Özet:

Today, all, regardless of their ownership, operate in an inevitable competitive environment. This has led to take some measures to make them competitive and thus reduce their costs. In this context, a significant part of the cost of providing health services occurs in hospitals in the educational and research status where complicated cases are addressed. Therefore, the study assessed General Education Hospitals, University Hospitals and Ministry of Health-University Joint Hospitals with the educational and research status operating in Ankara, Istanbul and İzmir. In this study, the evaluation of the relative effectiveness of the 45 hospitals discussed used the mathematical programming-based Data Coverage Analysis (VZA). In the analysis, the specialist physician, nurses, other health staff and the number of beds as the input variable; the number of foot-to-foot examinations as the output variable, the number of patients who are displaced, the rate of bed filling and the number of operations are determined. The analysis found that 13 hospitals (28.89) were effective, 18 hospitals (40%) were technical and 14 hospitals (31.11%) were scale effective. In addition, the drop values of uneffective hospitals have been calculated and activity targets have been set up. As a result, the conclusion was that these hospitals with the status of education and research often do not use resources effectively.

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