Dergisi. 4:147-172.
  • Valdmanis V.; Kumanarayake L.; Lertiendumrong, J. (2004) “Capacity in Thai Public Hospitals and the Production of Care for Poor and Non-poor Patients”, Health Services Research. 39(6):2117-2135.
  • Valdmanis, V. (1990) “Ownership and Technical Efficiency of Hospitals,” Medical Care. 28 (6):552-561.
  • Wang, B.B.; Ozcan, Y.A.; Wan, T.T.H.; Harrison, J. (1999), “Trends in Hospital Efficiency among Metropolitan Markets”, Journal of Medical Systems. 23(2):83-97.
  • White, K.R.; Ozcan, Y.A. (1996) “Church Ownership and Hospital Efficiency”, Hospital and Health Services Administration. 41 (3), 297
  • WHO (2000) The World Health Report 2000. Health Systems: Improving Performance, World Health Organization, Geneva.
  • World Bank (2003) “Turkey Reforming the Health Sector for improved Access and Efficiency”, Volume 2, Main Report, Document of the World Bank.
  • Yolalan, R. (1993), İşletmelerarası Göreli Etkinlik Ölçümü, MPM Yayınları No:483, Ankara.
  • YTKİY. (1983), “Yataklı Tedavi Kurumları İşletme Yönetmeliği,” Resmi Gazete Tarih: 13.01.1983 Sayı: 17927.
  • “5283 sayılı Bazı Kamu Kurum ve Kuruluşlarına Ait Sağlık Birimlerinin Sağlık Bakanlığına Devredilmesine Dair Kanun”. 19.1.2005 tarihli Resmi Gazete.
Yıl 2008, Cilt: 11 Sayı: 1, 1 - 48, 01.02.2008

Öz

Kaynakça

  • Aigner, D.J.; Lovell, C.A.K.; Schmidt P.J. (1977) “Formulation and Estimation of Stochastic Frontier Production Function Models”, Journal of Econometrics. 6: 21–37.
  • Akal, Z. (1996) İşletmelerde Performans Ölçüm ve Denetimi Çok Yönlü Performans Göstergeleri. MPM Yayınları N:473. Ankara.
  • Alpugan, O. (1991) Hastanelerde Verimlilik Sorunu I. Verimlilik Kongresi Bildiriler. MPM Yayınları No:454. ss:59-70. Ankara
  • Athanassopoulos, A.; Gounaris, C. (2001) “Assessing the Technical and Allocative Efficiency of Hospital Operations in Greece and its Resource Allocation Implications”, European Journal of Operational Research. 133 (2): 416-432.
  • Banker, R.D.; Charnes, A.; Cooper, W.W. (1984) “Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis”, Management Science. 30(9): 1078 92.
  • Battese, G.E.; Coelli, T.J. (1992) “Frontier Production Functions, Technical Efficiency and Panel Data: With Application to Paddy Farmers in India”, Journal of Productivity Analysis. 3(1–2):153–169.
  • Biİrn, E.; Hagen, T. et al. (2003) “The Effect of Activity-Based Financing On Hospital Efficiency: A Panel Data Analysis of DEA Efficiency Scores 1992-2000”, Health Care Management Science. 6(4):271-283.
  • Burges JF.; Wison PW. (1995) “Decomposing Hospital Productivity Changes, 1985-1988: A Nonparametric Malmquist Aproach”, Journal of Productivity Analysis. 6(4):343-363.
  • Büyükkayıkçı, H.; Şahin İ. (2000) “SSK Ulus Hastanesi Cerrahi Servisinde Hasta Maliyetlerinin 1999 Yılı Fiyat Tarifesi ile Karşılşatırılması”, Hacettepe Sağlık İdaresi Dergisi. 5(3):119-138
  • Chang, H. H. (1998) “Determinants of Hospital Efficiency: the Case of Central Government-owned Hospitals in Taiwan”, Omega. 26(2):307-318.
  • Charnes, A.; Cooper W. W.; Rhodes E. (1978), “Measuring the Efficiency of Decision Making Units”, European Journal of Operational Research. 2 (6):429-444.
  • Chen, SN. (2006) “Productivity Changes in Taiwanese Hospitals and the National Health Insurance”, The Service Industry Journal. 26(4):459
  • Chern, J.Y.; Wan T.T. (2000) “The Iimpact of the Prospective Payment System on the Technical Efficiency of Hospitals”, Journal of Medical Systems. 24:159–72.
  • Chirikos, T.N.; Sear, A.M. (1994) “Technical Efficiency and the Competitive Behavior of Hospitals”, Socio-Economic Planning Sciences. 28(4), 219-227.
  • Choate, G.M.; Tanaka, K (1979) “Using Financial Ratio Analysis to Compare Hospitals’ Performance”, Hospital Progress. 60:43-50.
  • Chu, H.L.; Liu S.Z.; Romeis, J.C. (2004) “Does Capitated Contracting Improve Efficiency? Evidence from California Hospitals”, Health Care Management Review. 29(4):344-352.
  • Cleverley, W.O. (1980) “Assessing Financial Position with 29 Key Ratios”, Health Care Financial Management. 34:30-39.
  • Coelli, T.; Prasada, R.D.S.; Battese, G.E. (1998) An Itroduction to Efficiency and Productivity Analysis. Kluwer Academic Publishers: Boston.
  • Cooper, W.W.; Seiford, L.M., Tone, K. (2007) Data Envelopment Analysis: A Comprehensive Text with Models, Applications, References and DEA-Solver Software. Springer, Boston, MA.
  • Cooper, W.W.; Seiford L.; Zhu J. (2004) Handbook on Data Envelopment Analysis. Massachusetts: Kluwer Academic Publishers.
  • Cornwell, C.; Schmidt, P.; Sickles, R.C. (1990) “Production Frontiers with Cross- Sectional and Time-Series Variations in Efficiency Levels”, Journal of Econometrics. 46(1/2): 185–200.
  • Çakmak, E.H.; Dudu, H.; Öcal, N. (2008) Tarım Sektöründe Etkinlik:Yöntem ve Hanehalkı Düzeyinde Nicel Analiz. Türkiye Ekonomik Politikaları Araştırma Vakfı-TEPAV, Ankara.
  • Dalmau-Atarrodona, E.; Puig-Junoy, J. (1998) “Market Structure and Hospital Efficiency: Evaluating Potential Effects of Deregulation in a National Health Service”, Review of Industrial Organization. 13 (4):447- 466.
  • Donabedian, A., (1988) “The Quality of Care: How Can It Be Assessed?”, Journal of the American Medical Association. 260:1743-1748.
  • Ehreth, J.L. (1994) “The development and Evaluation of Hospital Performance Measures for Policy Analysis”, Medical Care. 32(6):568-587.
  • Ersoy, K.; Kavuncubaşı, S.; Ozcan, Y.A.; Harris, J.M. (1997) “Technical Efficiencies of Turkish Hospitals: DEA Approach”, Journal of Medical Systems. 21 (2):67-74.
  • Fare, R.; Grosskopf, S.; Lindgren, B.; Poullier, J.P. (1997) “Productivity Growth in Health-Care Delivery”, Medical Care. 35:354-366.
  • Fare, R.; Grosskopf, S.; Ross, P. (1992) “Pruductivity Changes in Swedish Pharmacies 1980-1989: A non parametric Malmquist Aproach”, Journal of Productivty Analysis. 3(1-2):85-101.
  • Fare, R.; Grosskopf, S., Lindgren, B.; Ross, P. (1993) Productivity Development in Swedish Hospitals: A Malmquist Output Index Approach” in Data Envelopment Analysis: Theory, Methodology and Aplications, edited by Charnes, A. Copoper,WW., Lewin, AY., Seiford, LM. Boston:Kluwert.
  • Ferrier, G.D.; Valdmanis, V. (2004) “Do Mergers Improve Hospital Productivity?”, Journal of the Operational Research Society. 55 (10):1071-1080.
  • Ferrier, G.D.; Valdmanis, V. (1996) “Rural Hospital Performance and its Correlates”, The Journal of Productivity Analysis.. 7:63-80.
  • Field, K.; Emrouznejad, A. (2003) “Measuring the Performance of Neonatal Care Units in Scotland”, Journal of Medical Systems. 27 (4):315-324.
  • Giokas, D.I. (2001) “Greek Hospitals: How Well Their Resources Are Used”, Omega. 29(1), 73-83.
  • Grosskopf, S.; Margaritis, D.; Valdmanis, V. (2001) “The Effects of Teaching on Hospital Productivity”, Socio-Economic Planning Sciences. 35(3):189-204.
  • Grosskopf, S.; Margaritis, D.; Valdmanis, V. (2004) “Competitive Effects on Teaching Hospitals”, European Journal of Operational Research. 154(2):515-525.
  • Grosskopf, S.; Valdmanis, V. (1987) “Measuring Hospital Performance: A Non-Parametric Approach”, Journal of Health Economics. 6:89-107.
  • Harris, J.M.; Ozgen H.; Ozcan Y.A. (2000) “Do Mergers Enhance the Performance of Hospital Efficiency?”, Journal of Operations Research Society. 51:801–11.
  • Harrison, J.P.; Coppola, M.N.; Wakefield, M. (2004) “Efficiency of Federal Hospitals in the United States”, Journal of Medical Systems. 28 (5):411- 422.
  • Harrison, J.P.; Sexton, C. (2006) “The Improving Efficiency Frontier of Religious Not-for-profit Hospitals”, Hospital Topics. 84 (1):2-10.
  • Helling, D.K.; Nelson, K,M.; Ramirez. J.E.; Humphries, T.L. (2006) “Kaiser Permanente Colorado Region Pharmacy Department: Innovative Leader in Pharmacy Practice”, Journal of American Pharmacy Association. 46(1), 67-76.
  • Helmig, B.; Lapsley, L. (2001) “On the Efficiency of Public, Welfare and Private Hospitals in Germany Over Time: A Sectoral Data Envelopment Analysis Study”, Health Services Management Research. 14 (4), 263- 274.
  • Hofmarcher, M.M.; Paterson, I., Riedel, M. (2002) “Measuring Hospital Efficiency in Austria: A DEA Approach”, Health Care Management Scienc. 5:7-14.
  • Hollingsworth, B. (2008) “The Measurement of Efficiency and Productivity of Health Care Delivery”, Health Economics. 17: 1107–1128.
  • Jacobs, R.; Smith, P.C.; Street, A. (2006) Measuring Efficiency in Health Care. Analytic Techniques and Health Policy. Cambrige University Press.UK.
  • Kavuncubaşı, Ş. (1995) Hastanelerde Göreli Verimlilik Ölçümü: Veri Çevreleme Analizinin Uygulanması, Yayınlanmamış Doktora Tezi. H.Ü. Sağlık Bilimleri Enstitüsü. Ankara.
  • Kavuncubaşı, Ş. (1996), “Hastanelerde Örgütsel Performans Ölçümü:Hastanelerarası Kalite ve Verimlilik Karşılaştırması,” Sağlık Hizmetlerinde Toplam Kalite Yönetimi ve Performans Ölçümü Sempozyumu Bildirileri. Haberal Vakfı. Ankara.
  • Kumbhakar, S.C. (1990) “Production Frontiers, Panel Data and Time- Varying Technical Inefficiency”, Journal of Econometrics. 46(1/2):201– 211.
  • Lee K.; Wan, T.T.H. (2004) “Information System Integration and Technical Efficiency in Urban Hospitals”, International Journal of Healthcare Technology and Management. 1(3/4):452.
  • Linna, M., (1988) “Measuring Hospital Cost Efficiency with Panel Data Models”, Health Economics. 7(5):415-427.
  • Lynch, J.R.; Ozcan, Y.A. (1994) “U.S. Hospital Closures: An Efficiency Analysis”, Hospital and Health Services Administration. 39(2):205-220.
  • Magnussen, J. (1996) “Efficiency Measurement and the Operationalization of Hospital Production”, Health Services Research. 31(1):21-37.
  • Maniadakis, N.; Thanassoulis, E. (2004) “A Cost Malmquist Productivity Index”, European Journal of Operational Research. 154(2):396-409.
  • McCallion, G.; Glass J.C.; Jackson, R.; Kerr, C.A.; McKilliop, D.G. (2000) “Investigating Productivity Change and Hospital Size: A Nonparametric Frontier Approach”, Applied Economics. 32:161-174.
  • Meeusen, W.; Van den Broeck, J. (1977) “Efficiency Estimation from Cobb-Douglas Production Functions with Composed Error”, International Economic Review. 18:435–444.
  • Mobley L.R.; Magnussen, J. (1998) “An International Comparison of Hospital Efficiency: Does Institutional Environment Matter?”, Applied Economics. 30 (8):1089-1100.
  • Mobley L.R.; Magnussen, J. (2002) “The Impact of Managed Care Penetration and Hospital Quality on Efficiency in Hospital Staffing”, Journal of Health Care Finance. 28(4):24-43.
  • Nunamaker, T.R.; Lewin, A.Y. (1983) “Measuring Routine Nursing Service Efficiency: A Comparison of Cost per Patient Day and Data Envelopment Analysis Models/Comment”, Health Services Research. 18 (2 (Part 1), 183-208.
  • OECD (2008) OECD Sağlık Sistemi İncelemeleri-Türkiye. OECD ve IBRD/Dünya Bankası. Paris
  • O'Neill, L.; Rauner, M.; Heidenberger, K., Kraus, M. (2007) A Cross- National Comparison and Taxonomy of DEA-Based Hospital Efficiency Studies. Socio-Economic Planning Sciences. doi:10.1016/j.seps. 2007.03.001.
  • O'Neill, L. (1998) “Multifactor Efficiency in Data Envelopment Analysis with an Application To Urban Hospitals”, Health Care Management Science. 1 (1):19-27.
  • Ouellette, P.; Vierstraete, V. (2004) “Technological Change and Efficiency in the Presence of Quasi-Fixed Inputs: A DEA Application to the Hospital Sector”, European Journal of Operational Research. 154(3):755-763.
  • Ozcan, A.Y.; Ersoy, K. (1994) Efficiency of Health Care in Republic of Turkey (bildiri) June 13, 1994. TIMS XXXII, Anchorage. Alaska. USA.
  • Ozcan, Y. A.; Luke, R.D.; Haksever, C., (1992) “Ownership and Organizational Performance: A Comparison of Technical Efficiency Across Hospital Types”, Medical Care. 30(9):781–794.
  • Ozcan, Y.A. (1993) “Sensitivity Analysis of Hospital Efficiency under Alternative Output/Input and Peer Groups: A Review”, Knowledge and Policy. 5 (4):1-29.
  • Ozcan, Y.A. (1995) “Efficiency of Hospital Service Production in Local Markets: The Balance Sheet of U.S. Medical Armament”, Socio-Economic Planning Science. 29 (2):139-150.
  • Ozcan, Y.A. (2008) Health care Benchmarking and Performance Evaluation. An Assessment using DEA. Springer, USA.
  • Ozcan, Y.A., Luke, R.D. (1993) “A National Study of the Efficiency of Hospitals in Urban Markets”, Health Services Research. 28 (6):719-739.
  • Ozcan, Y.A.; Lynch, J. (1992) “Rural Hospital Closures: An Inquiry to Efficiency,” in eds. Scheffler R. M. and L.F. Rossiter”, Advances in Health Economics and Health Services Research. 13:205-224.
  • Özgen, H.; Ozcan Y.A. (2004) “Longitudinal Analysis of Efficiency in Multiple Output Dialysis Markets”, Health Care Management Science 7:253–61.
  • Özgen, H.; Sahin, İ.; Gülcü, A. (2008) “Veri Zarflama Analizi ile Üniversite Hastanelerinin Verimlilik Ölçümü.” Uluslararası katılımlı Sağlık ve Hastane İdaresi Kongresi (22-26 Ekim 2008, Antalya) Bildiriler Kitabı. ss: 115-124.
  • Parkin, D.; Hollingsworth, B. (1997) “Measuring Production Efficiency of Acute Hospitals in Scotland: Validity Issues in Data Envelopment Analysis”, Applied Economics. 29:1425-33.
  • Pina, V.; Torres, L., (1996) “Methodological Aspects in Efficiency Evaluation Management. 12 (1):21-35. Hospitals”, Financial Accountability &
  • Pitt, M.M.; Lee, L.F. (1981) “The Measurement and Sources of Technical Inefficiency in the Indonesian Weaving Industry”, Journal of Development Economics. 9:43–64.
  • Rosko, M.D. (1990) "Measuring Technical Efficiency in Health Care Organizations", Journal of Medical Systems. 14 (5):307-22.
  • Ruchlin, H.R. (1977) "Problems in Measuring Institutional Productivity", Topics in Health Care Financing. 4 (2):13-27.
  • SB. (2006) TC Sağlık Bakanlığı Sağlık İstatistikleri 2006. Strateji Geliştirme Başkanlığı, Yayın No: 737. Ankara
  • SB. (2006) TC Sağlık Bakanlığı Yataklı Tedavi Kurumları İstatistik Yıllığı. Sağlık Bakanlığı Yayınevi, Ankara.
  • SB. (2008) Türkiye’de Sağlığa Bakış 2007. TC Sağlık Bakanlığı Refik Saydam Hıfzıssıhha Merkezi Başkanlığı, Hıfzıssıhha Mektebi Müdürlüğü. Ankara.
  • SB. (2009) Sağlıkta Kalite ve Performans Yönergesi. 31 Mart 2009, 1992 Sayılı yazı ekinde Yönerge ve ekleri
  • Schmidt, P.Ü Sickles, R.C. (1984) “Production Frontiers and Panel Data”, Journal of Business and Economic Statistics. 2:299-326.
  • Sherman, H.D. (1984) “Hospital Efficiency Measurement and Evaluation: Empirical Test of a New Technique,” Medical Care. 22(10), 922-938.
  • Sherman, H.D.; Zhu, J. (2006) Service Productivity Management: Improving Service Performance Using Data Envelopment Analysis (DEA). Springer: Boston, MA.
  • Singaroyan, R.; Seed, C.A.; R.M. Egdell (2006) “Is a Target Culture in Health Care Always Compatible With Efficient Use of Resources? A Cost- Effectiveness Analysis of an Intervention to Achieve Thrombolysis Targets”, Journal of Public Health. 28(1):31-34.
  • Smith, P. (2002) “Developing Composite Indicators for Assessing Health System Efficiency,” in Measuring up: Improving Health System Performance in OECD Countries. OECD Publishing, Paris.
  • Sola M.; Prior, D. (2001) “Measuring Productivity and Quality Changes Using Data Envelopment Analysis: An Application to Catalan Hospitals”, Financial Accountability and Management. 17(3): 219-246.
  • SSK (2006), Çalışma Bakanlığı Sosyal Sigortalar Kurumu Başkanlığı İstatistik Yıllığı 2005, SSK Başkanlığı, Yayın No:685. Ankara.
  • Şahin, İ. (1999), “Sağlık Kurumlarında Göreceli Verimlilik Ölçümü. Sağlık Bakanlığı Hastanelerinin İllere Göre Karşılaştırmalı Verimlilik Analizi”, Türkiye Ortadoğu Amme İdaresi Dergisi. Cilt: 32, s.123-145.
  • Şahin, İ.; Ozcan, Y.A. (2000) “Public Sector Hospital Efficiency for Provincial Markets in Turkey,” Journal of Medical Systems. 24 (6):307- 320.
  • Şahin, İ.; Özgen, H. (2000) “Sağlık Bakanlığı İl Devlet Hastanelerinin Karşılaştırmalı Verimlilik Analizi”, Hacettepe Sağlık İdaresi Dergisi. 5(3):41-61.
  • Tarım, A. (2001) “Veri Zarflama Analizi Matematiksel Programlama Tabanlı Göreli Etkinlik Ölçüm Yaklaşımı”, Sayıştay Yayın İşleri Müdürlüğü, Ankara.
  • Tatar, M. (1994) “Sağlık Hizmetlerinde Ekonomik Değerlendirme Yöntemleri”, MPM Verimlilik Dergisi. 4:147-172.
  • Valdmanis V.; Kumanarayake L.; Lertiendumrong, J. (2004) “Capacity in Thai Public Hospitals and the Production of Care for Poor and Non-poor Patients”, Health Services Research. 39(6):2117-2135.
  • Valdmanis, V. (1990) “Ownership and Technical Efficiency of Hospitals,” Medical Care. 28 (6):552-561.
  • Wang, B.B.; Ozcan, Y.A.; Wan, T.T.H.; Harrison, J. (1999), “Trends in Hospital Efficiency among Metropolitan Markets”, Journal of Medical Systems. 23(2):83-97.
  • White, K.R.; Ozcan, Y.A. (1996) “Church Ownership and Hospital Efficiency”, Hospital and Health Services Administration. 41 (3), 297
  • WHO (2000) The World Health Report 2000. Health Systems: Improving Performance, World Health Organization, Geneva.
  • World Bank (2003) “Turkey Reforming the Health Sector for improved Access and Efficiency”, Volume 2, Main Report, Document of the World Bank.
  • Yolalan, R. (1993), İşletmelerarası Göreli Etkinlik Ölçümü, MPM Yayınları No:483, Ankara.
  • YTKİY. (1983), “Yataklı Tedavi Kurumları İşletme Yönetmeliği,” Resmi Gazete Tarih: 13.01.1983 Sayı: 17927.
  • “5283 sayılı Bazı Kamu Kurum ve Kuruluşlarına Ait Sağlık Birimlerinin Sağlık Bakanlığına Devredilmesine Dair Kanun”. 19.1.2005 tarihli Resmi Gazete.
Toplam 100 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

İsmet Şahin Bu kişi benim

Yayımlanma Tarihi 1 Şubat 2008
Yayımlandığı Sayı Yıl 2008 Cilt: 11 Sayı: 1

Kaynak Göster

APA Şahin, İ. (2008). Sağlık Bakanlığı Genel Hastaneleri ve Sağlık Bakanlığına Devredilen SSK Genel Hastanelerinin Teknik Verimliliklerinin Karşılaştırmalı Analizi. Hacettepe Sağlık İdaresi Dergisi, 11(1), 1-48.
AMA Şahin İ. Sağlık Bakanlığı Genel Hastaneleri ve Sağlık Bakanlığına Devredilen SSK Genel Hastanelerinin Teknik Verimliliklerinin Karşılaştırmalı Analizi. HSİD. Şubat 2008;11(1):1-48.
Chicago Şahin, İsmet. “Sağlık Bakanlığı Genel Hastaneleri Ve Sağlık Bakanlığına Devredilen SSK Genel Hastanelerinin Teknik Verimliliklerinin Karşılaştırmalı Analizi”. Hacettepe Sağlık İdaresi Dergisi 11, sy. 1 (Şubat 2008): 1-48.
EndNote Şahin İ (01 Şubat 2008) Sağlık Bakanlığı Genel Hastaneleri ve Sağlık Bakanlığına Devredilen SSK Genel Hastanelerinin Teknik Verimliliklerinin Karşılaştırmalı Analizi. Hacettepe Sağlık İdaresi Dergisi 11 1 1–48.
IEEE İ. Şahin, “Sağlık Bakanlığı Genel Hastaneleri ve Sağlık Bakanlığına Devredilen SSK Genel Hastanelerinin Teknik Verimliliklerinin Karşılaştırmalı Analizi”, HSİD, c. 11, sy. 1, ss. 1–48, 2008.
ISNAD Şahin, İsmet. “Sağlık Bakanlığı Genel Hastaneleri Ve Sağlık Bakanlığına Devredilen SSK Genel Hastanelerinin Teknik Verimliliklerinin Karşılaştırmalı Analizi”. Hacettepe Sağlık İdaresi Dergisi 11/1 (Şubat 2008), 1-48.
JAMA Şahin İ. Sağlık Bakanlığı Genel Hastaneleri ve Sağlık Bakanlığına Devredilen SSK Genel Hastanelerinin Teknik Verimliliklerinin Karşılaştırmalı Analizi. HSİD. 2008;11:1–48.
MLA Şahin, İsmet. “Sağlık Bakanlığı Genel Hastaneleri Ve Sağlık Bakanlığına Devredilen SSK Genel Hastanelerinin Teknik Verimliliklerinin Karşılaştırmalı Analizi”. Hacettepe Sağlık İdaresi Dergisi, c. 11, sy. 1, 2008, ss. 1-48.
Vancouver Şahin İ. Sağlık Bakanlığı Genel Hastaneleri ve Sağlık Bakanlığına Devredilen SSK Genel Hastanelerinin Teknik Verimliliklerinin Karşılaştırmalı Analizi. HSİD. 2008;11(1):1-48.