VZA Yöntemi ile Kamu Hastanelerinin Performans Değerlendirmesi

Son yıllarda dünya genelinde insanların yaşam kalitelerinin artması, tıp alanındaki teknolojik gelişmeler ve nüfusun yaşlanması nedeniyle sağlık hizmetlerinin önemi giderek artmaktadır. Sağlık sisteminin temel kuruluşlarından biri olan hastanelerin harcama değerlerini düşürmesi ve hizmet kalitesini yükseltmesi beklenmektedir. Bu nedenle sağlık sistemlerinin ve özellikle hastanelerin verimsiz kaynaklarını tespit edip ortadan kaldırabilmeleri için performanslarını sürekli kontrol etmeleri ve kaliteli hizmet vermeleri gerekmektedir. Sağlık alanında etkinliğin değerlendirilmesinde kullanılan farklı yöntemler olmakla birlikte en sık kullanılan yöntem Veri Zarflama Analizi (VZA) olarak bilinmektedir. Bu çalışmada, Türkiye'de 81 ilde kamu hastanelerinin etkinlik ölçümlerinin yapılması amaçlanmaktadır. Çalışmada girdi odaklı CCR ve CCR-Süper Etkinlik (SE) kullanılarak etkinlik analizleri yapılmıştır. CCR modelinin sonuçlarına göre 33 KVB etkin ve 48 KVB etkin değildir. CCR-SE modeli kullanılarak etkin iller sıralanmıştır. CCR modeli sonucunda etkin olmayan KVB'lerin etkin olabilmesi için hangi KVB'lerin referans alınması gerektiği belirlenmiştir.

Anahtar Kelimeler:

Etkinlik, Kamu Hastaneleri, Sağlık, Sağlık Hizmetleri, Veri Zarflama Analizi (VZA

Performance Evaluation of Public Hospitals with Data Envelopment Analysis (DEA) Method

In recent years, the importance of health services has been increasing due to the improvement in people's quality of life, technological developments in the field of medicine and the aging of the population around the world. Hospitals, which are one of the main institutions of the health care system, are expected to reduce their expenditure values and improve their service quality. For this reason, health systems, and especially hospitals, need to constantly control their performance and provide quality service in order to identify and eliminate their inefficient resources. Although there are different methods used in the evaluation of efficiency in the field of health, Data Envelopment Analysis (DEA) is known as the most frequently used method. This study, it is aimed to carry out efficiency measurements of public hospitals for 81 provinces in Turkiye. In the study, efficiency analyzes were performed using input-oriented CCR and CCR-super-efficiency (SE). According to the results of the CCR model, 33 DMUs are efficient. and 48 DMUs are inefficient. Using the CCR-SE model, the efficient provinces were ranked. As a results of the CCR model, it has been determined which DMUs should be taken as a reference for inefficient DMUs to be efficient.

Keywords:

Efficiency, Public Hospitals, Health, Health Services, Data Envelopment Analysis (DEA),

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