ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2015
Analysis of the cost and efficiency relationship: experience in the Turkish pay for performance system.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Approach in inputs & outputs selection of Data Envelopment Analysis (DEA) efficiency measurement in hospitals: A systematic review.PloS one · 2024Pooled it
- Does privatization decrease the structural efficiency in the Chinese hospital sector?Health economics review · 2025Article
- The impact of Sanming's healthcare reform on medical resource misallocation: based on synthetic control method.Frontiers in public health · 2025Article
- Identifying and prioritizing inefficiency causes in Iran's health system.Cost effectiveness and resource allocation : C/E · 2024Article
- Efficiency effects of public hospital closures in the context of public hospital reform: a multistep efficiency analysis.Health care management science · 2024Article
- The Effect of Medical Choice on Health Costs of Middle-Aged and Elderly Patients with Chronic Disease: Based on Principal-Agent Theory.International journal of environmental research and public health · 2022Article
- Factors Influencing the Efficiency of Public Hospitals in Saudi Arabia: A Qualitative Study Exploring Stakeholders' Perspectives and Suggestions for Improvement.Frontiers in public health · 2022Article
- Efficiency and productivity of health systems in prevention and control of non-communicable diseases in China, 2008-2015.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- The effect of Iran's health transformation plan on hospital performance: Kerman province.PloS one · 2021Article
- Efficiency evaluation of public hospitals in Saudi Arabia: an application of data envelopment analysis.BMJ open · 2020Article
- The use of Data Envelopment Analysis (DEA) in healthcare with a focus on hospitals.Health care management science · 2019Review
- Systematic review and meta-analysis of public hospital efficiency studies in Gulf region and selected countries in similar settings.Cost effectiveness and resource allocation : C/E · 2019Review
- Does performance-based financing increase value for money in low- and middle- income countries? A systematic review.Health economics review · 2016Review
Corrections and comments
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Authors and funding
2 authors.
Funding
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Abstract
This paper analyzes the effects of the pay for performance (PFP) system on the efficiencies of public and private hospitals in Turkey. In order to evaluate these effects, we examine the relationship between hospital efficiency and health care costs in Turkey, and address the impact of the PFP system on the efficiencies of public and private hospitals. In an effort to analyze the efficiencies of public and private hospitals, this study uses data envelopment analysis. The Malmquist Productivity Index is also used to analyze the patterns of efficiency change for the study years from 2001 to 2008. This study shows that health care costs and hospital efficiency are negatively correlated for private hospitals, while they are positively correlated for public hospitals. In other words, increased health care costs might reduce efficiency in private hospitals in contrast to public hospitals. Our findings also indicate that average efficiencies of public hospitals tend to increase, particularly during the implementation period of PFP system. The efficiency trend of private hospitals, conversely, decreased in the latter periods of the PFP system. Suggestions for improvement are provided to the health care policy makers regarding the impact of health care reforms on public and private hospitals.
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