Ensuring multidimensional equality in public service

Akoluk, Damla; Karsu, Özlem

doi:10.1016/j.seps.2021.101176

Cited by 1 publication

(1 citation statement)

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“…Moreover, operations researchers state that, service planning problems involve decisions that lead to equal distribution of benefits to multiple users. Service planning decisions while considering both equality and efficiency in the resulting benefit distributions can have a significant impact on how the resources are allocated (Akoluk and Karsu, 2021). In health literature, efficiency is implicitly taken to mean the production of the greatest health gain for a given level of input (Reidpath et al , 2012; Schneider et al , 2020).…”

Section: Introductionmentioning

confidence: 99%

Exploring the nexus of equality and efficiency in healthcare

Çınaroğlu

2022

IJPPM

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PurposeThis study aims to explore the nexus of equality and efficiency by considering public hospitals' development dynamics, capacity and technology indicators.Design/methodology/approachData was collected from the Ministry of Health Public Hospital Almanacs from 2014 to 2017. The Gini index (GI) is used to estimate the inequality of distribution of hospital performance indicators. A bias-corrected efficiency analysis is calculated to obtain efficiency scores of public hospitals for the year 2017. A path analysis is then constructed to better identify patterns of causation among a set of development, equality and efficiency variables.FindingsA redefined path model highlights that development dynamics, equality and efficiency are causally related and health technology (path coefficient = 0.57; t = 19.07; p < 0.01) and health services utilization (path coefficient = 0.24; t = 8; p < 0.01) effects public hospital efficiency. The final path model fit well (X2/df = 50.99/8 = 6; RMSEA = 0.089; NFI = 0.95; CFI = 0.96; GFI = 0.98; AGFI = 0.94). Study findings indicate high inequalities in distribution of health technologies (GI > 0.85), number of surgical operations (GI > 0.70) and number of inpatients (GI > 0.60) among public hospitals for the years 2014–2017.Originality/valueStudy results highlight that, hospital managers should prioritize equal distribution of health technology and health services utilization indicators to better orchestrate equity-efficiency trade-off in their operations.

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Section: Introductionmentioning

confidence: 99%

Exploring the nexus of equality and efficiency in healthcare

Çınaroğlu

2022

IJPPM

View full text Add to dashboard Cite

show abstract

Ensuring multidimensional equality in public service

Cited by 1 publication

References 38 publications

Exploring the nexus of equality and efficiency in healthcare

Exploring the nexus of equality and efficiency in healthcare

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