An examination of competition and efficiency for hospital industry in Turkey

Basit Öğe Kaydı
dc.authorid0000-0002-5666-2172
dc.contributor.authorÖzgen Narcı, Hacer
dc.contributor.authorÖzcan, Yaşar
dc.contributor.authorŞahin, İsmet
dc.contributor.authorTarcan, Menderes
dc.contributor.authorNarcı, Mustafa
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:56:10Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:56:10Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Sağlık Bilimleri Fakültesi, Sağlık Yönetimi Bölümü
dc.descriptionWOS: 000365175800001
dc.descriptionPubMed ID: 25515038
dc.description.abstractThe two particular reforms that have been undertaken under the Health Transformation Program in Turkey are enhancing efficiency and increasing competition. However, there is a lack of information about the relationship between competition and hospital efficiency. The purpose of this paper is to analyze the effect of competition on technical efficiency for the hospital industry in Turkey. The target population included all public and private general hospitals that were open in 2010 in Turkey (n = 1,224). From these, 1,103 hospitals met the selection criteria and were included in the study. Data were obtained from the Turkish Statistical Institute, the Ministry of Health, and through a field survey. Technical efficiency of hospitals was estimated using Data Envelopment Analysis with five outputs and five inputs. The intensity of competition among hospitals was measured by objective and subjective measures. Objective competition was measured using the Hirschman-Herfindahl Index, and subjective competition was measured based on the perceptions of top level hospital managers. Multivariate Tobit regression was used to investigate the relationship between competition and efficiency while controlling the effects of demand and supply characteristics of the market and the hospital traits. Efficiency results showed that 17 % of hospitals were technically efficient. Regression analyses portrayed that the degree of competition among general hospitals did not have a statistically significant relationship with hospitals' technical efficiency. To conclude, hospital efficiency in Turkey does not seem to be affected by the intensity of competition among hospitals.
dc.description.sponsorshipScientific and Technological Research Council of Turkey [110 K443]en_US
dc.description.sponsorshipThis study was funded by the Scientific and Technological Research Council of Turkey with a project number of 110 K443. The authors retained control over the entire process during the production of the manuscript.en_US
dc.identifier.citationÖzgen Narcı, H., Özcan, Y., Şahin, İ., Tarcan, M. ve Narcı, M. (2015). An examination of competition and efficiency for hospital industry in Turkey. Health Care Management Science, 18(4), 407-418. https://dx.doi.org/10.1007/s10729-014-9315-x
dc.identifier.doi10.1007/s10729-014-9315-x
dc.identifier.endpage418
dc.identifier.issn1386-9620
dc.identifier.issn1572-9389
dc.identifier.issue4
dc.identifier.scopusqualityQ1
dc.identifier.startpage407
dc.identifier.urihttps://dx.doi.org/10.1007/s10729-014-9315-x
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2604
dc.identifier.volume18
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ecinfo:eu-repo/grantAgreement/TUBITAK/SOBAG/110 K443
dc.relation.ispartofHealth Care Management Scienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectHospital Efficiency
dc.subjectHospital Competition
dc.subjectPerceived Competition
dc.subjectTurkey
dc.titleAn examination of competition and efficiency for hospital industry in Turkey
dc.typeArticle

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