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TÜRKİYE ve AVRUPA BİRLİĞİNE ÜYE ÜLKELERİN SAĞLIK SİSTEM PERFORMANSLARININ KÜMELEME ve VERİ ZARFLAMA ANALİZİ ile KARŞILAŞTIRILMASI

TURKEY'S and EUROPEAN UNION COUNTRIES' HEALTH SYSTEM PERFORMANCE ANAL YSIS by HIERARCHICAL CLUSTER ANALYSIS and DATA ENVELOPMENT ANALYSIS

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Abstract (2. Language): 
Perforrnance analysis indicates that to what extent systems efficiently utilised allocated resources. Although there are several other techniques, Data Envelopment Analysis (DEA), which is a Linear Programming based technique, provides us decision making units' relatively performances measurements. In this article, DEA is used for 28 European Union (EU) countries Health Systems' relatively performance analysis. "Stepwise Selection of Variables" has been used for determine variables. In this research, first DEA is applied to all countries. DEA requires homogeneity. Therefore Hierarchical Cluster Analysis has been applied to data. As a result of the "Hierarchical Cluster Analysis", EU countries (including Turkey) are gathered in four different clusters. DEA Analysis output provides us Turkey's Health System's relative efficiency in the same clustered countries'.
Abstract (Original Language): 
Performans analizi, sistemlerin, kaynaklarını amaçları doğrultusunda ne derece etkin kullandığını ölçmede kullanılmaktadır. Bu amaçla geliştirilen birçok yöntem bulunmaktadır. Bu yöntemlerden biri de, doğrusal programlama tabanlı Veri Zarflama Analizidir (VZA). Bu çalışmada, Türkiye ve Avrupa Birliğine üye ülkelerin sağlık sistem performanslarını karşılaştırmak amacı ile VZA kullanılmıştır. Araştırmaya, Avrupa Birliği üyesi olan yirmi yedi ülke ve üyeliğe tam aday olan Türkiye olmak üzere, toplam 28 ülke dahil edilmiştir. Değişkenlerin belirlenmesinde "Adım Adım Değişken Seçimi" (Stepwise Selection of Variables) yöntemi kullanılmıştır. Araştırmamızda, öncelikle tüm ülkeler birarada VZA içinde ele alınmıştır. Ancak gerek sonuçlar, gerek değişkenlerin özellikleri dikkate alınarak, en önemlisi de tüm ülkelerin bir arada ele alınmasının VZA'nın homojen yapı koşulunu ihlal ettiği dikkate alınarak anakütleye "Hiyerarşik Kümeleme Analizi" uygulanmıştır. Bu analiz sonucunda, Türkiye dahil olmak üzere AB üye ülkelerinin dört farklı grupta toplandığı görülmüştür. Çalışmamızda, Türkiye'nin içinde bulunduğu kümeye VZA uygulanarak, bu gruptaki ülkelerin; toplam, teknik ve ölçek etkinlikleri hesaplanarak elde edilen bulgular yorumlanmıştır.
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REFERENCES

References: 

ADANG, Eddy M.M., Born, G.F., 2007, "Is There an Association Between Economic Performance and Public Satisfaction in Healthcare". European Journal of Health Economics, Vol: 8, No: 3, s: 279-285.
ADLER, N., Friedman, L., Stern, Z. S., 2002, "Revieıv of Ranking Methods in the Data Envelopment Analysis Context", European Journal of OperationalResearch, Vol: 140, No: 2, s: 249-265.
AFONSO, A. , Aubyn, M.S., 2005, "Non-parametric Approaches to Education and Health Efficiency in OECD Countries", Journal of Applied Economics, Vol: 8; No: 2, s: 227-246.
ALEXANDER, Christina A., Busch, A.Gary, Stringer, K., 2003, "Implementing and Interpreting a Data Envelopment Analysis Model to Assess the Efficiency of Health System in Developing Countries", İMA Journal of Management Mathematics, Vol: 14, No: 1, s: 49-63.
AUBYN, M.S., Afonso, A., 2007, "Assessing Health Efficiency Across Countries with Two-Step and Bootstrap Analysis ", Fiscal Policy Challenges in Europe, German Federal Ministry of Finance, Berlin, s: 1¬35.
BHAT, V. N., 2003, "Health Systems Performance: A Statewide Analysis", Journal of Health Care
Finance, Vol: 29, No: 4, s: 77-86.
CELİNİ, R., Giacomo, P., Rizzo, I., 2000, "Competition and Efficiency in Health Care: an Analysis of the Italian Case", International Tax and Public Finance, Vol: 7, No: 4-5, s: 503-519.
CHARNES, A., Cooper, W.W., Rhodes, E., 1978, "Measuring the Efficiency of Decision Making Units", European Journal of Operational Research, Vol: 2, No: 6, s: 429-444.
CHARNES, A., Cooper, W. W., Lewin, A. Y., Seiford, L. M., 2000, Data Envelopment Analysis, Theory, Methodology and Applications, Kluwer Academic Publishers.
COELLI, Tim, Prasada Rao, D.S., Battese, George E., 2001, An Introduction to Efficiency and Productivity Analysis, USA: Kluwer Academic Publishers, Fifth Printing.
COOPER, W.W., Seiford, L. M., Tone, K., 2000, A Comprehensive Text with Models Application References and DEA Solver Software, Boston: Kluwer Academic Publisher.
COOPER, W.W., ve diğerleri, 2001, "Sensitivity and Stability Analysis in DEA: Some Recent Developments", Journal of Productivity Analysis, Vol: 15, No: 3, s: 217-246.
COOPER, W.W., Seiford, L.M., Zhu, J., 2004, Handbook on DEA, Kluwer Academic Publishers.
DERVAUX, B., Leleu, H., 2004, "Estimating Tradeoffs Among Health Care System 's Objectives ". Health Services & Outcomes Research Methodology, Vol: 5, No: 1, s: 39-58.
44
Mehpare TİMOR/ Fatma LORCU Yönetim Yıl: 21 Sayı 65 Şubat 2010
DYSON, R.G., ve diğerleri, 2001, "Pitfalls and Protocols in DEA". European Journal of Operational Research, Vol: 132, No: 2, s: 245-259.
FARE, R.F, Grosskopf, S., , Lindgren, B., Poullier, J.P., 1997, "Productivity Growth in Health-Care Delivery", Medical Care, Vol: 35, No: 4, s: 354-366.
FARELL, M. J., 1957, "The Measurement of Productive Efficiency ", Journal of the Royal Statistical Series A (General), Vol: 120, No: 3, s: 253-290.
GOLANY, B., Roll, Y., 1989, "An Application Procedure for DEA", Omega, International Journal of Management Science,Vol: 17, No:3, s: 237-250.
HOUGAARD, J. L., Overgaard, C., 2006, "A Note on Healthcare Productivity with Uncertain Data", Health Care Management Science, Vol: 9, No: 1, s: 99-106
JUNOY, J.P., 1998, "Measuring Health Production Performance in the OECD ", Applied Economic Letters,
Vol: 5, No: 4, s: 255-259.
KAYALI, C.A., Kayalı, N., Kartal, B., 2004, "Veri Zarflama Analizinin Sağlık Sektöründe Bir Uygulaması", Celal Bayar Üniversitesi Sosyal Bilimler Dergisi, Vol: 2, No: 2, s: 67-78.
KONTODIMOPOULOS, N., Bellali, T., Labiris, G., Niakas, D., 2006, "Investigating Sources of Inefficiency in Residential Mental Health Facilities ", Journal of Medical Systems, Vol: 30, No: 3, s: 169-176.
LAUER, J.A., Lovell, C.A.K., Murray, C.J.L., Evans, D.B., 2004, "World Health System Performance Revisited:Tthe Impact of Varying the Relative Importance of Health System Goals", BMC Health Services
Research, Vol: 4, No: 19; s: 1-8.
MİRMİRANİ, S., Mirmirani, T., 2005, "Health Care Delivery in OECD Countries, 1990-2000: An Efficiency Assessment", The Business Revierv, Cambridge, Vol: 3, No: 2, s: 58-63.
MURRAY, C.J.L., Frenk, J., 2000, "A Frameıvork for Assessing the Performance of Health Systems", Bulletin of the World Health Organization, Vol: 78, No: 6, s: 717-731.
NUNAMAKER, T., 1983, "Measuring Routine Nursing Service Efficiency: A Comparison of Cost Per Day and Data Envelopment Analysis Models ", Health Services Research, Vol: XVİİİ, No: 2 (Part İ), s: 183-205.
PRESTON, S.H., 1986, "Mortality and Development Revisited", Population Bulletin of the United Nations,
No: 18, s: 34-40.
RATY, T., Luoma, K., 2005, "Nonparametric Country Rankings Using Health Indicators and OECD Health Data", VATTMuistioita, Vol: 74 (Helsinki), s: 1-8.
45
Mehpare TİMOR/ Fatma LORCU Yönetim Yıl: 21 Sayı 65 Şubat 2010
RAY, S.C., 2004, DEA Theory and Techniques for Economics and Operations Research, USA: Cambridge University Press, First Published.
RETZLAFF, R.D., Chang, C. F., Rubin, R.M., 2004, "Technical Efficiency in the Use of Health Care Resources: A Comparison of OECD Countries", Health Policy, Vol: 69, No: 1, s: 55-72.
RİCHARDSON, J., Wildman, J., Robertson, İ.K., 2003, "A Critique of the World Health Organization's Valuation of Health System Performance", Health Economics, Vol: 12, No: 5, s: 355-366.
SEİFORD, L.M., 1997, "A Bibliography for DEA (1978-1996)". Annals of Operations Research, Vol: 73
(Oct), s: 393-438.
SMİTH, P.C., 2002, "Measuring Health System Performance", European Journal of Health Economics, Vol: 3, No: 3, s: 145-148.
ŞAHİN, I., Özcan, Y.A., 2000, "Public Sector Hospital Efficiency for Provincial Markets in Turkey", Journal of Medical System, Vol: 24, No: 6, s: 307-320.
TANKERSLEY, W.B., Tankersley, J.E., 1997, "The Hypothetical Efficient Organization: Exploring the Diagnostic Value of DEA", Coastal Business Revierv, Vol: 6, s: 57-64.
WAGNER, J.M., Shimshak, D.G., 2007, "Stepıvise Selection of Variables in Data Envelopment Analysis:Procedures and Managerial Perspectives ", European Journal of Operational Research, Vol: 180,
No: 1, s: 57-67.
WİLLİAMS, A., 2001, "Science, or Marketing at WHO? A Commentary on World Health 2000". Health Economics, Vol: 10, No: 2, s: 93-100.
WHO (2000). The World Health Report 2000, Health Systems: İmproving Performance. World Health Statistics-2005, 2005, World Health Organization. World Health Statistics-2006, 2006, World Health Organization. World Health Statistics-2007, 2007, World Health Organization.
YILDIRIM, H.H., 2005, "Avrupa Birliği'ne Üye ve Aday Ülke Sağlık Sistemlerinin Karşılaştırmalı Performans Analizi: Veri Zarflama Analizine Dayalı Bir Uygulama", Milli Prodüktivite Merkezi-Verimlilik
Dergisi, Vol: 4, S: 9-46.
ZHANG, N., Hu, A., Zheng, J., 2007, "Using Data Envelopment Analysis Approach to Estimate the Health Production Efficiencies in China", Frontiers of Economics in China, Vol: 2, No: 1, s: 1-23.

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