HASTANELERİN TÜRÜ VE GRUBU AÇISINDAN FİNANSAL ETKİNLİKLERİNİN VZA YÖNTEMİYLE DEĞERLENDİRİLMESİ - EVALUATION OF THE FINANCIAL EFFICIENCIES OF HOSPITALS THROUGH DATA ENVELOPMENT ANALYSIS METHOD IN TERMS OF THEIR TYPE AND GROUP

Year 2020, Volume: 7 Issue: 1, 20 - 41, 23.03.2020

Nazan Torun , Yildiz Ayanoğlu Murat Atan

https://doi.org/10.30798/makuiibf.565413

Cited By: 1

Abstract

This study has been done with the aim of examining the financial operations of 825 hospitals affiliated to the Ministry of Health.For this purpose,the efficiencies of hospitals have been assessed based on their financial data according to their group and type.Selected 6 input and 3 output variables have been analysed through Charnes – Cooper – Rhodes (CCR) Input Oriented Primal Model, Banker – Charnes – Cooper (BCC) Input Oriented Primal Model and Super Efficiency Model.In the light of the results obtained, 73 hospitals in CCR Model and 143 hospitals in BCC Model have been determined financially efficient.The results of both CCR and BCC Model have been found to be the same according to hospital type and group;however,efficiency levels of hospitals according to their groups have shown differences.Furthermore;although it appears at the end of the study that all input should be reduced and output should be increased according to hospital group,it has been seen that the number of inputs and outputs to be reduced and increased are not the same in every hospital group.It is thought that the results obtained will be a guide to operate hospitals with more efficient financial policies throughout the country. 

Keywords

Health Care, Hospital, Performance Evaluation, Financial Efficiency, Productivity

THE EVALUATION OF THE FINANCIAL EFFICIENCIES OF HOSPITALS THROUGH DATA ENVELOPMENT ANALYSIS METHOD IN TERMS OF THEIR TYPE AND GROUP - HASTANELERİN TÜRÜ VE GRUBU AÇISINDAN FİNANSAL ETKİNLİKLERİNİN VZA YÖNTEMİYLE DEĞERLENDİRİLMESİ

Abstract

Bu çalışma Türkiye’de bulunan Sağlık Bakanlığı’na bağlı 825 hastanenin mali etkinliklerini incelenmek amacı ile yapıldı. Bu amaçla hastane grubu ve hastane türüne göre hastanelerin mali verilerinden hareketle etkinlikleri ölçüldü. Seçilen 6 girdi ve 3 çıktı değişkenleri Veri Zarflama Analizinde (VZA) kullanılan Charnes – Cooper – Rhodes (CCR) Girdi Yönlü Primal Modeli, Banker – Charnes – Cooper (BCC) Girdi Yönlü Primal Modeli ve Süper Etkinlik Modeli ile analiz edildi. Elde edilen sonuçlara göre CCR modelinde 73 hastane, BCC modelinde ise 143 hastane mali açıdan etkin olarak belirlendi. Bununla beraber hastanelerin türüne ve hastane grubuna göre hem CCR hem de BCC modeli sonuçları aynı bulundu, ancak hastane grubuna göre hastanelerin etkinlik düzeyleri farklılık gösterdi. Ayrıca çalışma sonucunda hastane grubuna göre bütün girdilerin azaltılması, çıktıların ise artırılması gerekliliği ortaya çıkmakla beraber her hastane grubunda artırılması ve azaltılması gereken çıktı ve girdilerin aynı oranda olmadığı görüldü. Dolayısıyla girdi minimizasyonu açısından yöneticilerin daha kolay kontrol edebilecekleri değişkenleri seçmekte serbest davranış gösterebilecekleri sonucunda varıldı. Elde edilen sonuçların ülke bazında hastanelerin daha etkili mali politikalar ile çalıştırılması için yol gösterici olacağı düşünülmektedir. 

Keywords

Sağlık, Hastane, Performans Değerlendirme, Finansal(Mali) Etkinlik, Verimlilik

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