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Öğe Benchmarking countries' technical efficiency using AHP-based weighted slack-based measurement (W-SBM): A cross-national perspective(Elsevier Sci Ltd, 2023) Yetim, Birol; Sönmez, Seda; Konca, Murat; İlgün, GülnurObjectives: The objective of the research is to assess the technical efficiency of national health systems in OECD member countries and to provide ideas to improve the efficiency of health systems in countries that have been identified as having a lower degree of efficiency as a result of the findings.Methods: The technical efficiency scores were calculated using one of the data envelopment analyses (DEA), the Weighted Slack-Based Measure (W-SBM). The Analytic Hierarchy Process was used to establish the aforementioned weights (AHP). Weights are calculated separately for both input and output variables.Results: The technical efficiency of the relevant countries' health systems is around 0.79, according to the data, and just 13 (36.1%) of the 36 countries have a fairly efficient health system.Conclusions: The outcomes of the study were supposed to aid health policymakers and management in improving system efficiency. In addition, since the number of studies examining the health systems of OECD countries with the W-SBM method is limited, it is thought that this study will make an important contribution to the literature.Öğe Factors Affecting Life Expectancy at Birth: A Dynamic Panel Data Analysis Approach(Kırıkkale Üniversitesi, 2024) Konca, MuratThis study examined the factors affecting life expectancy at birth through dynamic panel data analysis techniques. The explanatory variables of the study were; per capita income, number of physicians, higher education graduate ratio, and greenhouse gas emissions. According to the analysis results, per capita income and higher education graduate ratio significantly increased life expectancy at birth (pÖğe 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, BirolThis 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.Öğe Prioritization of the policies and practices applied in Turkey to fight against covid-19 through AHP technique(Univ Sao Paulo, Fac Saude Publica, 2021) Yetim, Birol; Sonmez, Seda; Konca, Murat; Ilgun, GulnurConcerns about covid-19 become deeper globally. Due to these concerns, all countries, international health institutions, health authorities and health care professionals in the world take several measures through policies or practices to control and handle covid-19 pandemic. For example; different types of policies in the fight against covid-19 have been launched in Turkey. Therefore, in this study, we sought to determine how policies and practices against covid-19 were prioritized by health care professionals and other segments of society via AHP method. We observed that the order of importance of health care professionals and other segments of the society regarding the policies and practices used in combating the covid-19 outbreak was quite similar between the groups. The covid-19 test policy was revealed as the most important one of both groups. However, social welfare programs have more significance than economic measures for society, while health care professionals are more concerned with economic measures. With this study, we intend to provide evidence-based information to decision-makers in combating the pandemic.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, SedaThe 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.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, SedaObjectives: 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.