Yönetici Değerlendirmelerine Göre Hastanelerde Performans Ölçümü

Yıl 2012, Cilt: 15 Sayı: 1, 59 - 78, 01.02.2012

Songül Çınaroğlu Bayram Şahin

Öz

Bu çalışmanın amacı, özel ve kamu hastanelerinin kalite, maliyet ve finansal performanslarını hastane yöneticilerinin görüşlerine göre karşılaştırmaktır. Araştırma Ankara ili metropolitan alanda bulunan toplam yirmi hastanede görev yapmakta olan 90 hastane üst düzey yöneticisini kapsamıştır. Veri toplama yöntemi olarak anket kullanılmıştır. Araştırma sonucunda özel hastanelerin kalite, maliyet ve finansal performanslarının kamu hastanelerinden daha yüksek olduğu görülmüştür. Bu araştırmada hastanelerin performansı sadece hastane yöneticilerinin subjektif değerlendirmelerine göre ölçüldüğünden gelecekte daha güçlü araştırmalar tasarlayabilmek için objektif performans göstergeleri de dikkate alınmalıdır

Anahtar Kelimeler

Performans Ölçümü, Subjektif Performans Ölçümü, Hastane

Kaynakça

• Aday L.A. Begley C.E. Lairson D.R. Balkrishnan R. (2007) Evaluating The Healthcare System Effectivenness, Efficiency and Equity, Third Edition, Health Administration Press, Chicago, llinois, Academy Health, Washington, D.C.
• Andaleeb S.A. (2000) ‘Public and Private Hospitals In Bangladesh: Service Quality and Predictors of Hospital Choice’, Health Policy and Planning, 15(1):95-102.
• Baker G. Gibbons R. Murphy K.J. (1994) ‘Subjective Performance Mesaures In Optimal Incentive Contracts’, Quarterly Journal of Economics, 109(4):1125-1156.
• Beyan O.D. (2010) ‘A New Ontology and Knowledge Base System for Performance Measurement In Health Care’, Doctoral Thesis, The Department of Health Informatics, Middle East Technical University, Ankara.
• Bititci U. Garengo P. Dörfler V. Nudurupati S. (2011) ‘Performance Measurement Challanges for Tomorrow’, International Journal of Management Reviews, Article In Press, 14(3):305-327.
• Bourne M. Mills J. Wilcox M. Neely A. Platts K. (2000) ‘Designing, Implementing and Updating Performance Measurement Systems’, International Journal of Operations & Production Management,
• Camilleri D. and O’Callaghan M. (1998) ‘Comparing Public and Private Hospital Care Service Quality’, Journal of Health Care Quality Assurance, 11(4):127-133.
• Christopher D.I. and David F. Larcker (2003) ‘Coming Up Short on Nonfinancial Performance Maesurement’, Harvard Business Review, November, 88-95.
• Creteur M. and Pochet Y. (2002) ‘Organizational Design and Hospital Performance’, Louvain School of Management Research Institute, Working WP51creteur.pdf
• http://www.uclouvain.be/cps/ucl/doc/iag/documents/
• Curtright J.W. Stolp-Smith S.C. Edell E.S. (2000) ‘Strategic Performance Management: Development of A Performance Measurement System At The Mayo Clinic, Journal of Healthcare Management, 45(1):58-68.
• Çetin A.T. Aksu M. Özer G. (2011) ‘Technology Investments, Performance and The Effects of Size And Region In Turkish Hospitals’, The Service Industries Journal, First Article, 1-25.
• David O. (1999) ‘Performance Management: A Framework for Management Control Systems Research’ Management Accounting Research, 10(1):363-382.
• Dess G.G. and Robinson R.B. (1984) ‘Measuring Organizational Performance In The Absence of Objective Measures: The Case of The Privately-Held Firm and Conglomerate Business Unit’, Strategic Management Journal, 5(3):265-273.
• Dilanthi A. and David B. (2002) ‘Moving From Performance Measurement to Performance Management’, Facilities, 20(5/6):217-223.
• Eker M. and Pala F. (2008) ‘The Effect of Competition, Just In Time Production and Total Quality Management on The Use of Multiple Performance Maesures: An Emprical Study’, Journal of Economic and Social Research, 10(1):35-72.
• Ghalayini A.M. Noble J.S. Crowe T.J. (1997) ‘An Integrated Dynamic Performance Competitiveness’, International Journal of Production Economics, 48(3):207-225. System for Improving Manufacturing
• Ginsburg L.S. (2003) ‘Factors That Influence Line Managers Perceptions of Hospital Performance’, Health Services Research, 38(1):261-286.
• Hudson M. Smart A. Bourne M. (2001) ‘Theory and Practice in SME Performance Operation&Production Management, 21(8):1096-1115. Systems’, International Journal of
• Jabnoun N. and Chaker M. (2003) ‘Comparing The Quality of Private and Public Hospitals’, Managing Service Quality, 13(4):290-299.
• Kaplan S. and Norton D.P. (1996) ‘Using Balanced Scorecard As A Strategic Management System’, Harvard Business Review, January- February, 75-85.
• Kelly J.M. and Swindell D. (2002) ‘A Multiple Indicator Approach To Municipal Service Evaluation: Correlating Performance Measurement and Citizen Satisfaction Across Jurisdictions’, Public Administration Review, 62(5):610-621.
• Kim J. And Mahoney J.T. (2005) ‘Property Rights Theory, Transaction Costs Theory and Agency Theory: An Organizational Economics Approach to Strategic Management, Managerial and Decision Economics, 26(1):223-242.
• Li L.X. Benton W.C. Leong G.K. (2002) ‘The Impact of Strategic Operations Management Decisions On Community Hospital Performance’, Journal of Operations Management, 20(4):389-408.
• Mary A.M. and Frank H.S. (2004) ‘Choice and Change of Measures in Performance Measurement Models’, Management Acoounting Research,
• Maxwell C.I. (1998) ‘Public Disclosure of Performance Information In Pennsylvania’, Joint Comission Journal On Quality Improvement, 24(9):491-502.
• Moers F. (2005) ‘Discretion and Bias In Perfromance Evaluation: The Impact of Diversity and Subjectivity’, Accounting, Organizations and Society, 30(1):67-80.
• Muckler F.A. and Seven S.A. (1992) ‘Selecting Perfromance Measures: ‘Objective’ Versus ‘Subjective’ Measurement’, Human Factors, 34(4), 441-455.
• Nelson E.C. Batalden P.B. Plume S.K. Mihevc N.T. Swartz W.G. (1995) ‘Report Cards or Instrument Panels: Wh Needs What?’, Joint Comission Journal on Quality Improvement, 21(4):150-160.
• Porritt J. (2004), The Triple Bottom Line Does It All Add Up?, Henriques A. Richardson J. (editors), Earthscan, U.K., London.
• Prendergast C. and Topel R. (1993) ‘Discretion and Bias In Performance Evaluation’, European Economic Review, 37, 355-365.
• Pun K.F. and White A.S. (2005) ‘A Performance Measurement Paradigm for Integrating Strategy Formulation: A Review of Systems and Frameworks’, International Journal of Management Reviews, 7(1), 49- 71.
• Shen Y.C. Eggleston K. Lau J. Schmid C.H. (2007) ‘Hospital Ownership and Financial Performance: What Explains The Different Findings In The Emprical Literature?’, Inquiry, 44(1):41-68.
• Shingler J. Van M.E. Loon Alter T.R. Bridger J.C. (2008) ‘The Importance of Subjective Data for Public Agency Performance Evaluation’, Public Administration Review, 68(6):1101-1111.
• Silverman E.M. Skinner J.S. Fisher E.S. (1999) ‘The Association Between For-Profit Hospital Ownership And Increased Medicare Spending’, New England Journal of Medicine, 341(6):420–426.
• Sloan F.A. Picone G.A. Taylor D.H. Chou S.Y. (2001) ‘Hospital Ownership and Cost of Quality of Care: Is There A Dime’s Worth of Difference?’, Journal of Health Economics, 20(1):1-21.
• Taner T. and Antony J. (2006) ‘Comparing Public and Private Hospital Care Service Quality in Turkey’, Leadership in Health Services, 19(2):1- 10.
• Wall T.D. Michie J. Patterson M. Wood S.J. Sheehan M. Clegg C.W. West M. (2004) ‘On The Validity of Subjective Measures of Company Performance’, Personnel Psychology, 57(1):95-118.