EFFECTS OF RECONSTRUCTION OF HEALTH CARE ON
SERVICE DELIVERY PERFORMANCE IN TURKEY: THE
PUBLIC HOSPITAL UNIONS

CIL KOCYIGIT, Seyhan; Bağcı, Hasan

doi:10.5505/amj.2022.98958

EFFECTS OF RECONSTRUCTION OF HEALTH CARE ON SERVICE DELIVERY PERFORMANCE IN TURKEY: THE PUBLIC HOSPITAL UNIONS

Seyhan ÇİL KOÇYİĞİT (Ankara Hacı Bayram Veli Üniversitesi Tıp Fakültesi İktisadi ve İdari Bilimleri, Sağlık Yönetimi Bölümü, Ankara, Türkiye)

Ankara Medical Journal

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Yıl: 2022 Cilt: 22 Sayı: 1 Sayfa Aralığı: 140 - 154 Metin Dili: İngilizce DOI: 10.5505/amj.2022.98958 İndeks Tarihi: 06-07-2022

EFFECTS OF RECONSTRUCTION OF HEALTH CARE ON SERVICE DELIVERY PERFORMANCE IN TURKEY: THE PUBLIC HOSPITAL UNIONS

Öz:

Objectives: In this study, the performance of 555 public hospitals was evaluated to research the impact of the Public Hospital Unions (PHU) practice applied in Turkey. Materials and Methods: Performance has two dimensions: efficiency and effectiveness. The scores obtained as a result of Data Envelopment Analysis (DEA) and Malmquist Index (MI) methods were taken as efficiency indicators. The degree of achievement of the targets was taken as effectiveness indicators, and the evaluation of effectiveness was performed by examining to what extent it has gotten closer to the targeted values on the Strategic Plans prepared by Turkey Public Hospitals Authority (TPHA). Results: According to the results of the DEA-VRS model, the percentage of efficient hospitals; was 69% in 2012, 74% in 2013, 70% in 2014, 70% in 2015, and 71% in 2016. According to the results of the DEA-CRS model, the percentage of efficient hospitals; was 55% in 2012, 60% in 2013, 56% in 2014, 55% in 2015, and 53% in 2016. The efficiency changes of all hospitals between the period of 2012-2016 were analyzed by the MI method, and the Technical Efficiency Change (TEC), Technological Change (TC), and Total Factor Productivity (TFP) values of the hospitals were found to decrease by 45%, 87%, and 72%, respectively. Conclusion: The public hospital unions (PHU) model, which was created to use resources effectively and efficiently in the field of health, did not significantly enhance hospitals' performance.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Bağcı H, CIL KOCYIGIT S (2022). EFFECTS OF RECONSTRUCTION OF HEALTH CARE ON SERVICE DELIVERY PERFORMANCE IN TURKEY: THE PUBLIC HOSPITAL UNIONS. , 140 - 154. 10.5505/amj.2022.98958
Chicago	Bağcı Hasan,CIL KOCYIGIT Seyhan EFFECTS OF RECONSTRUCTION OF HEALTH CARE ON SERVICE DELIVERY PERFORMANCE IN TURKEY: THE PUBLIC HOSPITAL UNIONS. (2022): 140 - 154. 10.5505/amj.2022.98958
MLA	Bağcı Hasan,CIL KOCYIGIT Seyhan EFFECTS OF RECONSTRUCTION OF HEALTH CARE ON SERVICE DELIVERY PERFORMANCE IN TURKEY: THE PUBLIC HOSPITAL UNIONS. , 2022, ss.140 - 154. 10.5505/amj.2022.98958
AMA	Bağcı H,CIL KOCYIGIT S EFFECTS OF RECONSTRUCTION OF HEALTH CARE ON SERVICE DELIVERY PERFORMANCE IN TURKEY: THE PUBLIC HOSPITAL UNIONS. . 2022; 140 - 154. 10.5505/amj.2022.98958
Vancouver	Bağcı H,CIL KOCYIGIT S EFFECTS OF RECONSTRUCTION OF HEALTH CARE ON SERVICE DELIVERY PERFORMANCE IN TURKEY: THE PUBLIC HOSPITAL UNIONS. . 2022; 140 - 154. 10.5505/amj.2022.98958
IEEE	Bağcı H,CIL KOCYIGIT S "EFFECTS OF RECONSTRUCTION OF HEALTH CARE ON SERVICE DELIVERY PERFORMANCE IN TURKEY: THE PUBLIC HOSPITAL UNIONS." , ss.140 - 154, 2022. 10.5505/amj.2022.98958
ISNAD	Bağcı, Hasan - CIL KOCYIGIT, Seyhan. "EFFECTS OF RECONSTRUCTION OF HEALTH CARE ON SERVICE DELIVERY PERFORMANCE IN TURKEY: THE PUBLIC HOSPITAL UNIONS". (2022), 140-154. https://doi.org/10.5505/amj.2022.98958

APA	Bağcı H, CIL KOCYIGIT S (2022). EFFECTS OF RECONSTRUCTION OF HEALTH CARE ON SERVICE DELIVERY PERFORMANCE IN TURKEY: THE PUBLIC HOSPITAL UNIONS. Ankara Medical Journal, 22(1), 140 - 154. 10.5505/amj.2022.98958
Chicago	Bağcı Hasan,CIL KOCYIGIT Seyhan EFFECTS OF RECONSTRUCTION OF HEALTH CARE ON SERVICE DELIVERY PERFORMANCE IN TURKEY: THE PUBLIC HOSPITAL UNIONS. Ankara Medical Journal 22, no.1 (2022): 140 - 154. 10.5505/amj.2022.98958
MLA	Bağcı Hasan,CIL KOCYIGIT Seyhan EFFECTS OF RECONSTRUCTION OF HEALTH CARE ON SERVICE DELIVERY PERFORMANCE IN TURKEY: THE PUBLIC HOSPITAL UNIONS. Ankara Medical Journal, vol.22, no.1, 2022, ss.140 - 154. 10.5505/amj.2022.98958
AMA	Bağcı H,CIL KOCYIGIT S EFFECTS OF RECONSTRUCTION OF HEALTH CARE ON SERVICE DELIVERY PERFORMANCE IN TURKEY: THE PUBLIC HOSPITAL UNIONS. Ankara Medical Journal. 2022; 22(1): 140 - 154. 10.5505/amj.2022.98958
Vancouver	Bağcı H,CIL KOCYIGIT S EFFECTS OF RECONSTRUCTION OF HEALTH CARE ON SERVICE DELIVERY PERFORMANCE IN TURKEY: THE PUBLIC HOSPITAL UNIONS. Ankara Medical Journal. 2022; 22(1): 140 - 154. 10.5505/amj.2022.98958
IEEE	Bağcı H,CIL KOCYIGIT S "EFFECTS OF RECONSTRUCTION OF HEALTH CARE ON SERVICE DELIVERY PERFORMANCE IN TURKEY: THE PUBLIC HOSPITAL UNIONS." Ankara Medical Journal, 22, ss.140 - 154, 2022. 10.5505/amj.2022.98958
ISNAD	Bağcı, Hasan - CIL KOCYIGIT, Seyhan. "EFFECTS OF RECONSTRUCTION OF HEALTH CARE ON SERVICE DELIVERY PERFORMANCE IN TURKEY: THE PUBLIC HOSPITAL UNIONS". Ankara Medical Journal 22/1 (2022), 140-154. https://doi.org/10.5505/amj.2022.98958