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A new examination of hospital performance after healthcare reform in Turkey: sensitivity and quality comparisons

Author

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  • Hakan Kacak
  • Yasar A. Ozcan
  • Sahin Kavuncubasi

Abstract

The implementation of Health Transformation Program in Turkey brought opportunities to obtain new variables such as performance scores and service quality standards. The objectives of this study are: 1) perform sensitivity analysis to compare new variables to previous studies, 2) explore the effect of newly obtained quality scores on efficiency level. The study utilised data from 245 Ministry of Health general hospitals in 2008. Two models with old and new output variables were compared in sensitivity analysis. Then, a model which included quality scores was evaluated to test any evidence about efficiency and quality trade-offs. The sensitivity analysis showed that there was no significant difference between the two models. Quality variable added model have had no significant effect on existing models. The efficient hospitals in both models stayed efficient, however, quality scores had no effect on efficient hospitals, but some of the inefficient hospitals have increased their scores and became efficient.

Suggested Citation

  • Hakan Kacak & Yasar A. Ozcan & Sahin Kavuncubasi, 2014. "A new examination of hospital performance after healthcare reform in Turkey: sensitivity and quality comparisons," International Journal of Public Policy, Inderscience Enterprises Ltd, vol. 10(4/5), pages 178-194.
    • Handle: RePEc:ids:ijpubp:v:10:y:2014:i:4/5:p:178-194
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    Citations

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    Cited by:

    1. Sebastian Kohl & Jan Schoenfelder & Andreas Fügener & Jens O. Brunner, 2019. "The use of Data Envelopment Analysis (DEA) in healthcare with a focus on hospitals," Health Care Management Science, Springer, vol. 22(2), pages 245-286, June.
    2. Yasar A. Ozcan & Jaya Khushalani, 2017. "Assessing efficiency of public health and medical care provision in OECD countries after a decade of reform," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 25(2), pages 325-343, June.
    3. Fengyi Lin & Yung-Jr Deng & Wen-Min Lu & Qian Long Kweh, 2019. "Impulse response function analysis of the impacts of hospital accreditations on hospital efficiency," Health Care Management Science, Springer, vol. 22(3), pages 394-409, September.
    4. Kok Fong See & Shawna Grosskopf & Vivian Valdmanis & Valentin Zelenyuk, 2021. "What do we know from the vast literature on efficiency and productivity in healthcare? A Systematic Review and Bibliometric Analysis," CEPA Working Papers Series WP072021, School of Economics, University of Queensland, Australia.
    5. Alejandro Arrieta & Jorge Guillén, 2017. "Output congestion leads to compromised care in Peruvian public hospital neonatal units," Health Care Management Science, Springer, vol. 20(2), pages 157-164, June.
    6. Abdullah Üstün, 2016. "Evaluating İstanbul’s disaster resilience capacity by data envelopment analysis," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 80(3), pages 1603-1623, February.
    7. Hacer Özgen Narcı & Yasar A. Ozcan & İsmet Şahin & Menderes Tarcan & Mustafa Narcı, 2015. "An examination of competition and efficiency for hospital industry in Turkey," Health Care Management Science, Springer, vol. 18(4), pages 407-418, December.
    8. Abdullah Korkut Üstün, 2016. "Evaluating İstanbul’s disaster resilience capacity by data envelopment analysis," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 80(3), pages 1603-1623, February.
    9. Yongjun Li & Xiyang Lei & Alec Morton, 2019. "Performance evaluation of nonhomogeneous hospitals: the case of Hong Kong hospitals," Health Care Management Science, Springer, vol. 22(2), pages 215-228, June.
    10. Songul Cinaroglu, 2020. "Integrated k-means clustering with data envelopment analysis of public hospital efficiency," Health Care Management Science, Springer, vol. 23(3), pages 325-338, September.

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