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Milenyumda BRICS-MT Ülkelerinin Sağlık Harcamaları Performansı: Yıllara Göre Karşılaştırmalı Bir Analiz

Yıl 2019, Sayı: 112, 93 - 105, 01.03.2019

Öz

Artan sağlık harcamaları, ülke ekonomileri ve sağlık sistemleri içerisinde önemli bir yer teşkil etmektedir. Sağlık harcamalarının sağlık sonuçlarının önemli bir belirleyicisi olmasından dolayı ülkeler, sağlık harcamalarını verimli bir şekilde kullanarak önemli sağlık sonuçları elde etmek ve vatandaşlarının sağlık statülerinde iyileştirmeler gerçekleştirmeyi arzu etmektedir. Bu bağlamda, etkin sağlık harcamasına ulaşmak tüm ülkelerin temel amaçları arasında gösterilmektedir. Bu çalışmada BRICS-MT Brezilya, Rusya, Hindistan, Çin, Güney Afrika, Meksika ve Türkiye ülkelerinin sağlık harcamalarının verimliliği 2000- 2015 yıllarını kapsama alarak, üç girdi ve iki çıktı değişkeni yardımıyla ve Malmquist Toplam Faktör Verimliliği Endeksi MTFP kullanılarak ortaya konulmuştur. MTPF Endeksi, girdi odaklı input oriented ölçeğe göre sabit getiri CRS-Constant Return to Scale modeli kullanılmıştır. Araştırma kapsamında yapılan analize göre; 2000-2005 döneminde 2; 2005-2010 döneminde 3 ve 2010-2015 döneminde 4 ülkenin verimsiz olduğu sonucuna ulaşılmıştır

Kaynakça

  • Afonso, António, St Aubyn, Miguel (2004), “Non-parametric Approaches to Education and Health Expenditure Efficiency in OECD Countries”, ISEGUTL Economics Working Paper No. 1/2004/DE/CISEP/UECE. Available at SSRN: https://ssrn.com/abstract =498383
  • Artan, Seyfettin, Hayaloğlu, Pınar, Demirel, Selim Koray (2017), “BRICS Ülkelerinde Kamu Sağlık Harcamaları Etkinliğinin Belirleyicileri”, SGD-Sosyal Güvenlik Dergisi, 7(1): 9-30.
  • Atılgan, Yasemin K, Söylemez, Arslan (2016), “Robust Coplot: Veri Zarflama Analizi Sonuçlarının Grafiksel Gösterimi İçin Bir Yaklaşım”, İstatistikçiler Dergisi: İstatistik ve Aktüerya, 9(2): 66-78.
  • Caves, Douglas W., Chrıstensen, Laurits R., Diewert, W. Erwin (1982a), “The Economic Theory of Index Numbers and the Measurement of Input, Output, and Productivity”, Econometrica, 50: 1393-1414.
  • Caves, Douglas, W, Laurits, R, Christensen, W, Erwin, Diewert (1982b), “Multilateral comparisons of Output, Input, and Productivity Using Superlative Index Numbers” The Economic Journal, 92(365): 73-86.
  • Charnes, Abraham, Cooper William W, Rhodes Edwardo (1981), Evaluating Program and Managerial Efficiency: An Application of Data Envelopment Analysis to Program Follow Through. Management Science, 27(6): 668- 697.
  • Chern, Jin-Yuan, Thomas, TH Wan (2000), “The Impact of the Prospective Payment System on the Technical Efficiency of Hospitals”, Journal of Medical Systems, 24: 159–172.
  • Chowdhury, Hedayet, Walter, Wodchis, Audrey, Laporte (2011), “Efficiency and Technological Change in Health Care Services in Ontario: An Application of Malmquist Productivity Index with Bootstrapping”, International Journal of Productivity and Performance Management, 60(7): 721–745.
  • Culyer, Anthony, J (1988), Health Care Expenditures in Canada: Myth and Reality, Past and Future (No. 82), Canadian Tax Foundation.
  • De Silva, Amala, Valentine, Nicole (2000), A Framework for Measuring Responsiveness, Geneva: World Health Organization.
  • Grifell-Tatjw, Emili, Knox Lovell, CA (1996), “Deregulation and Productivity Decline: The Case of Spanish Savings Banks”, European Economic Review, 40(6): 1281-1303.
  • Hoff, Ayoe (2006), “Bootstrapping Malmquist Indices for Danish Seiners in the North Sea and Skagerrak”, Journal of Applied Statistics, 33(9): 891-907.
  • Kleiman, Ephraim (1974), The Determinants of National Outlay on Health, in the Economics of Health and Medical Care (pp. 66-88), Palgrave Macmillan, London.
  • LaFond, Anne (1995), Sustaining Primary Health Care, London: Earthscan Publications Limited.
  • Leighton, Charlotte (1995), “22 Policy Questions About Health Care Financing in Africa”, http://citeseerx.ist.psu.edu/viewdoc/ download?doi=10.1.1.583.7510&rep=rep1&type=pdf (Erişim Tarihi: 06.11.2018).
  • Leu, Robert E (1986), Public and Private Health Services: Comptementarities and Conflicts, içinde: The Public–Private Mix and International Health Care Cost, Basil Blackwell, Oxford.
  • Malmquist, Sten (1953), “Index Numbers and Indifference Surfaces”, Trabajos de Estadística, 4(2): 209-242.
  • Moreno-Serraa, Rodrigo, Smith, Peter, Savedoff, David, D. F, Jamison, Dean (2012), An Exploratory Application of Data Envelopment Analysis to the Efficiency of Health Service Coverage and Access, Results for Development Institute.
  • Murray, Christopher, J. L, Julio, Frenk (2000), “A Framework for Assessing the Performance of Health Systems”, Bulletin of the World Health Organization, 78: 717-731.
  • Newhouse, Joseph, P (1977), “Medical-care Expenditure: A Cross-National Survey”, The Journal of Human Resources, 12(1): 115-125.
  • Özcan, Yasar, A, Jaya, Khushalani (2017), “Assessing Efficiency of Public Health and Medical Care Provision in OECD Countries After A Decade of Reform”, Central European Journal of Operations Research, 25(2): 325- 343
  • Özcan, Yaşar, A. (2014), Health Care Benchmarking and Performance Evaluation, International Series in Operations Research & Management Science, USA: Springer.
  • Roh, Chul-Young, Changsuh, Park, Moon, M. Jae (2011), “Economic Performances of U.S. Non-profit Hospitals Using the Malmquist Productivity Change Index”, Journal of Management and Marketing Research, 8(1): 1-16.
  • Samut, Pınar Kaya, Cafri Reyhan (2016), Analysis of the Efficiency Determinants of Health Systems in OECD Countries By DEA and Panel Tobit, Social Indicators Research, 129(1): 113-132.
  • Sherman, H. David (1984), “Data Envelopment Analysis as a New Manegerial Audit Methodology- Test and Evaluation”, Auditing: A Journal of Practice and Theory, 4: 35-53.
  • Sherman, H. David, Zhu, Joe (2006), Service Productivity Management: Improving Service Performance Using Data Envelopment Analysis (DEA), USA: Springer.
  • Spinks, Jean, Bruce, Hollingsworth (2009), “Cross-Country Comparisons of Technical Efficiency of Health Production: A Demonstration of Pitfalls”, Applied Economics, 41(4): 417-427
  • Thomson, Sarah, Foubister, Tom, Figueras, Josep, Kutzin, Joseph, Permanand, Govin, Bryndova, Lucie (2009), Addressing Financial Sustainability in Health Systems, Copenhagen: WHO.
  • Vassiloglou, Myrto, Demetrios, Giokas (1990), “A Study of the Relative Efficiency of Bank Branches: An Application of Data Envelopment Analysis”, Journal of Operational Research Society, 41: 591-597.
  • World Bank (2018), Health Data, https://data.worldbank.org/topic/health (Erişim Tarihi: 15.12.2018).

HEALTH EXPENDITURES PERFORMANCE OF BRICS-MT COUNTRIES IN MILLENNIUM: A COMPARATIVE ANALYSIS BY YEARS

Yıl 2019, Sayı: 112, 93 - 105, 01.03.2019

Öz

Increasing health expenditures constitute an important part of national economies and health systems. As health expenditures are an important determinant of health outcomes, countries want to achieve significant health outcomes and improve their citizens’ health statuses by using health expenditures efficiently. In this context, achieving efficiency in health expenditures is among the main objectives of all countries. In this study, the efficiencyof the health expenditures of BRICS-MT Brazil, Russia, India, China, South Africa, Mexico and Turkey countries in the 2000-2015 period was found out via Malmquist Total Factor Productivity Analysis MTFP with three inputs and two output variables. Input oriented constant return to scale model was adopted in the MTFP Index. According to the results, two countries were inefficient in the 2000-2005 period; three countries were inefficient in the 2005-2010 period; and four countries were inefficient in the 2010-2015 period.

Kaynakça

  • Afonso, António, St Aubyn, Miguel (2004), “Non-parametric Approaches to Education and Health Expenditure Efficiency in OECD Countries”, ISEGUTL Economics Working Paper No. 1/2004/DE/CISEP/UECE. Available at SSRN: https://ssrn.com/abstract =498383
  • Artan, Seyfettin, Hayaloğlu, Pınar, Demirel, Selim Koray (2017), “BRICS Ülkelerinde Kamu Sağlık Harcamaları Etkinliğinin Belirleyicileri”, SGD-Sosyal Güvenlik Dergisi, 7(1): 9-30.
  • Atılgan, Yasemin K, Söylemez, Arslan (2016), “Robust Coplot: Veri Zarflama Analizi Sonuçlarının Grafiksel Gösterimi İçin Bir Yaklaşım”, İstatistikçiler Dergisi: İstatistik ve Aktüerya, 9(2): 66-78.
  • Caves, Douglas W., Chrıstensen, Laurits R., Diewert, W. Erwin (1982a), “The Economic Theory of Index Numbers and the Measurement of Input, Output, and Productivity”, Econometrica, 50: 1393-1414.
  • Caves, Douglas, W, Laurits, R, Christensen, W, Erwin, Diewert (1982b), “Multilateral comparisons of Output, Input, and Productivity Using Superlative Index Numbers” The Economic Journal, 92(365): 73-86.
  • Charnes, Abraham, Cooper William W, Rhodes Edwardo (1981), Evaluating Program and Managerial Efficiency: An Application of Data Envelopment Analysis to Program Follow Through. Management Science, 27(6): 668- 697.
  • Chern, Jin-Yuan, Thomas, TH Wan (2000), “The Impact of the Prospective Payment System on the Technical Efficiency of Hospitals”, Journal of Medical Systems, 24: 159–172.
  • Chowdhury, Hedayet, Walter, Wodchis, Audrey, Laporte (2011), “Efficiency and Technological Change in Health Care Services in Ontario: An Application of Malmquist Productivity Index with Bootstrapping”, International Journal of Productivity and Performance Management, 60(7): 721–745.
  • Culyer, Anthony, J (1988), Health Care Expenditures in Canada: Myth and Reality, Past and Future (No. 82), Canadian Tax Foundation.
  • De Silva, Amala, Valentine, Nicole (2000), A Framework for Measuring Responsiveness, Geneva: World Health Organization.
  • Grifell-Tatjw, Emili, Knox Lovell, CA (1996), “Deregulation and Productivity Decline: The Case of Spanish Savings Banks”, European Economic Review, 40(6): 1281-1303.
  • Hoff, Ayoe (2006), “Bootstrapping Malmquist Indices for Danish Seiners in the North Sea and Skagerrak”, Journal of Applied Statistics, 33(9): 891-907.
  • Kleiman, Ephraim (1974), The Determinants of National Outlay on Health, in the Economics of Health and Medical Care (pp. 66-88), Palgrave Macmillan, London.
  • LaFond, Anne (1995), Sustaining Primary Health Care, London: Earthscan Publications Limited.
  • Leighton, Charlotte (1995), “22 Policy Questions About Health Care Financing in Africa”, http://citeseerx.ist.psu.edu/viewdoc/ download?doi=10.1.1.583.7510&rep=rep1&type=pdf (Erişim Tarihi: 06.11.2018).
  • Leu, Robert E (1986), Public and Private Health Services: Comptementarities and Conflicts, içinde: The Public–Private Mix and International Health Care Cost, Basil Blackwell, Oxford.
  • Malmquist, Sten (1953), “Index Numbers and Indifference Surfaces”, Trabajos de Estadística, 4(2): 209-242.
  • Moreno-Serraa, Rodrigo, Smith, Peter, Savedoff, David, D. F, Jamison, Dean (2012), An Exploratory Application of Data Envelopment Analysis to the Efficiency of Health Service Coverage and Access, Results for Development Institute.
  • Murray, Christopher, J. L, Julio, Frenk (2000), “A Framework for Assessing the Performance of Health Systems”, Bulletin of the World Health Organization, 78: 717-731.
  • Newhouse, Joseph, P (1977), “Medical-care Expenditure: A Cross-National Survey”, The Journal of Human Resources, 12(1): 115-125.
  • Özcan, Yasar, A, Jaya, Khushalani (2017), “Assessing Efficiency of Public Health and Medical Care Provision in OECD Countries After A Decade of Reform”, Central European Journal of Operations Research, 25(2): 325- 343
  • Özcan, Yaşar, A. (2014), Health Care Benchmarking and Performance Evaluation, International Series in Operations Research & Management Science, USA: Springer.
  • Roh, Chul-Young, Changsuh, Park, Moon, M. Jae (2011), “Economic Performances of U.S. Non-profit Hospitals Using the Malmquist Productivity Change Index”, Journal of Management and Marketing Research, 8(1): 1-16.
  • Samut, Pınar Kaya, Cafri Reyhan (2016), Analysis of the Efficiency Determinants of Health Systems in OECD Countries By DEA and Panel Tobit, Social Indicators Research, 129(1): 113-132.
  • Sherman, H. David (1984), “Data Envelopment Analysis as a New Manegerial Audit Methodology- Test and Evaluation”, Auditing: A Journal of Practice and Theory, 4: 35-53.
  • Sherman, H. David, Zhu, Joe (2006), Service Productivity Management: Improving Service Performance Using Data Envelopment Analysis (DEA), USA: Springer.
  • Spinks, Jean, Bruce, Hollingsworth (2009), “Cross-Country Comparisons of Technical Efficiency of Health Production: A Demonstration of Pitfalls”, Applied Economics, 41(4): 417-427
  • Thomson, Sarah, Foubister, Tom, Figueras, Josep, Kutzin, Joseph, Permanand, Govin, Bryndova, Lucie (2009), Addressing Financial Sustainability in Health Systems, Copenhagen: WHO.
  • Vassiloglou, Myrto, Demetrios, Giokas (1990), “A Study of the Relative Efficiency of Bank Branches: An Application of Data Envelopment Analysis”, Journal of Operational Research Society, 41: 591-597.
  • World Bank (2018), Health Data, https://data.worldbank.org/topic/health (Erişim Tarihi: 15.12.2018).
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Research Article
Yazarlar

Gülnur İlgün Bu kişi benim

Murat Konca Bu kişi benim

Cuma Çakmak Bu kişi benim

Yayımlanma Tarihi 1 Mart 2019
Yayımlandığı Sayı Yıl 2019 Sayı: 112

Kaynak Göster

APA İlgün, G., Konca, M., & Çakmak, C. (2019). Milenyumda BRICS-MT Ülkelerinin Sağlık Harcamaları Performansı: Yıllara Göre Karşılaştırmalı Bir Analiz. Sayıştay Dergisi(112), 93-105.