Analysis of the cost and efficiency relationship: experience in the Turkish pay for performance system

Basit Öğe Kaydı
dc.contributor.authorGok, Mehmet Sahin
dc.contributor.authorAltindag, Erkut
dc.date.accessioned2024-03-13T10:30:44Z
dc.date.available2024-03-13T10:30:44Z
dc.date.issued2015
dc.departmentİstanbul Beykent Üniversitesien_US
dc.description.abstractThis paper analyzes the effects of the pay for performance (PFP) system on the efficiencies of public and private hospitals in Turkey. In order to evaluate these effects, we examine the relationship between hospital efficiency and health care costs in Turkey, and address the impact of the PFP system on the efficiencies of public and private hospitals. In an effort to analyze the efficiencies of public and private hospitals, this study uses data envelopment analysis. The Malmquist Productivity Index is also used to analyze the patterns of efficiency change for the study years from 2001 to 2008. This study shows that health care costs and hospital efficiency are negatively correlated for private hospitals, while they are positively correlated for public hospitals. In other words, increased health care costs might reduce efficiency in private hospitals in contrast to public hospitals. Our findings also indicate that average efficiencies of public hospitals tend to increase, particularly during the implementation period of PFP system. The efficiency trend of private hospitals, conversely, decreased in the latter periods of the PFP system. Suggestions for improvement are provided to the health care policy makers regarding the impact of health care reforms on public and private hospitals.en_US
dc.identifier.doi10.1007/s10198-014-0584-6
dc.identifier.endpage469en_US
dc.identifier.issn1618-7598
dc.identifier.issn1618-7601
dc.identifier.issue5en_US
dc.identifier.pmid24722916en_US
dc.identifier.scopus2-s2.0-84939859626en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage459en_US
dc.identifier.urihttps://doi.org/10.1007/s10198-014-0584-6
dc.identifier.urihttps://hdl.handle.net/20.500.12662/3520
dc.identifier.volume16en_US
dc.identifier.wosWOS:000354628800002en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofEuropean Journal Of Health Economicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHospital efficiencyen_US
dc.subjectHealth care costsen_US
dc.subjectData envelopment analysisen_US
dc.subjectPublic and private hospitalsen_US
dc.subjectPay for performance systemen_US
dc.titleAnalysis of the cost and efficiency relationship: experience in the Turkish pay for performance systemen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu