Research Article
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Year 2024, Volume: 6 Issue: 2, 127 - 141, 25.12.2024
https://doi.org/10.52675/jhesp.1538953

Abstract

References

  • Afonso, A., & Aubyn, M. S. (2005). Non-parametric approaches to education and health efficiency in OECD countries. Journal of Applied Economics, 8(2), 227–246. https://doi.org/10.1080/15140326.2005.12040626
  • Ahmed, S., Hasan, M.Z., MacLennan, M., Dorin, F., Ahmed, M. W., Hasan, M. M., Hasan, S. M., Islam, M. T., & Khan, J. A. M. (2019). Measuring the efficiency of health systems in Asia: a data envelopment analysis. BMJ Open, 9(3), e022155. https://doi.org/10.1136/bmjopen-2018-022155
  • 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), 1078–1092. https://doi.org/10.1287/mnsc.30.9.1078
  • Behr, A., & Theune, K. (2017). Health system efficiency: A fragmented picture based on OECD data. PharmacoEconomics - Open, 1, 203–221. https://doi.org/10.1007/s41669-017-0010-y
  • Cetin, V. R., & Bahce, S. (2016). Measuring the efficiency of health systems of OECD countries by data envelopment analysis. Applied Economics, 48(37), 3497–3507. https://doi.org/10.1080/00036846.2016.1139682
  • Charnes, A., Cooper, W.W, & Rhodes, E. (1978). Measuring the efficiency of decision making units. European Journal of Operational Research, 2(6), 429–444. https://doi.org/10.1016/0377-2217(78)90138-8
  • Figueras, J., Karanikolos, M., Guanais, F., Lessof, S., Dedet, G., Muscat, N. A., Permanand, G., & Colombo, F. (2024). Assessing health system performance: Proof of concept for a HSPA dashboard of key indicators. (Policy Brief 60). OECD. https://www.oecd.org/en/publications/assessing-health-system-performance_4e6b28c0-en.html
  • Hadad, S., Hadad, Y., & Simon-Tuval, T. (2013). Determinants of healthcare system’s efficiency in OECD countries. The European Journal of Health Economics, 14, 253–265. https://doi.org/10.1007/s10198-011-0366-3
  • Kim, Y., & Kang, M. (2014). The measurement of health care system efficiency: cross-country comparison by geographical region. Journal of Policy Studies, 29(1), 21–44.
  • Kocaman, A. M., Mutlu, M. E., Bayraktar, D., & Araz, Ö. M. (2012). OECD ülkelerinin sağlık sistemlerinin etkinlik analizi. Engineer & the Machinery Magazine, 23(4), 14–31.
  • Lupu, D., & Tiganasu, R. (2022). COVID-19 and the efficiency of health systems in Europe. Health Economics Review, 12(1), 14. https://doi.org/10.1186/s13561-022-00358-y
  • OECD (2023). Health at a glance 2023: OECD indicators. OECD Publishing. https://doi.org/10.1787/7a7afb35-en
  • Po, R. W., Guh, Y. Y., & Yang, M. S. (2009). A new clustering approach using data envelopment analysis. European Journal of Operational Research, 199(1), 276–284. https://doi.org/10.1016/j.ejor.2008.10.022
  • Taşköprü, V. (2014). Klasik veri zarflama analizi ile kategorik veri zarflama analizi modellerinin enerji verimliliği üzerinde karşılaştırmalı incelenmesi (Publication No. 374655) [Master's thesis, Mimar Sinan Güzel Sanatlar Üniversitesi ]. Ulusal Tez Merkezi.
  • World Health Organization. (2007). Everybody’s business: Strengthening health systems to improve health outcomes: WHO’s framework for action. World Health Organization. https://iris.who.int/bitstream/handle/10665/43918/9789241596077_eng.pdf?sequence=1
  • World Health Organization. (2010). Monitoring the building blocks of health systems: A handbook of indicators and their measurement strategies. World Health Organization. https://iris.who.int/bitstream/handle/10665/258734/9789241564052-eng.pdf
  • World Health Organization. (2024). Indicators [Data set]. WHO. https://www.who.int/data/gho/data/indicators
  • Yesilsirt, O. E., Tozan, H., Çakir, K., Doğan, İ., & Bacaci, F. D. (2022). Measuring health systems resilience: A comparative study of Turkey’s health system during COVID-19 pandemic. 2022 IEEE International Symposium on Systems Engineering (ISSE), 1–11. https://doi.org/10.1109/ISSE54508.2022.10111504

A Comparative Performance Analysis of Türkiye's Health System within OECD Countries

Year 2024, Volume: 6 Issue: 2, 127 - 141, 25.12.2024
https://doi.org/10.52675/jhesp.1538953

Abstract

A country's health system stands as one of its most critical infrastructures, significantly influencing the well-being of its citizens. In line with the World Health Organization's (WHO) widely accepted definition, a country's health system involves all organizations, people, and actions whose primary purpose is to promote, restore, or maintain health (World Health Organization., 2007). As indicated in this definition, a health system carries characteristics of complex systems posing significant challenges in its management and maintenance. The complex nature of the health system also challenges the country's policymakers to improve the outcomes of the health system. Examining specific key performance indicators of the health system can assist policymakers in gaining deeper insights into its internal capacities and identifying areas for improvement. This paper provides a comparative performance analysis of Türkiye’s health system compared to other Organization for Economic Co-operation and Development (OECD) countries using selected key performance indicators of the health system's capacity and resources. The methodology involves a comprehensive review of existing literature, data collection and analysis, and performance evaluation using the Data Envelopment Analysis (DEA) technique. In this performance analysis, health systems capacity-related indicators, such as health expenditure, number of doctors, number of nurses, and number of hospital beds, are used as input variables, and life expectancy at birth and citizens’ satisfaction with the healthcare system are output variables. The analysis intends to identify best practices and potential areas for improvement within Türkiye’s health system by benchmarking insights from other OECD countries.

References

  • Afonso, A., & Aubyn, M. S. (2005). Non-parametric approaches to education and health efficiency in OECD countries. Journal of Applied Economics, 8(2), 227–246. https://doi.org/10.1080/15140326.2005.12040626
  • Ahmed, S., Hasan, M.Z., MacLennan, M., Dorin, F., Ahmed, M. W., Hasan, M. M., Hasan, S. M., Islam, M. T., & Khan, J. A. M. (2019). Measuring the efficiency of health systems in Asia: a data envelopment analysis. BMJ Open, 9(3), e022155. https://doi.org/10.1136/bmjopen-2018-022155
  • 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), 1078–1092. https://doi.org/10.1287/mnsc.30.9.1078
  • Behr, A., & Theune, K. (2017). Health system efficiency: A fragmented picture based on OECD data. PharmacoEconomics - Open, 1, 203–221. https://doi.org/10.1007/s41669-017-0010-y
  • Cetin, V. R., & Bahce, S. (2016). Measuring the efficiency of health systems of OECD countries by data envelopment analysis. Applied Economics, 48(37), 3497–3507. https://doi.org/10.1080/00036846.2016.1139682
  • Charnes, A., Cooper, W.W, & Rhodes, E. (1978). Measuring the efficiency of decision making units. European Journal of Operational Research, 2(6), 429–444. https://doi.org/10.1016/0377-2217(78)90138-8
  • Figueras, J., Karanikolos, M., Guanais, F., Lessof, S., Dedet, G., Muscat, N. A., Permanand, G., & Colombo, F. (2024). Assessing health system performance: Proof of concept for a HSPA dashboard of key indicators. (Policy Brief 60). OECD. https://www.oecd.org/en/publications/assessing-health-system-performance_4e6b28c0-en.html
  • Hadad, S., Hadad, Y., & Simon-Tuval, T. (2013). Determinants of healthcare system’s efficiency in OECD countries. The European Journal of Health Economics, 14, 253–265. https://doi.org/10.1007/s10198-011-0366-3
  • Kim, Y., & Kang, M. (2014). The measurement of health care system efficiency: cross-country comparison by geographical region. Journal of Policy Studies, 29(1), 21–44.
  • Kocaman, A. M., Mutlu, M. E., Bayraktar, D., & Araz, Ö. M. (2012). OECD ülkelerinin sağlık sistemlerinin etkinlik analizi. Engineer & the Machinery Magazine, 23(4), 14–31.
  • Lupu, D., & Tiganasu, R. (2022). COVID-19 and the efficiency of health systems in Europe. Health Economics Review, 12(1), 14. https://doi.org/10.1186/s13561-022-00358-y
  • OECD (2023). Health at a glance 2023: OECD indicators. OECD Publishing. https://doi.org/10.1787/7a7afb35-en
  • Po, R. W., Guh, Y. Y., & Yang, M. S. (2009). A new clustering approach using data envelopment analysis. European Journal of Operational Research, 199(1), 276–284. https://doi.org/10.1016/j.ejor.2008.10.022
  • Taşköprü, V. (2014). Klasik veri zarflama analizi ile kategorik veri zarflama analizi modellerinin enerji verimliliği üzerinde karşılaştırmalı incelenmesi (Publication No. 374655) [Master's thesis, Mimar Sinan Güzel Sanatlar Üniversitesi ]. Ulusal Tez Merkezi.
  • World Health Organization. (2007). Everybody’s business: Strengthening health systems to improve health outcomes: WHO’s framework for action. World Health Organization. https://iris.who.int/bitstream/handle/10665/43918/9789241596077_eng.pdf?sequence=1
  • World Health Organization. (2010). Monitoring the building blocks of health systems: A handbook of indicators and their measurement strategies. World Health Organization. https://iris.who.int/bitstream/handle/10665/258734/9789241564052-eng.pdf
  • World Health Organization. (2024). Indicators [Data set]. WHO. https://www.who.int/data/gho/data/indicators
  • Yesilsirt, O. E., Tozan, H., Çakir, K., Doğan, İ., & Bacaci, F. D. (2022). Measuring health systems resilience: A comparative study of Turkey’s health system during COVID-19 pandemic. 2022 IEEE International Symposium on Systems Engineering (ISSE), 1–11. https://doi.org/10.1109/ISSE54508.2022.10111504
There are 18 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section Research Articles
Authors

Kübra Çakır 0009-0007-4760-7554

Özgür Erol 0000-0002-4893-0536

Melis Almula Karadayı 0000-0002-6959-9168

Publication Date December 25, 2024
Submission Date October 10, 2024
Acceptance Date November 14, 2024
Published in Issue Year 2024 Volume: 6 Issue: 2

Cite

APA Çakır, K., Erol, Ö., & Karadayı, M. A. (2024). A Comparative Performance Analysis of Türkiye’s Health System within OECD Countries. Journal of Health Systems and Policies, 6(2), 127-141. https://doi.org/10.52675/jhesp.1538953

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Contents of the Journal of Health Systems and Policies (JHESP) is licensed under a Creative Commons Attribution 4.0 International License.