Yazar "Ilgun, Gulnur" seçeneğine göre listele

Listeleniyor 1 - 5 / 5
  • [ X ]
    Öğe
    Determining the factors affecting the technical efficiency scores of public hospitals using different regression methods
    (Emerald Group Publishing Ltd, 2021) Sahin, Bayram; Ilgun, Gulnur; Sonmez, Seda
    Purpose This study aims to identify the efficiency scores of hospitals affiliated to the Ministry of Health in Turkey between the years of 2010-2015 at provincial level and to reveal the factors that affect the efficiency scores. Design/methodology/approach The two-stage data envelopment analysis (DEA) method was used to achieve the study purpose. In the first stage, DEA method based on input-oriented Charnes-Cooper-Rhodes (CCR) model was performed to calculate the efficiency scores of public hospitals at the provincial level between 2010 and 2015, and in the second stage, Tobit regression and linear regression analyses were used to identify whether the efficiency scores of provinces are affected by the input, output and control variables. Findings Upon the analysis, the average efficiency scores of 81 provinces by years were found to vary between 0.79 and 0.89. According to both regression analyses, all of the input and output variables were found to have significant effects on the efficiency scores of provinces while only the population of province among the control variables was identified as the factor with an effect on the efficiency scores of provinces (p < 0.05). Practical implications The results of this study are thought to guide health policymakers and managers in terms of both determining efficient and inefficient hospitals at the provincial level and revealing which variables should be taken into account in order to increase efficiency. Originality/value The study differs from previous studies on the efficiency of hospitals. First, although previous studies were generally descriptive studies to determine the efficiency level of hospitals, this study is an analytical study that tries also to show the factors affecting the efficiency of hospitals. In addition, while examining the effect of input and output variables on efficiency scores, control variables were also included in the study.
  • [ X ]
    Öğe
    Measuring the efficiency of Turkish maternal and child health hospitals: A two-stage data envelopment analysis
    (Pergamon-Elsevier Science Ltd, 2022) Ilgun, Gulnur; Sonmez, Seda; Konca, Murat; Yetim, Birol
    This study aims to examine the changes in efficiency and efficiency levels of the maternal and child health hospitals in Turkey from 2014 to 2017, by applying two-stage data envelopment analysis (DEA). At the first stage of the study, the efficiency of the hospitals was evaluated with input-oriented CCR (Charnes, Cooper, Rhodes) and Malmquist Productivity Index (MPI). At the second stage, panel Tobit regression analysis was utilized to find out the factors that affect the efficiency scores specified at the first stage. According to the results of the first stage, the mean efficiency values calculated for 2014, 2015, 2016, and 2017 were 0.83, 0.90, 0.86, and 0.80, respectively. At the second stage, it was revealed that the variables of not being in a metropolis and having 200 beds at least had statistically a significant effect on the efficiency score (p < 0.05) whereas being a training and research hospital was ineffective (p > 0.05). The number of the studies which assess the efficiency of maternal and child health hospitals in Turkey was quite limited. Moreover, such studies do not contain second-stage analyses. Lastly, it is thought that those results will provide health policy-makers substantial and evidence based information in the allocation of the resources for the related services.
  • [ X ]
    Öğe
    Mediating Effect of Employee Performance on the Relationship Between Emotional Labour and Intent to Leave Among Nurses
    (Sage Publications India Pvt Ltd, 2023) Sahin, Bayram; Ilgun, Gulnur; Sonmez, Seda
    In this study, it was aimed to examine the effect of nurses' emotional labor levels on their intention to leave and to determine whether employee performance plays a mediating role in this relationship. The study is of descriptive cross-sectional type, which was conducted through a questionnaire on nurses. The surface acting has positive effect on the intent to leave among nurses, whereas deep acting has negative effect; employee performance has partial mediating role on the relationship between the surface acting and intent to leave, and the relationship between deep acting and intent to leave. The study is considered to provide significant tips in the identification of nurses with higher risk to leave the work, and in deciding managerial interventions that would be realised against such circumstances. It is suggested that it may be beneficial for nurse managers to organise training in their units, to evaluate the performance of nurses at regular intervals and thus to determine the reason for the increase and decrease, to plan activities that will reduce emotional burden.
  • [ X ]
    Öğe
    The Granger Causality Between Health Expenditure and Gross Domestic Product in OECD Countries
    (Sage Publications India Pvt Ltd, 2022) Ilgun, Gulnur; Konca, Murat; Sonmez, Seda
    The aim of this study is to reflect the causality relationship between the exchange ratio in gross domestic product (dGDP) and health expenditures per capita (HEPC) among OECD countries based on purchasing power parity in dollars through Granger causality test. Within this perspective, HEPC data of 26 OECD member countries between the years 1992 and 2014 and GDP exchange ratio between the periods 1992-1993 and 2014-2015 were analysed. As a result of the analysis, the relation between the exchange ratio in GDP and HEPC is unilateral in 9 countries and bilateral in 2 countries while there has not been any relation in 15 countries. There are strong relations between the revenues of countries and their health expenditures. The results from this study is considered to lead the health policy makers and planners in taking administrative decisions.
  • [ X ]
    Öğe
    The Relationship Between the Health Transformation Program and Health Expenditures: Evidence From an Autoregressive Distributed Lag Testing Approach
    (Elsevier, 2023) Ilgun, Gulnur; Konca, Murat; Sonmez, Seda
    Objectives: As health expenditure increases every year, countries try to provide accessible health services to society and try to protect individuals from the expenses they cannot overcome by investigating the reason for this increase. Especially with the arrangements made in the health systems in developing countries such as Turkey, it has been tried to take the control of dramatic increases in health expenditure. Based on this issue, in this study, we aimed to evaluate the effect of income per capita, annual inflation, and health reform called as Health Transformation Program on the health expenditure per capita in Turkey.Methods: This study reflected the effects of income, inflation, and the reform on the total health expenditure through the autoregressive distributed lag. This study covered the years between 1985 and 2016 for Turkey.Results: As a result of this study, there was a positive relationship between health expenditure and income and a negative relationship with the reform (P , .05).Conclusion: According to the results of this study, it is suggested that health expenditures can be kept under control with improvements such as encouraging individuals to use more primary healthcare services than curative health services and increasing the quality of service without compromising the equity in financing.