Examining the Efficiency Change in Healthcare Systems in the SARS-CoV-2 (COVID-19) Outbreak with the Slack-Based Model and Malmquist Total Factor Productivity Approaches

Yıl 2024, , 479 - 500, 31.10.2024

Murat Konca

https://doi.org/10.51551/verimlilik.1450917

Öz

Purpose: This study aimed to investigate the impact of the SARS-CoV-2 (COVID-19) outbreak on the efficiency levels of healthcare systems.
Methodology: A Slack-based model, a panel data analysis model, a Malmquist Total Factor Productivity Index model, and a test for statistical significance were used. The number of physicians per 1,000 people, health expenditure per capita in US dollars by purchasing power parity, and the number of computed tomography scanners per 1,000,000 people were used as the input variables while life expectancy at birth for males and females were used as the output variables.
Findings: The COVID-19 outbreak significantly reduced the Slack-based efficiency scores and the Malmquist Total Factor Productivity Index scores (p<0.05).
Originality: This study, for the first time in the literature, discussed the time-based efficiency in healthcare systems in two different periods, before and during COVID-19, and examined whether the efficiency levels changed significantly between the periods. Unlike the other studies investigating the efficiency levels of healthcare systems specifically for the COVID-19 period, the current study covered a pretty long time and also focused on the pre-COVID-19 period.

Anahtar Kelimeler

COVID-19, Healthcare Systems, Efficiency, SBM, MPI

Aylak Tabanlı Model ve Malmquist Toplam Faktör Verimliliği Yaklaşımları ile SARS-CoV-2 (COVID-19) Pandemisinde Sağlık Sistemlerinde Etkinlik Değişiminin İncelenmesi

Öz

Amaç: Bu çalışma, SARS-CoV-2 (COVID-19) pandemisinin sağlık sistemlerinin etkinliği üzerindeki etkisini araştırmayı amaçlamıştır.
Yöntem: Çalışmada, aylak tabanlı model, panel veri analizi, Malmquist Toplam Faktör Verimlilik Endeksi ve istatistiksel fark testi kullanılmıştır. Çalışmanın girdi değişkenleri olarak; 1.000 kişiye düşen hekim sayısı, satın alma gücü paritesine göre Amerikan doları olarak kişi başına düşen sağlık harcaması, 1.000.000 kişiye düşen bilgisayarlı tomografi cihazı sayısı; çıktı değişkenleri olarak ise, erkeklerde ve kadınlarda doğumda beklenen yaşam süresi kullanılmıştır.
Bulgular: COVID-19 pandemisi aylak tabanlı model ve Malmquist Toplam Faktör Verimlilik Endeksi skorlarını anlamlı bir şekilde azaltmıştır (p<0,05).
Özgünlük: Bu çalışmada literatürde ilk kez sağlık sistemlerinde zamana dayalı etkinlik, COVID-19 öncesi ve sırası olmak üzere iki farklı dönemde ele alınmış ve etkinlik düzeylerinin dönemler arasında anlamlı bir şekilde değişip değişmediği incelenmiştir. Bu çalışma, sağlık sistemlerinin etkinlik düzeyini COVID-19 dönemine özel inceleyen diğer çalışmalardan farklı olarak oldukça uzun bir süreyi kapsamaktadır ve aynı zamanda COVID-19 öncesi döneme de odaklanmaktadır.

Anahtar Kelimeler

COVID-19, Sağlık Sistemleri, Etkinlik, SBM, MPI

Etik Beyan

Bu makalede kullanılan veriler ikincil veri kaynağından alındığından, makale etik kurul izni gerektirmemektedir.

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