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

İsmet Şahin

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

Anahtar Kelimeler

Hastane, Teknik Verimlilik, Etkinlik, Veri Zarflama Analizi, Sağlık Bakanlığı, SSK

Kaynakça

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