OECD SAĞLIK SİSTEMLERİ ÇOK SAFHALI ETKİNLİK ANALİZİ

Yıl 2018, Cilt: 16 Sayı: 2, 264 - 285, 30.06.2018

Can Bekaroğlu Dennis Heffley

https://doi.org/10.11611/yead.421180

Öz

Bu
makale, 2000 - 2011 yılları arasında, 34 OECD ülkesinin panel veri seti
kullanarak ülkeleri çapındaki sağlık sistemlerinin teknik etkinliğini, çevresel
faktörleri ve sağlık harcaması seviyelerinin etkilerini de dikkate alarak
ölçmektedir. Çalışmada etkinlik seviyelerini, Veri Zarflama Analizi (DEA)
tekniğini kullanarak, üretim ve tedarik olmak üzere 2 safhalı süreçte
belirtilmiştir. OECD ülkeleri çapındaki % 3.05 düzeyinde bulunan etkinlik
kaybı, 1.38 yıllık doğumda beklenen yaşam beklentisi kaybı ve 1000 canlı doğum
başına 0.75 bebek ölümü anlamına gelmektedir. Diğer yandan çevresel etkenler ve
yetersiz sağlık harcamaları nedeniyle bu kayıplar, neredeyse ikiye katlanıp, %
5.65 etkinlik kaybı ya da 2.4 yıl doğumda yaşam beklentisi ve 1.5 bebek ölümüne
ulaşmaktadır. Ölçülen etkinlik kaybı, % 21 üretim ve % 79 tedarik merkezli
olmakla beraber, ülkeden ülkeye büyük değişiklik göstermektedir; dolayısıyla da
bu kayıpların telafisi için gerekli çözümler ve bunlara ilişkin politikalar da
farklı olacaktır.

Anahtar Kelimeler

Sağlık Sistemleri, Etkinlik, Veri Zarflama Analizi, DEA, OECD

A MULTI-STAGE EFFICIENCY ANALYSIS OF OECD HEALTHCARE SYSTEMS

Öz

This
paper measures the multi-stage technical efficiency of healthcare systems across
OECD Countries between 2000 and 2011, based on a 34 country panel data set,
taking into account the impact of environmental variables and health
expenditure levels. We measure technical efficiencies in a two-stage
process—the production of health services and the subsequent provision of
health outcomes—using output-oriented Data Envelopment Analysis (DEA). An
overall inefficiency of 3.05% across OECD countries translates into an average
loss of 1.38 years of life expectancy at birth and an additional 0.75 infant
deaths per 1000 live births, exacerbated by environmental variables and
inadequate healthcare spending, almost doubling the total OECD outcome loss to
5.65%, or 2.4 years of life expectancy and 1.5 infant deaths per 1000 live
births. Measured inefficiency is split 21%/79% between production and
provision. The type of inefficiencies exhibited, the solutions to these, and
the resulting policy implications vary greatly.

Anahtar Kelimeler

Healthcare, Efficiency, DATA ENVELOPMENT ANALYSIS, DEA, OECD

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