İkinci basamak kamu hastanelerinin kaynak kullanım verimliliğinin Pabon Lasso modeli ile değerlendirilmesi
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Dosyalar
Tarih
2022
Yazarlar
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Yayıncı
Dokuz Eylül Üniversitesi Sosyal Bilimler Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Sağlık hizmetlerine ayrılan kaynaklar tüm dünyada her geçen gün artmaktadır. Türkiye'de son yıllarda hastanelerin kapasitelerini artırmaya yönelik bazı çalışmalar yürütülmektedir. Ancak bu durum sağlık hizmetlerinin sürdürülebilirliği noktasında birtakım tartışmaları da beraberinde getirmektedir. Dolayısıyla sağlık kurumlarında performans ölçümü, kurumların sahip oldukları kaynakları nasıl kullandıklarını ortaya koyması bakımından son derece önemlidir. Bu noktada, kapasite kullanımı ile ilgili detaylı bilgiler vermesinden dolayı kapasite kullanım göstergeleri sıklıkla tercih edilmektedir. Ancak literatür incelendiğinde, Türkiye’deki kamu hastanelerinin kapasite kullanım göstergelerini kaynak kullanım verimliliği açısından ele alan çalışmaların sayıca az olduğu görülmektedir. Bu nedenle bu çalışmada, Türkiye’deki ikinci basamak kamu hastanelerinin yatak kullanım verimliliklerini değerlendirmek amaçlanmış ve çalışmanın amacına ulaşabilmek için Pabon Lasso Modeli kullanılmıştır. Çalışma sonucunda, çalışma kapsamına alınan hastanelerin sadece üçte birlik bir kısmının yataklarını verimli kullandığı bulunmuştur. Çalışmada ayrıca hastanelerin rollerinin ve sahip oldukları sağlık işgücü düzeylerinin hastanelerin verimlilik durumlarına göre farklılık gösterdiği tespit edilmiştirÇ
The resources allocated to health services are increasing day by day all over the world. In Turkey, some studies have been carried out to increase the capacity of hospitals in recent years. However, this situation brings with it some discussions about the sustainability of health services. Therefore, performance measurement in health institutions is extremely important in terms of revealing how institutions use their resources. At this point, capacity utilization indicators are often preferred because they provide detailed information about capacity usage. However, when the literature is examined, it is seen that the number of studies dealing with capacity utilization indicators of public hospitals in Turkey in terms of resource use efficiency is few. Therefore, in this study, it was aimed to evaluate the bed utilization efficiency of the secondary level public hospitals in Turkey and the Pabon Lasso Model was used to achieve the aim of the study. As a result of the study, it was found that only one-third of the hospitals included in the study used their beds efficiently. In the study, it was also determined that the roles of hospitals and their health workforce levels differ according to the productivity status of hospitals (p<0.001). At this point, hospitals that are found to be inefficient need to use their human resources much more effectively in order to increase their efficiency. Moreover, it is suggested that new investments to be made should be made by taking into account the health needs of the relevant region and the capacities of other public health institutions. From this point of view, it is thought that this study will provide evidence-based information to the stakeholders in the health service organization and delivery, especially health managers and policy makers.
The resources allocated to health services are increasing day by day all over the world. In Turkey, some studies have been carried out to increase the capacity of hospitals in recent years. However, this situation brings with it some discussions about the sustainability of health services. Therefore, performance measurement in health institutions is extremely important in terms of revealing how institutions use their resources. At this point, capacity utilization indicators are often preferred because they provide detailed information about capacity usage. However, when the literature is examined, it is seen that the number of studies dealing with capacity utilization indicators of public hospitals in Turkey in terms of resource use efficiency is few. Therefore, in this study, it was aimed to evaluate the bed utilization efficiency of the secondary level public hospitals in Turkey and the Pabon Lasso Model was used to achieve the aim of the study. As a result of the study, it was found that only one-third of the hospitals included in the study used their beds efficiently. In the study, it was also determined that the roles of hospitals and their health workforce levels differ according to the productivity status of hospitals (p<0.001). At this point, hospitals that are found to be inefficient need to use their human resources much more effectively in order to increase their efficiency. Moreover, it is suggested that new investments to be made should be made by taking into account the health needs of the relevant region and the capacities of other public health institutions. From this point of view, it is thought that this study will provide evidence-based information to the stakeholders in the health service organization and delivery, especially health managers and policy makers.
Açıklama
Anahtar Kelimeler
Kaynak Kullanımı, İkinci Basamak Kamu Hastaneleri, Verimlilik, Pabon Lasso Modeli, Resource Use, Secondary Public hospitals, Efficiency, Pabon Lasso Model
Kaynak
Dokuz Eylül Üniversitesi Sosyal Bilimler Enstitüsü Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
24
Sayı
1
