Osmanlı Devleti Vilayetlerinde Sağlık Hizmetlerinin Etkinliği: 1897 Yılı

Öz

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.

Anahtar Kelimeler

• Sağlık
• etkinlilik
• Osmanlı ekonomisi
• Osmanlı ekonomisinde sağlık
• sağlık politikası

The Efficiency of Health Services in the Provinces of the Ottoman State: The Year 1897

Öz

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.

Anahtar Kelimeler

• Health
• efficiency
• Ottoman economy
• health in Ottoman economy
• health policy

Kaynakça

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