Özet:

The purposes of this study are to examine the efficiency levels of public and private hospitals, to analyze the changes in hospital activities over time, and to identify the factors those may influence on hospital efficiency by determining the cause of these changes in Ankara. In this study, data set of 40 hospitals in Ankara, which contains 27 public hospitals and 13 private hospitals, were utilized. Data Envelopment Analysis was employed to measure the efficiency levels. Malmquist Total Factor Productivity Index was used to evaluate the change of the efficiency over time. Furthermore, Tobit Model was applied to explore the factors affecting the efficiency. Result of the study, it has seen that 58% of the hospitals were operated in pure technical efficiency, 25% of the hospitals were operated in gross efficiency in 2015. During to time horizon, the efficiency was reduced in two different time periods but it was increased another three different time periods. In addition, average length of stay and ratio of inpatients were effected efficiency scores negatively; however, bed-occupancy, bed-physician and bed-nurse ratios were effected positively. 

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