The impacts of health sector reform on the efficiency and productivity of public and private hospitals in Turkey
Author
Diler, Müge
Advisor
Zaim, Osman
Date
2009Publisher
Bilkent University
Language
English
Type
ThesisItem Usage Stats
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Abstract
Hospitals consume the largest share of government health resources. Since they
account for such a large share of health expenditure, improvements in their efficiency
and productivity will yield tremendous benefits for the entire health sector. On this
basis, in 2003, the government of Turkey declared a reform program called
“Transformation in Health”. This study by using a rich panel data of 440 hospitals
operating in 81 province in Turkey (observed throughout 2001-2007 i.e. pre and post
reform periods) addresses the impacts of health sector reform on the efficiency and
productivity of the public and private hospitals by employing Data Envelopment
Analysis (DEA), bootstrapping and Malmquist productivity index. The results of the
analysis indicate that slightly reduced efficiency of previously SSK owned hospitals
have been more than offset by increased efficiency in MoH hospitals as well as in
private and university hospitals, leading to an accessible, standardized and higher
quality health services covering almost the whole population and that in overall, the
reform has improved the productivity of all hospitals implying that health sector
reform has succeeded.
Keywords
data envelopment analysisMalmquist productivity index
bootstrapping
health sector reform
hospital efficiency and productivity