VZA ve Tobit model ile kamu ağız ve diş sağlığı merkezleri performanslarının incelenmesi
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Tarih
2020
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Aksaray Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Ağız ve diş sağlığı, genel sağlık ve yaşam kalitesinin göstergelerindendir. Ağız ve diş hastalıkları küresel halk sağlığı problemlerinden olup, en sık görülen bulaşıcı olmayan hastalıklardandır. Bu araştırmanın amacı, Sağlık Bakanlığı’na bağlı Ağız ve Diş Sağlığı Merkezleri (ADSM)’nin 2014-2018 dönemindeki etkinlik düzeylerini saptamaktır. Araştırmada yöntem olarak, ADSM’lerin teknik verimliliğini ölçmek için Veri Zarflama Analizi (VZA) CCR yöntemi kullanılmıştır. Ayrıca etkinliğe etki eden faktörlerin tespit edilebilmesi için Tobit analizi yapılmıştır. Araştırmanın evrenini Türkiye’de, 2014-2018 yılları arasında faaliyetini aralıksız sürdürmüş, ünit sayısı 50 ve üzerinde olan Sağlık Bakanlığı’na bağlı ADSM’ler oluşturmaktadır. Araştırmada örneklem seçilmemiş, evrenin tamamına ulaşılmıştır. Girdi olarak ünit sayısı ve toplam diş hekimi sayısı; çıktı olarak ise muayene sayısı, diş çekimi sayısı, konservatif tedavi sayısı, endodontik tedavi sayısı değişkenleri kullanılmıştır. 2014-2018 VZA verimlilik skorları yıllara göre sırasıyla ortalama 0,750, 0,782, 0,759, 0,733, 0,716 olarak tespit edilmiştir. VZA’da elde edilen etkinlik skorları bağımlı değişken olarak alınarak Tobit analizi yapılmış ve sonuçlar yorumlanmıştır. 2018 yılına ait VZA sonuçlarında; girdi değişkenlerinden ünit sayısının %21,81 ve toplam diş hekimi sayısının %24,17 oranında azaltılması önerilmektedir. Çıktı değişkenlerinden endodontik tedavi sayısının %34,59, muayene edilen hasta sayısının %3,45 ve konservatif tedavi sayısının %2,77 oranında artırılması gerektiği görülmektedir.
Oral and dental health is one of the indicators of general health and quality of life. Oral and dental diseases are global public health problems and are one of the most common non-communicable diseases. The purpose of this research is to determine the efficiency levels of Oral and Dental Health Centers (ODHC) affiliated to the Ministry of Health in the period 2014-2018. As a method in the study, Data Envelopment Analysis (DEA) CCR method was used to measure the technical efficiency of ODHCs. In addition, Tobit analysis was performed to determine the factors affecting the efficiency. In Turkey, the universe of research has continued to operate continuously between 2014-2018, the number of units is 50 and more ODHCs affiliated to the Ministry of Health. The sample was not selected in the study, and the whole universe was reached. Number of units and total number of dentists as inputs; as output, number of patients examined, number of tooth extractions, number of conservative treatments, number of endodontic treatments were used. The 2014-2018 DEA efficiency scores were determined as an average of 0.750, 0.782, 0.759, 0.733, 0.716, respectively, by years. Efficiency scores obtained in DEA were taken as dependent variables and Tobit analysis was performed and the results were interpreted. In the 2018 DEA results, it is proposed to reduce the number of units from input variables by 21.81% and the total number of dentists by 24.17%. Among the output variables, it is seen that the number of endodontic treatments should be increased by 34.59%, the number of examined patients by 3.45% and the number of conservative treatments by 2.77%.
Oral and dental health is one of the indicators of general health and quality of life. Oral and dental diseases are global public health problems and are one of the most common non-communicable diseases. The purpose of this research is to determine the efficiency levels of Oral and Dental Health Centers (ODHC) affiliated to the Ministry of Health in the period 2014-2018. As a method in the study, Data Envelopment Analysis (DEA) CCR method was used to measure the technical efficiency of ODHCs. In addition, Tobit analysis was performed to determine the factors affecting the efficiency. In Turkey, the universe of research has continued to operate continuously between 2014-2018, the number of units is 50 and more ODHCs affiliated to the Ministry of Health. The sample was not selected in the study, and the whole universe was reached. Number of units and total number of dentists as inputs; as output, number of patients examined, number of tooth extractions, number of conservative treatments, number of endodontic treatments were used. The 2014-2018 DEA efficiency scores were determined as an average of 0.750, 0.782, 0.759, 0.733, 0.716, respectively, by years. Efficiency scores obtained in DEA were taken as dependent variables and Tobit analysis was performed and the results were interpreted. In the 2018 DEA results, it is proposed to reduce the number of units from input variables by 21.81% and the total number of dentists by 24.17%. Among the output variables, it is seen that the number of endodontic treatments should be increased by 34.59%, the number of examined patients by 3.45% and the number of conservative treatments by 2.77%.
Açıklama
Anahtar Kelimeler
Ağız ve Diş Sağlığı, Etkinlik, Tobit Analizi, Veri Zarflama Analizi, Oral and Dental Health, Efficiency, Tobit Analysis, Data Envelopment Analysis
Kaynak
Aksaray Üniversitesi Sosyal Bilimler Enstitüsü Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
2
