You are here

SAĞLIK HİZMETLERİNDE VZA İLE ETKİNLİK ÖLÇÜMÜ- BİR GENEL BAKIŞ

EFFICIENCY MEASURES IN THE HEALTH SERVICES WITH DEA - AN OVERVIEW

Journal Name:

Publication Year:

Abstract (2. Language): 
Efficiency which could be related to the performance of the processes is one of the main concerns of the organizations. It is therefore important to measure and perform continuous improvement in the efficiency of the processes. This is also valid for the health services as in all others. In literature, there have been several modeling and assessment approaches developed for this purpose. This paper presents a review of the respective researches with related findings in field. Main focus of the review is given to data envelopment analysis which one of the very popular assessment tool for decision making systems. In addition, the review is extended not only to the modeling approaches but also respective software tools as well as strengths and weaknesses of this technique.
Abstract (Original Language): 
Süreçlerin performansı ile ilgili olabilen etkinlik organizasyonların önemli ilgi alanlarından biridir. Bu nedenle, süreçlerin etkinliklerinin ölçüm ve sürekli gelişimlerinin sağlanması önem arz etmektedir. Bu durum, diğer alanlarda olduğu kadar sağlık hizmetleri içinde geçerlidir. Bu amaçla literatürde birçok modelleme ve değerlendirme yaklaşımları geliştirilmiştir. Bu çalışmada bahse konu alanla ilgili araştırma ve ilgili sonuçlarını özetlemektedir. Çalışmada temel olarak, karar vermede yaygın bir değerlendirme aracı olan veri zarflama analizine odaklanılmıştır. Bunlara ek olarak çalışmada modelleme yaklaşımlarının yanı sıra, ilgili yazılım ve yöntemin kuvvetli/ zayıf tarafları da gösterilmiştir.
1-14

REFERENCES

References: 

[1] N. Kontodimopoulos, and D. Niakas, “Efficiency measurement of hemodialysis units
in Greece with data envelopment analysis”, Health Policy 71, 2005, pp. 195–204.
[2] J. K. Sengupta,“ Quality and Efficiency” Economic Modelling 17, 2000, pp. 195-207.
[3] S.Ketabi, “Efficiency Measurement of Cardiac Care Units of Isfahan Hospitals in
Iran”, J Med Syst, 2009.
[4] L. O’Neilla, M. Raunerb, K.Heidenbergerb, and M. Krausc, “A cross-national
comparison and taxonomy of DEA-based hospital efficiency studies”. Socio-Economic
Planning Sciences 42, 2008, pp. 158–189.
[5] M. Rosko, “Impact of internal and external environmental pressures on hospital
inefficiency”. Health Care Management Science, 1999, pp.63–74.
[6] E. Ballesteroa, and J. A. Maldonadob, “Objective measurement of effciency: applying
single price model to rank hospital activities”, Computers & Operations Research 31,
2004, pp. 515–532.
[7] M. Feldstein, “Economic analysis for health services efficiency.”Chicago: Markham
Publishing Company, 1968.
[8] R.F. Conrad, and R. Strauss, “A multiple-output multiple-input model of the hospital
industry in North Carolina”, Applied Economics 15, 1983, pp.341–52.
[9] T. Cowing, A. Holtman, “Multiproduct short-run hospitalcost functions: Empirical
evidence and policy implica-tions from cross-section data.” Southern Economics
Journal 49, 1983 , pp. 637–653.
[10] L.X. Li, and W.C. Benton, “Performance measurement criteria in health care
organizations: review and future research directions”, European Journal of
Operational Research 93, 1995, pp. 449–468.
[11] M. Al-Shammari, “A multi-criteria data envelopment analysis model for measuring the
productive efficiency of hospitals”, International Journal of Operations & Production
Management, Vol. 19 No. 9, 1999, pp. 879-890.
[12]W.W. Cooper, L.M.Seiford, and J.Zhu, “Data Envelopment Analysis History, Models
and Interpretatitons”, Handbook on Data Envelopment Analysis, 2nd edition, 2004,
1.Chapter.
[13] A. Emrouznejad, Ali Emrouznejad’ s DEA HomePage, Warwick Business
School, Coventry CV4 7AL, UK, 1995-2001, Electronic publication:
http://www.deazone.com/books/DEA-socioEcoPlanning.pdf
[14] R. F. Lavado, E.C. Cabanda, “The efficiency of health and education expenditures in
the Philippines”, CEJOR 17, 2009, pp. 275–291.
[15] G. R. Eslami, M. Mehralizadeh, and G. R. Jahanshahloo, “Efficiency Measurement of
Multi-Component Decision Making Units Using Data Envelopment Analysis”, Applied
Mathematical Sciences, Vol. 3, 2009, no. 52, pp. 2575 – 2594.
[16] S. V. Birman, P. E. Pirondi , E. Y. Rodin “Application of DEA to Medical
Clinics” Mathematical and Computer Modelling 37, 2003, pp. 923-936.
[17] A. M. A. Bahurmoz, “Measuring Efficiency in Primary Health Care Centres in Saudi
Arabia”, J. KAU: Econ. & Adm., Vol. 12, No. 2, 1998, pp. 3-18.
[18] N. Donthu, E. K. Hershberger, T. Osmonbekov “ Benchmarking marketing
productivity using data envelopment analysis ” Journal of Business Research 58, 2005,
pp. 1474– 1482.
[19] Sherman, D., “Hospital Efficiency Measurement and Evaluation, Empirical Test of a
New Technique”, Medical Care 10, vol. 22, 1984, pp. 922-939.
[20] S. Grosskopf, and V. Valdmanis, “Measuring Hospital Performance- a Non –
Parametric Approach”, Journal of Health Economics, vol. 6, 1987, pp. 89-107.
[21] R. Morey, D. Fine, and S. Loree, “Comparing the Allocative Efficiencies of
Hospitals”, OMEGA, vol. 18(1), 1990, pp.71-83.
[22] Finkler, Merton D. and D. D. Wirtschafter, “Cost-effectiveness and Data Envelopment
Analysis”, Health Care Management Review, vol. 18(3), 1993, pp. 81-88.
[23] A. Szczepura, C. Davies, and J. Fletcher, “Efficiency and Effectiveness in General
Practice”, Journal of Management in Medicine, vol. 7, No. 5, 1993, pp. 36-47.
[24] J. R Lynch, and Y. A. Ozcan, “Hospital Closure: An Efficiency Analysis” ,Hospital &
Health Services Administration, vol. 39, No. 2, 1994, pp. 205-220.
[25] J. Chilingerian, and H. Sherman, “Evaluating and Marketing Efficient Physicians
toward Competitive Advantage", Health Care Strategic Management, vol. 12(5), 1994,
pp. 16-19.
[26] Y. Ozcan, S.C. Yeh, D. McCollum and J. Begun, “Trends in Labour Efficiency among
American Hospital Markets”, Annals of Operations Research, vol. 67, 1996, pp. 61-81.
[27] J. Chilingerian, and H. Sherman, “Benchmarking Physician Practice Patterns with
DEA: A Multi-Stage Approach for Cost Containment”, Annals of Operations Research
67, 1996, pp. 83-116.
[28] R, Morey, and D. Dittman, “Cost Pass-Through Reimbursement to Hospitals and Their
Impacts On Operating Efficiencies”, Annals of Operations Research, vol. 67,1996, pp.
117-139.
[29] J. Salinas-Jimenez and P. Smith, “Data Envelopment Analysis Applied to Quality in
Primary Health Care”, Annals of Operations Research, vol. 67, 1996, pp. 141-161.
[30] V. Bhagavath, “Technical Efficiency Measurement by Data Envelopment Analysis: An
Application in Transportation”, Alliance Journal of Business Research.
[31] A. Giuffrida, H. Gravelle, “Measuring performance in primarycare: econometric
analysis and DEA.” Applied Economics 33, 2001, pp. 163–175.
[32] Donabedian A, Wheeler JRC, Wyszewianski L., “ Quality, Cost and Health:An
Integrative Model.”, Medical Care, 20(10), pp. 975 - 992, 1982.
[33] Fixer T., “A Data Envelopment Analysis Approach for Measuring the Efficiency of
Canadian Acute Care Hospital”, Master Thesis, University of Toronto, 2008.

Thank you for copying data from http://www.arastirmax.com