Yönetim ve Ekonomi (Sep 2023)
Veri Zarflama Analizi ve Malmquist Toplam Faktör Verimlilik İndeksi ile Etkinlik Analizi: A Grubu Hastanelerde Bir Uygulama (Efficiency Analysis with Data Envelopment Analysis and Malmquist Total Factor Productivity Index: An Implementation in Group a Hospitals )
Abstract
Hospitals must be efficient in their production processes because they play a critical role in providing health services. This study aims to measure the efficiency of provinces in the field of health and to reveal changes in their activities over time by using data from the group A-1 and A-2 hospitals in Turkey's hospital classification system for the years 2018-2020. Data Envelopment Analysis (DEA), a non-parametric efficiency method and Malmquist Total Factor Productivity Index (MTFPI) method was used in this study. According to the DEA (CCR model) made under the assumption of constant returns to scale in the group A-1, 53.1%, 53.1% and 56.2% of the provinces are efficient for three years, respectively. According to the analysis made under the assumption of variable returns to scale (BCC Model), the ratio of the provinces that are efficient is 65.6%, 68.7% and 75%. As a result of these two analyses, benchmarks were determined for the inefficient provinces and suggestions were made regarding the changes that should be made in the input variables for production at the efficient border. According to the MTFPI results, it was observed that there was an improvement in the total factor productivity of 24 provinces in the 2018-2019 period and 8 provinces in the 2019-2020 period. According to the CCR model, 45.4%, 36.3% and 27.2% of the provinces in the group A-2; According to the BCC model, 66.6%, 63.6% and 45.4% are efficient. According to MTFPI results, the total factor productivity of 23 provinces in the first period and 17 provinces in the second period improved. In both periods, it was concluded that the source of these improvements was only technological advances in almost all provinces.
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