64değerleri hesaplanmış ve etkinlik hedefleri oluşturulmuştur. Sonuç olarak eğitim ve araştırma statüsüne sahip bu hastanelerde kaynakların genellikle etkin biçimde kullanılamadığı sonucuna varılmıştır.Anahtar Kelimeler: Etkinlik, sağlık kurumları, veri zarflama analizi. SAĞLIK KURUMLARININ ETKİNLİKLERİNİN VERİ ZARFLAMA ANALİZİ İLE DEĞERLENDİRİLMESİ 65 EVALUATION OF HEALTH INSTITUTIONS EFFICIENCIES BY DATA ENVELOPMENT ANALYSIS ABSTRACTIn recent years, regardless of ownership, all businesses operate in an inevitably competitive environment. This has prompted businesses to take some measures to help them gain competitive advantage and thereby reduce their costs. In this context, an important part of healthcare costs materializes in education and research hospitals where relatively more complicated cases are addressed. For this reason, General Education Hospitals, University Hospitals and Ministry of Health-University Partnership Hospitals having education and research hospital status operating in Ankara, Istanbul, and Izmir were taken into consideration. In this study a mathematical programming based Data Envelopment Analysis (DEA) was used to evaluate the relative efficiency of 45 hospitals. In this analysis, number of beds, number of specialist physicians, number of nurses and number of other healthcare personnel were chosen as input variables and number of outpatients, number of discharged patients, bed occupancy rate and number of surgical operations were chosen as output variables. The results of the study show that 13 hospitals (%28.89) were total efficient, 18 hospitals (%40) were technical efficient and 14 hospitals (%31.11) were scale efficient. In addition, slack values of inefficient hospitals have been calculated and efficiency targets have been set up. As a result, it has been concluded that resources are generally not efficiently used in these hospitals having education and research status.
The aim of the journal is to publish original articles, reviews, rare case report and letters to the editors of the highest scientific and clinical value in health sciences as physiotherapy and rehabilitation, health management, social work, nursing, midwifery, language and speech therapy, audiology, ergotherapy and gerontology. The target audience of the journal includes all health professionals who are members of the health team.
Background: Nursing homes continue to play an important role in elderly services, including offering physical, psychological, and social support. For this reason, it is crucial to ensure their sustainable financial management. Aims: This study aims to build a model that incorporates factors such as age, gender, and real rate of return, all of which affect the minimum amount of the one-time endowment. Methods: In this study, the minimum endowment is calculated using actuarial techniques by considering the age and gender of the nursing home resident along with the real rate of return for endowments. Our model incorporates a probability of spending calculated using mortality rates from Turkey Life Tables (TRH-2010) and a 2% real rate of return. Results: The expected value of ₺1 spent each year as long as the individual lives varies with age and gender. For a 60-year-old female, this expected value is over 0.99 (i.e., 99% probability of spending ₺1 during the year), whereas it falls below 0.50 for an 81-year-old, and 0.10 for a 90-year-old. For a 60-year-old male, the expected value is about 0.99, which falls below 0.50 for a 78-year-old, and 0.10 for an 89-year-old. Thus, the customary endowment is insufficient for female elderly persons below the age of 71 and male elderly persons below the age of 68. Conclusion: Many factors can affect the fair amount of a one-time endowment. Failure to take these factors into account may seriously jeopardize the fairness and sustainability of elderly services. Öz Arka plan: Huzurevleri, fiziksel, psikolojik ve sosyal destek de dâhil olmak üzere yaşlı hizmetlerinde önemli bir rol oynar. Bu nedenle, huzurevlerinin sürdürülebilir finansal yönetimlerini sağlamak çok önemlidir. Amaç: Bu çalışma, huzurevlerinde tek seferlik bağış miktarının adil ve doğru belirlenmesinde yaş, cinsiyet ve gerçek getiri oranı gibi faktörleri içeren bir model oluşturmayı amaçlamaktadır. Yöntem: Bu çalışmada asgari bağış, huzurevinde ikamet eden kişinin yaşı ve cinsiyeti ile bağışların reel getiri oranı dikkate alınarak aktüeryal teknikler kullanılarak hesaplanmıştır. Modelimiz, Türkiye Yaşam Tablolarından (TRH-2010) alınan ölüm oranları kullanılarak hesaplanan bir harcama olasılığını ve% 2'lik bir reel getiri oranını içermektedir. Bulgular: Bireysel yaşamlar yaşa ve cinsiyete göre değiştiği sürece her yıl harcanan 1 TL'nin beklenen değeri. 60 yaşında bir kadın için bu beklenen değer 0,99'un üzerindedir (yani yıl içinde 1 TL harcama olasılığı% 99), 81 yaşında ise 0,50'nin ve 90 yaşında 0,10'un altına düşmektedir. 60 yaşında bir erkek için beklenen değer yaklaşık 0,99'dur ve 78 yaşında birisi için 0,50'nin ve 89 yaşında birisi için 0,10'un altına düşmektedir. Bu nedenle, 71 yaşın altındaki kadın yaşlılar ve 68 yaşın altındaki erkek yaşlılar için geleneksel bağış yetersizdir. Sonuç: Bir kerelik bağışın adil miktarını birçok faktör etkileyebilir. Bu faktörlerin hesaba katılmaması, yaşlı hizmetlerinin adaletini ve sürdürülebilirliğini tehlikeye atabilir.
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