ArticleHealth care management science2015
An examination of competition and efficiency for hospital industry in Turkey.
Article in Health care management science, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.
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Who cites it
33 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Approach in inputs & outputs selection of Data Envelopment Analysis (DEA) efficiency measurement in hospitals: A systematic review.PloS one · 2024Pooled it
- A Systematic Literature Review of Efficiency Measurement in Nursing Homes.International journal of environmental research and public health · 2019Pooled it
- Integrated Analysis of Healthcare Efficiency: A Systematic Review.Journal of medical systems · 2017Pooled it
- Identifying and prioritizing inefficiency causes in Iran's health system.Cost effectiveness and resource allocation : C/E · 2024Article
- Does hospital competition improve the quality of outpatient care? - empirical evidence from a quasi-experiment in a Chinese city.Health economics review · 2024Article
- Efficiency effects of public hospital closures in the context of public hospital reform: a multistep efficiency analysis.Health care management science · 2024Article
- Does competition improve hospital performance: a DEA based evaluation from the Netherlands.The European journal of health economics : HEPAC : health economics in prevention and care · 2023Article
- The Core of Healthcare Efficiency: A Comprehensive Bibliometric Review on Frontier Analysis of Hospitals.Healthcare (Basel, Switzerland) · 2022Review
- 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 Public Hospitals in Serbia Using DEA-Malmquist Model and Tobit Regression Model, 2015-2019.International journal of environmental research and public health · 2021Article
- Does hospital competition lead to medical equipment expansion? Evidence on the medical arms race.Health care management science · 2021Article
- Using data envelopment analysis and the bootstrap method to evaluate organ transplantation efficiency in Brazil.Health care management science · 2021Article
- Multifaced Evidence of Hospital Performance in Pennsylvania.Healthcare (Basel, Switzerland) · 2021Article
- Efficiency Comparison of Public Hospitals under Different Administrative Affiliations in China: A Pilot City Case.Healthcare (Basel, Switzerland) · 2021Article
- How Much Does It Cost for a Surgical ICU Bed in a Public Hospital in India.Risk management and healthcare policy · 2021Article
- Two-Step Estimation of the Impact of Contextual Variables on Technical Efficiency of Hospitals: The Case Study of Public Hospitals in Iran.Frontiers in public health · 2021Article
- Director's Perceived Competition and Its Relationship with Hospital's Competitive Behaviors: Evidence from County Hospitals in China.Risk management and healthcare policy · 2021Article
- Integrated k-means clustering with data envelopment analysis of public hospital efficiency.Health care management science · 2020Article
- Multilevel Analysis of the Relationship between Ownership Structure and Technical Efficiency Frontier in the Spanish National Health System Hospitals.International journal of environmental research and public health · 2020Article
- Perceived Competition and Process of Care in Rural China.Risk management and healthcare policy · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The 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.
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