Genel Hastanelerin Etkinlik, Girdi Tıkanıklığı ve Aylak Girdi Analizi

Etkinlik analizleri yapabilmek için en fazla kullanılan yöntemlerden birisi veri zarflama analizidir. Bu tür çalışmalarda genellikle sadece etkinlik düzeyleri belirlenmiş, bazılarında ise başka yöntemler (örneğin yakınsama analizi) için açıklayıcı değişken olarak kullanılmıştır. yanlış kullanılan girdilerin miktarı ve nedenlerini açıklayan değişkenler olan girdi tıkanıklığı (congestion) ve aylak girdiler (slack) üzerinde yeterince durulmamıştır. Bu çalışmada sahiplik türlerine göre etkinlik düzeylerinin belirlenmesi yanında girdi tıkanıklığı ve aylak girdiler belirlenmiş ve nedenleri tartışılmıştır. Çalışmada 2003 yılı içerisinde Sağlık Bakanlığı’na ve SSK’ya bağlı hastaneler ile özel hastaneler incelenmiştir. Çalışma sonucunda sahiplik türlerine göre farklı etkinlik yapıları belirlenmiştir. Ayrıca aylak girdi ve girdi tıkanıklığı değerleri hesaplanmıştır.

Efficiency, Congestion and Slack Analysis of General Hospitals

One of the most common method for efficiency analysis is the data enveloping analysis. In such studies, generally, only the efficiency levels were determined, in some of them other methods (for example the convergence analysis) were used as the explanatory variable. The input congestion and slacks variables, which explain the quantity and reasons of misused inputs, were ignored. In his study, in addition to the determination of efficiency levels according to the property types, the input congestion and slacks were determined and their reasons were discussed. In the study, the hospitals of Health Ministry, The Social Security Institution Hospitals and the private hospitals in the 2003 year were examined. At the end of the study, different efficiency levels according to the property types were determined. Besides, the values of slacks and input congestion were calculated.

PDF

___

Ahn T. Chames A. ve Cooper W.W. (1988). Using Data Envelopment Analysis to Measure the Efficiency of Not-for-Profit Organizations: A Critical Evaluation-Comment Managerial and Decision Economics 9(3): 251-253.
Banker R.D. Charnes A. ve Cooper W.W. (1984). Some Models for Estimating Technical and Scale Inefficincies in Data Envelopment Analysis. Management Science. 30(9): 251-253.
Banker R.D. (1993). Maximum Likelihood, Consisteny and Data Envelopment Analysis: A Statistical Foundation. Management Science 39(10): 1265-1273.
Banker R.D. ve Maindiratta A. (1988). Nonparametric Analysis of Technical and Allocative Efficiencies in Production. Econometrica 56(6) 1315-1332
Banker, R.D. ve Maindiratta A. (1986). Piecewise Loglinear Estimation of Efficiency Production Surfaces. Management Science 32(1) 126-135
Banker R.D., Conrad R.F. ve Strauss R.P. (1986). A Comparative Application of Data Envelopment Analysis and Translog Methods: An Illustrative Study of Hospital Production. Management Science 32(1): 30-44
Baysal M.E, Çerçioğlu H. ve Toklu B. (2004). Sağlık Sektöründe Bir Performans Değerlendirme Çalışması, Yöneylem Araştırması/Endüstri Mühendisliği, XXIV Ulusal Kongresi, Gaziantep-Adana 1-3
Björkgren M.A. Hakinken U. and Linna M. (2001). Measuring Efficiency of Long- Term Care Units in Finland. Health Care Management Sciences 4(3):193-200
Bogetoft P.(1996). DEA on Relaxed Convexity Assumptions, Management Science 42:457-465
Boles (1967). Efficiency Squared-Efficient Computation of Efficiency Indexes. Western Farm Economic Association 137-142
Boles (1971). The Farrell Efficiecy System-Multiple Products, Multiple Factors. Giovanni Foundation of Agricultural Economics.
Charnes A. Cooper W.W. ve E Rhodes. (1981). Evaluating Program and Managerial Efficieney: An Application of Data Envelopment Analysis to Program Follow Through. Management Science 27(6): 668-697
Coelli T. (1996). A Guide to DEAP Version 2.1. CEPA Working Paper 1-35
Coelli T. Rao P. ve Battase G. (1998). An Introduction to Efficiency and Productivity Analysis, Kluwer Academic Publishes.
Cook, W.D. Kress M. ve Seiford L.M. (1993). On the Use of Ordinal Data in Data Envelopment Analysis. The Journal of the Operational Research Sociary 44(2)
Deliktaş E. and M. Balcilar (2005). A Comparative Analysis of Productivity Growth, Catch-up and Convergence in Transition Economies, Emerging Markets Finance and Trade, 41(1) 6-28
Ersoy, K. S. Kavuncubası, Y.A. Ozcan and J.M. Haris. (1997). Technical Efficiencies of Turkish Hospitals: DEA Approach, Journal of Medical Systems, 21(2) 67-74
Farrell M. J. (1957). The measurement of Production Efficiency. Journal of the Royal Statistical Society, Series A, General 120(3) 253-290
Forsund, F.F. ve Sarafoglu N. (2000). On the Origins Data Envelopment Analysis, Memorandum. No 24, Depertmant of Economics, Universitey of Oslo 18-21.
Grosskopf S. Margaritis D. and Valdmanis V. (2001). Comparing Teaching and Non- teaching Hospitals: A Frontier Approach (Teaching vs.Non-Teaching Hospitals), Health Care Management Sciences. 4(2): 89-107
Grosskopf S. and Valdmanis V. (1987). Measuring hospital performance: A Non- Parametric Approach. Journal of Health Economics 6: 608-620
Grosskopf S, Kathy J.H. Lori L. ve William L. (1999). Anticipating the Consequences of School Reform: A New Use of DEA, Management Science. 45(4)
Helvig B. and Lapsley I. (2001). On the Efficiencyof Public, Welfare and Private Hospital in Germany Over Time: A Sectoral Data Envelopment Analysis Study. Health Service Management Research 14(4): 263-274
Kök R. ve Deliktaş E. (2003). Endüstri İktisadında Verimlilik Ölçme ve Strateji Geliştirme Teknikleri.
Löthgren M. ve Tambour M. (1995). Bootstrapping DEA-Based Efficiency Measures and Malmquist Indices. A Study of Swedish Eye-Care Service Provision. Working Paper Series in Economics and Finance, Stockholm: Stockholm School of Economics 78
Prior D. And Sola M. (2000). Technical Efficiency and Economies of Diversification in Health Care. Health Care Management Science 3: 299-307
Reichmann M.S. (2000). The Impact of the Austrian Hospital Financing Reform on Hospital Productivity: Empirical Evidence and Efficiency anf Technology Changes Using a Non-Parametric Input Based Malmquist Approach, Health Care Management Science. 3: 309-321
Rosenman R. ve Friesner D. (2004). Scope and Scale Inefficiencies in Physician Practies, Health Economics 13: 1096-1116
Rosenman R., Siddharthan K. And Ahern M. (1997). Output Effıciency Of Healthmaintenance Organizations In Florida. Health Economics 6: 295-302
Sahin, I. and Ozcan, Y.A. (2000). Public Sector Hospital Efficiency for Provincial Markets in Turkey, Journal of Medical Systems, 24(6) 307-320
Siddharthan K., Ahern M. ve Rosenman R. (2000). Data Envelopment Analysis to Determine Efficiencies of Health Maintenance Organizations, Health Care Management Sciences. 3: 23-29
Tambour M. (1999). The Impact Of Health Care Policy Initiatives on Productivity. Health Economics 6: 57-70
Tetik S.(2003). İşletme Performansını Belirlemede Veri Zarflama Analizi, Yönetim ve Ekonomi 10(2): 1-9
Thrall R.M. (1989). Classification Transitions under Expansion of Inputs and Outputs in Data Envelopment Analysis. Managerial and Decision Economics 10(2): 159-162
SB, Yataklı Tedavi Kurumları İstatistik Yıllığı, 2003, T. C. Sağlık Bakanlığı
Yıldırım H.H. (2004). Avrupa Birliği’ne Üye ve Aday Ülke Sistemlerinin Verimlilik Performansı Skorları, Basılmamış Doktora Tezi.