Ersoy K, Kavuncubasi S, Ozcan Y A, Harris J M
Baskent University, School of Health Administration, Ankara, Turkey.
J Med Syst. 1997 Apr;21(2):67-74. doi: 10.1023/a:1022801222540.
This study uses Data Envelopment Analysis to examine the technical efficiencies of 573 Turkish acute general hospitals. Inputs of number of beds, number of primary care physicians, and number of specialists, and how they are used to produce outputs of inpatient discharges, outpatient visits, and surgical operations, are examined. Results illustrate that less than ten percent of Turkish acute general hospitals operate efficiently compared to their counterparts. Inefficient, compared to efficient hospitals, on average utilize 32% more specialists, 47% more primary care physicians, and have 119% more staffed bed capacity. They also produce on average less output. Particularly, 13% less outpatient visits, 16% inpatient hospitalization, and 57% less surgical procedures. Additionally, the validity of DEA is illustrated by comparing it to the ratio analysis method; no discernible differences in the results are found.
本研究运用数据包络分析来考察573家土耳其急性综合医院的技术效率。研究分析了床位数量、初级保健医生数量和专科医生数量等投入要素,以及这些要素如何用于产生住院出院人数、门诊就诊人次和外科手术量等产出。结果表明,与同类医院相比,运营高效的土耳其急性综合医院不到10%。与高效医院相比,低效医院平均多使用32%的专科医生、47%的初级保健医生,床位配备量多119%。它们的平均产出也较少。具体而言,门诊就诊人次少13%,住院人数少16%,外科手术量少57%。此外,通过将数据包络分析与比率分析法进行比较,证明了数据包络分析的有效性;结果中未发现明显差异。