Efficiency analysis of emergency departments in metropolitan areas

Can Akkan*, Melis Almula Karadayi, Yeliz Ekinci, Füsun Ülengin, Nimet Uray, Elif Karaosmanoğlu

*Bu çalışma için yazışmadan sorumlu yazar

Araştırma sonucu: ???type-name???Makalebilirkişi

23 Atıf (Scopus)

Özet

The demand in the healthcare industry is increasing exponentially due to aging population of the world and this is leading to a rapid increase in the cost of healthcare. The emergency departments of the hospitals are the frontline of health care systems and play an additional critical role in providing an efficient and high-quality response for patients. The overcrowding at the emergency departments due to growing demand results in a situation where the demand for ED services exceeds the ability to provide care in a reasonable amount of time. This has led countries to reconsider their health policies in a way to increase their efficiency in their healthcare systems in general and in emergency departments, in particular. As in many countries, there has been a steady and significant increase in the number of patients that seek health services at the emergency departments of state hospitals of Turkey, due to the significant structural reforms in health services since 2003. While meeting this increasing demand, it is ever more important to provide these critical health services efficiently. Therefore, the efficiency of the emergency departments of seven general hospitals run by Istanbul's Beyoglu State Hospitals Association have been analyzed using categorical Data Envelopment Analysis (DEA) models. The analysis of DEA results is supported by a set of statistical methods to make it easier for the hospital administrators to interpret the analysis and draw conclusions. The analysis shows that less-equipped EDs are supported by better equipped, larger EDs, resulting in a hub-and-spoke type of structure among the EDs where “satellite” EDs serve an important referral function and thus evaluating their efficiency without taking the interoperability among these units into account would not be an accurate assessment of their performance.

Orijinal dilİngilizce
Makale numarası100679
DergiSocio-Economic Planning Sciences
Hacim69
DOI'lar
Yayın durumuYayınlandı - Mar 2020

Bibliyografik not

Publisher Copyright:
© 2019 Elsevier Ltd

Finansman

This work was supported by TÜBITAK 1001 under Grant 216M026 . The authors would like to express their sincere gratitude to the Prof. Erol Kısmet and Asst. Prof. Güven Bektemür from Istanbul's Beyoglu State Hospitals Association, (BSHA), Prof. Cevdet Erdöl from Sağlık Bilimleri University and Dr. Nurgül Osmanbeyoğlu Bektemür from Ümraniye Training and Research Hospital. This work was supported by TÜBITAK 1001 under Grant 216M026. The authors would like to express their sincere gratitude to the Prof. Erol Kısmet and Asst. Prof. Güven Bektemür from Istanbul's Beyoglu State Hospitals Association, (BSHA), Prof. Cevdet Erdöl from Sağlık Bilimleri University and Dr. Nurgül Osmanbeyoğlu Bektemür from Ümraniye Training and Research Hospital.

FinansörlerFinansör numarası
BSHA
Istanbul's Beyoglu State Hospitals Association
Sağlık Bilimleri University
TÜBITAK 1001
Türkiye Bilimsel ve Teknolojik Araştirma Kurumu216M026

    Parmak izi

    Efficiency analysis of emergency departments in metropolitan areas' araştırma başlıklarına git. Birlikte benzersiz bir parmak izi oluştururlar.

    Alıntı Yap