Comparative Study of Affiliated and Non-Affiliated Hospitals: DEA Based Analysis in Turkey

Abstract

Measuring and comparing efficiency of healthcare organizations is critical for improved and uninterrupted service quality. The main objective of the study is to compare technical efficiency between affiliated and non-affiliated hospitals of Turkey. Totally, 25 affiliated hospitals and 53 non-affiliated hospitals were analyzed using input-oriented Data Envelopment Analysis (DEA) model under variable return to scale assumptions. There are six output variables and four input variables to evaluate hospitals efficiencies using with Ministry of Health (MoH) data from 2013 to 2017. The study results that, affiliated hospitals efficiency scores are higher than non-affiliated training and research hospitals. These results showed us the application of the affiliation system is successful in Turkey. Furthermore, this is the first study which has been performing whole affiliated and non-affiliated hospital efficiency measures together in Turkey and it offers an original contribution to literature with this direction.