An assessment for Public Hospitals Associations' performance measurement approach<p>Kamu Hastaneleri Birlikleri performans ölçüm yöntemi üzerine bir değerlendirme
Journal Title: Journal of Human Sciences - Year 2016, Vol 13, Issue 1
Abstract
Health Transformation Program (HTP) was launched in 2003 with the primary aim of achieving effectiveness, efficiency, and equity in organization, delivery, and financing of health care services in Turkey. In the final leg of the program, the Public Hospital Associations (PHA), which are basically the regional hospital unions, were announced in 2011 with the legislative decree no.663 and have been in operation since fall 2012. Establishment of the PHAs introduced a new management approach for Turkish public hospitals. This model based on a new managerial performance assessment approach, which was developed to evaluate the hospitals’ performances in many dimension, including medical, administrative, financial, quality, patient safety, employee-satisfaction and education aspects. In this regard, the Turkish Public Hospitals Institution (PHI), which is the highest institution that rules all the public hospitals, has begun to use modified version of Balanced Score Card (BSC) approach to assess the managerial performance of the PHAs. In this approach, production efficiency scores of hospitals, which are estimated with Stochastic Frontier Analysis (SFA), became a key or a target indicator for hospital performance assessment. In this paper, the performance measurement approach of the PHAs is assessed with respect to the theoretical methods used in this approach, i.e. BSC and SFA efficiency methods. ÖzetSağlıkta Dönüşüm Programı (SDP), Türkiye’de sağlık hizmetlerinin organizasyon, sunum ve finansmanında etkililik, etkinlik ve hakkaniyet sağlamak amacıyla 2003 yılında uygulamaya konulmuştur. Programın son ayağında, basit anlamda hastanelerin yönetimsel olarak birleşmesi ifade eden Kamu Hastaneleri Birlikleri (KHB), 2011 yılında 663 nolu KHK ile kurulmuş ve 2012 yılında faaliyete başlamıştır. KHB’lerin kurulmasıyla birlikte Türkiye kamu hastaneleri için yeni bir yönetim yaklaşımı oluşturulmuştur. Bu yaklaşım, hastanelerin performansını, tıbbi, idari, mali, kalite, hasta ve Çalışan güvenliği-memnuniyeti ile eğitim boyutlarında değerlendirilmesini amacıyla geliştirilmiş olan yönetimsel performans modeli üzerine kurulmuştur. Uygulamaya konulan yeni sistemde, kamu hastanelerinin yönetici kuruluşu olan Türkiye Kamu Hastaneleri Kurumu (TKHK), KHB’lerin yönetimsel performansının değerlendirilmesi için, Dengeli Skor Kartı (DSK) yaklaşımının uyarlanmış bir şeklini kullanmaya başlamıştır. Bu yaklaşımda, Stokastik Sınır Analizi yöntemiyle hesaplanan hastane üretim etkinlik skorları, hastane performansının belirlenmesinde anahtar ya da hedef gösterge olmuştur. Bu çalışmada Kamu Hastaneleri Birlikleri performans değerlendirme modelinin, modelin kullandığı DSK ve SSA yöntemleri çerçevesinde bir değerlendirmesi sunulmaktadır.
Authors and Affiliations
Emre Atılgan
Keywords
Related Articles
- EP ID EP643911
- DOI -
- Views 107
- Downloads 0
Teachers’ use of social-media tools for their professional development<p>Öğretmenlerin sosyal medya araçlarını mesleki gelişim amaçlı olarak kullanım durumları
The aim of this study is to determine the use of social media for professional development purposes by the teachers. Fourty teachers working at various grades and schools in the city center of one of the cities located i...
Perception of Environmental Risk Factors Scale for the primary school students
The purpose of this study was to develop a scale to determine the effect of perception of environmental risk factors on primary school students. The participants of this study were 409 students of both low and high socio...
Determination of the expectations of middle school students participating in physical education and sports activities from their families, school principals and teachers<p>Beden eğitimi ve spor etkinliklerine katılan ortaokul öğrencilerinin aile, okul yöneticileri ve öğretmenlerden beklentilerinin belirlenmesi
Individuals’ living happily and according to social rules is related to good relations with each other and being helpful, respectful for human rights, honest and mentally and physically healthy. Physical education and s...
Reflection method used in clinical practices in nursing students effects on problem solving skills<p>Hemşirelik öğrencilerinde klinik uygulamalarda kullanılan reflekşın yönteminin problem çözme becerisine etkisi
Aim: This study was conducted to observe the efficiency of the reflection method used in clinical practices in nursing students and the examination of the effects and problem solving skills.Method: The samples of this st...
The influence of promotional activities on the economic decision making
Behavioral economics is one of the sub-disciplines discussed through the process of economic thought. It studies the economic decisions of the individuals under the influence of social, emotional and cognitive factors. A...