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Efficiency of Turkish Provincial General Hospitals with Mortality as Undesirable Output

Efficiency of Turkish Provincial General Hospitals with Mortality as Undesirable Output

Nurhan Davutyan, Murat Bilsel
Copyright: © 2014 |Pages: 11
ISBN13: 9781466644748|ISBN10: 1466644745|EISBN13: 9781466644755
DOI: 10.4018/978-1-4666-4474-8.ch012
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MLA

Davutyan, Nurhan, and Murat Bilsel. "Efficiency of Turkish Provincial General Hospitals with Mortality as Undesirable Output." Handbook of Research on Strategic Performance Management and Measurement Using Data Envelopment Analysis, edited by Ibrahim H. Osman, et al., IGI Global, 2014, pp. 426-436. https://doi.org/10.4018/978-1-4666-4474-8.ch012

APA

Davutyan, N. & Bilsel, M. (2014). Efficiency of Turkish Provincial General Hospitals with Mortality as Undesirable Output. In I. Osman, A. Anouze, & A. Emrouznejad (Eds.), Handbook of Research on Strategic Performance Management and Measurement Using Data Envelopment Analysis (pp. 426-436). IGI Global. https://doi.org/10.4018/978-1-4666-4474-8.ch012

Chicago

Davutyan, Nurhan, and Murat Bilsel. "Efficiency of Turkish Provincial General Hospitals with Mortality as Undesirable Output." In Handbook of Research on Strategic Performance Management and Measurement Using Data Envelopment Analysis, edited by Ibrahim H. Osman, Abdel Latef Anouze, and Ali Emrouznejad, 426-436. Hershey, PA: IGI Global, 2014. https://doi.org/10.4018/978-1-4666-4474-8.ch012

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Abstract

The authors present a directional distance model where quality of care is brought in by treating mortality in each hospital as a strongly disposable “bad output.” After deriving pure technical and scale inefficiencies under strong disposability, the authors derive “congestion” inefficiencies via allowing weak disposability. A second stage, “seemingly unrelated” regression of these inefficiencies against hospital level variables like spare capacity, inpatient-to-outpatient ratio, and bed turnover rate allows pinpointing the critical areas for hospital performance improvement. Evidence shows that the smallest hospitals are operating on an inefficient scale. Moreover, allocation of specialists should be done very carefully, as shortage of specialists seems to cause congestion inefficiency, while having too many specialists causes technical inefficiency.

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