A RESEARCH ON PUBLIC HOSPITAL ASSOCIATION MANAGEMENT SYSTEM IN TURKEY

A RESEARCH ON PUBLIC HOSPITAL ASSOCIATION MANAGEMENT SYSTEM IN TURKEY

This study searches the impact of the Public Hospitals Association (PHA) structuring in the  on the performance of hospital services. Based on the research findings, it has targeted to discuss the relation between the system change and hospital performances. The research was made from on the inputs and outputs of eight hospitals connected to the PHA structuring in metropolitan status and three private hospitals and one university hospital in the same province. Malmquist productivity index (MPI) technique was used in order to analyze the  total factor productivity (TFP) in the study. In consequence of the study, it was determined that the PHA structuring provided an increase in the efficiency in hospitals with more than 150 beds but it did not provide any change in district hospitals. It was observed that hospital performance values did not support the decision to change the PHA management system.

___

  • 1. Sommersguter-Reichmann M. Analysing hospital productivity changes using non-parametric approaches. OR Spectr. 2003;25(2):145-160. http://www.scopus.com/inward/record.url?eid=2-s2.0-1442305289&partnerID=40&md5=9fc1ea00e73dfb9f1b8a74ea994225a6.2. Pilyavsky A, Staat M. Efficiency and productivity change in Ukrainian health care. J Product Anal. 2008;29(2):143-154. doi:10.1007/s11123-007-0070-6.3. Kirigia JM, Emrouznejad A, Cassoma B, Asbu EZ, Barry S. A performance assessment method for hospitals: The case of municipal hospitals in Angola. J Med Syst. 2008;32(6):509-519. doi:10.1007/s10916-008-9157-5.4. de Lobo MSC, Ozcan YA, da Silva ACM, Lins MPE, Fiszman R. Financing reform and productivity change in Brazilian teaching hospitals: Malmquist approach. Cent Eur J Oper Res. 2010;18(2):141-152. doi:10.1007/s10100-009-0097-z.5. Chowdhury H, Wodchis W, Laporte A. Efficiency and technological change in health care services in Ontario. Int J Product Perform Manag. 2011;60(7):721-745. doi:10.1108/17410401111167807.6. Ng YC. The productive efficiency of Chinese hospitals. China Econ Rev. 2011;22(3):428-439. doi:10.1016/j.chieco.2011.06.001.7. Androutsou L, Geitona M, Yfantopoulos J. Measuring Efficiency and Productivity Across Hospitals in the Regional Health Authority of Thessaly, in Greece. J Health Manag. 2011;13(2):121-140. doi:10.1177/097206341101300201.8. Huerta TR, Thompson MA, Ford EW, Ford WF. Implementing electronic lab order entry management in hospitals: Incremental strategies lead to better productivity outcomes. Int J Inf Manage. 2013;33(1):40-47. doi:10.1016/j.ijinfomgt.2012.05.008.9. Ferreira D, Marques RC. Did the corporatization of Portuguese hospitals significantly change their productivity? Eur J Heal Econ. 2015;16(3):289-303. doi:10.1007/s10198-014-0574-8.10. Nabilou B, Yusefzadeh H, Rezapour A, et al. The productivity and its barriers in public hospitals: Case study of Iran. Med J Islam Repub Iran. 2016;30(1):36-43.11. Valdmanis V, Rosko M, Mancuso P, Tavakoli M, Farrar S. Measuring performance change in Scottish hospitals: a Malmquist and times-series approach. Heal Serv Outcomes Res Methodol. 2017;17(2):113-126. doi:10.1007/s10742-016-0151-y.12. van Ineveld M, van Oostrum J, Vermeulen R, Steenhoek A, van de Klundert J. Productivity and quality of Dutch hospitals during system reform. Health Care Manag Sci. 2016;19(3):279-290. doi:10.1007/s10729-015-9321-7.13. Yeh D-Y, Cheng C-H. Performance Management of Taiwan’s National Hospitals. Int J Inf Technol Decis Mak. 2016;15(1):187-213. doi:10.1142/S0219622014500199.14. Zhang X, Tone K, Lu Y. Impact of the Local Public Hospital Reform on the Efficiency of Medium-Sized Hospitals in Japan: An Improved Slacks-Based Measure Data Envelopment Analysis Approach. Health Serv Res. 2017. doi:10.1111/1475-6773.12676.15. Şahin İ. Sağlık Bakanlığı’na devredilen SSK hastanelerinin teknik etkinliği ve toplam faktör verimliliği analizi. İktisat İşletme ve Finans. 2009;24(283):9-40. doi:10.3848/iif.2009.283.4651.16. Ömür T, Aktan HE. SSK Hastanelerinin Sağlık Bakanlığı’na Devrinin Hastane Verimlilikleri Üzerindeki Etkileri. TİSK Akdemi. 2010;5(10):112-129.17. Sülkü SN. Performansa Dayalı Ek Ödeme Sisteminin Kamu Hastanelerinin Verimliliği Üzerine Etkileri. Maliye Derg. 2011;160(Haziran):242-268.18. Oruç KO. Bulanık Ortamda MALMQUIST Verimlilik Endeksi ve Üniversite Hastanelerinde Bir Uygulama. Int J Manag Econ Bus. 2016;12(28):0-0. doi:10.17130/ijmeb.20162819851.19. Örkcü HH, Balikçi C, Dogan MI, Genç A. An evaluation of the operational efficiency of turkish airports using data envelopment analysis and the Malmquist productivity index: 2009-2014 case. Transp Policy. 2016;48:92-104. doi:10.1016/j.tranpol.2016.02.008.20. Ar İM. Türkiye’deki Havalimanlarının Etkinliklerindeki Değişimin İncelenmesi: 2007-2011 Dönemi İçin MALMQUIST-TFV Endeksi Uygulaması. Atatürk Üniversitesi İktisadi ve İdari Bilim Derg. 2012;26(3-4):143-160.21. Dinçer SE. Veri Zarflama Analizinde Malmquist Endeksi İle Toplam Faktör Verimliliği Değişiminin İncelenmesi Ve İMKB Üzerine Bir Uygulama. 2008;25(2):825-846.22. Färe R, Grosskopf S, Lindgren B, Ross P. Productivity Changes in Swedish Pharamacies 1980-1989 : A Non-Parametric Malmquist Approach. 1992;3:85-101.23. Färe R, Grosskopf S, Lindgren B, Roos P. Productivity Developments in Swedish Hospitals: A Malmquist Output Index Approach. In: Abraham A, Cooper WW, Lewin AY, Lawrence SM, eds. Data Envelopment Analysis: Theory, Methodology and Application. 1st ed. Boston: Kluwer Academic Publishers; 1994:253-2272. doi:10.1007/978-94-011-0637-5.24. Färe R, Grosskopf S, Norris M, Zhang Z. Productivity growth, technical progress and efficiency change in Industrialised Countries. Am Econ Assoc. 1994;84(1):66-83. doi:10.1111/j.1467-8268.2004.00089.x.25. Isik I, Hassan MK. Financial disruption and bank productivity: The 1994 experience of Turkish banks. Q Rev Econ Financ. 2003;43(2):291-320. doi:10.1016/S1062-9769(02)00194-1.26. Büyükkayıkçı H, Şahin İ. SSK Ulus Hastanesi Cerrahi Servisinde Hasta Maliyetlerinin Sağlık Bakanlığı Fiyat Tarifesi ile KArşılaştırılması (The Comparison of Patient Cost in Surgical Services with Ministry of Health Price List). Hacettepe Sağlık İdaresi Derg. 2000;5(3):119–145. doi:10.1590/S1516-18462008000300012.27. Coelli T. A Data Envelopment Analysis (Computer) Program (DEAP). Centre for Efficiency and Productivity Analysis. http://www.uq.edu.au/economics/cepa/deap.php. Published 1996. Accessed December 19, 2017.28. Beylik U, Kayral İH, Naldöken Ü. Sağlik Hizmet Etkinliği Açisindan Kamu Hastane Birlikleri Performans Analizi. Cumhur Üniversitesi Sos Bilim Derg. 2015;39(2):203-224.29. Yiğit V. Hastanelerde Teknik Verimlilik Analizi: Kamu Hastane Birliklerinde Bir Uygulama. SDÜ Sağlık Bilim Enstitüsü Derg. 2016;7(2):1-8.30. Şahin İ. Sağlık Bakanlığı Genel Hastaneleri ve Sağlık Bakanlığına Devredilen SSK Genel Hastanelerinin Teknik Verimliliklerinin Karşılaştırmalı Analizi. Hacettepe Sağlık İdaresi Derg. 2008;11(1):1-47.