Technical efficiencies of Turkish hospitals: DEA approach.
This study uses Data Envelopment Analysis to examine the technical efficiencies of 573 Turkish acute general hospitals. Inputs of number of beds, number of primary care physicians, and number of specialists, and how they are used to produce outputs of inpatient discharges, outpatient visits, and surgical operations, are examined. Results illustrate that less than ten percent of Turkish acute general hospitals operate efficiently compared to their counterparts. Inefficient, compared to efficient hospitals, on average utilize 32% more specialists, 47% more primary care physicians, and have 119% more staffed bed capacity. They also produce on average less output. Particularly, 13% less outpatient visits, 16% inpatient hospitalization, and 57% less surgical procedures. Additionally, the validity of DEA is illustrated by comparing it to the ratio analysis method; no discernible differences in the results are found.
Ersoy
K
K
Baskent University, School of Health Administration, Ankara, Turkey.
Kavuncubasi
S
S
Ozcan
Y A
YA
Harris
J M
JM
D000208:Acute Disease; D003627:Data Interpretation, Statistical; D003659:Decision Making, Organizational; D017598:Efficiency, Organizational; D006302:Health Services Research; D006742:Hospital Bed Capacity; D006769:Hospitals, General / Q000592:standards*; D006801:Humans; D013677:Medical Laboratory Science / Q000592:standards*; D008505:Medical Staff, Hospital / Q000600:supply & distribution; D015203:Reproducibility of Results; D018709:Statistics, Nonparametric; D014421:Turkey