Efficiency analysis of emergency departments in metropolitan areas

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dc.WoS.categoriesEconomics; Management; Operations Research & Management Scienceen_US
dc.contributor.authorEkinci, Yeliz
dc.date.accessioned2020-05-28T10:48:48Z
dc.date.available2020-05-28T10:48:48Z
dc.date.issued2020-03
dc.description.abstractThe demand in the healthcare industry is increasing exponentially due to aging population of the world and this is leading to a rapid increase in the cost of healthcare. The emergency departments of the hospitals are the frontline of health care systems and play an additional critical role in providing an efficient and high-quality response for patients. The overcrowding at the emergency departments due to growing demand results in a situation where the demand for ED services exceeds the ability to provide care in a reasonable amount of time. This has led countries to reconsider their health policies in a way to increase their efficiency in their healthcare systems in general and in emergency departments, in particular. As in many countries, there has been a steady and significant increase in the number of patients that seek health services at the emergency departments of state hospitals of Turkey, due to the significant structural reforms in health services since 2003. While meeting this increasing demand, it is ever more important to provide these critical health services efficiently. Therefore, the efficiency of the emergency departments of seven general hospitals run by Istanbul's Beyoglu State Hospitals Association have been analyzed using categorical Data Envelopment Analysis (DEA) models. The analysis of DEA results is supported by a set of statistical methods to make it easier for the hospital administrators to interpret the analysis and draw conclusions. The analysis shows that less-equipped EDs are supported by better equipped, larger EDs, resulting in a hub-and-spoke type of structure among the EDs where "satellite" EDs serve an important referral function and thus evaluating their efficiency without taking the interoperability among these units into account would not be an accurate assessment of their performance.en_US
dc.fullTextLevelFull Texten_US
dc.identifier.doi10.1016/j.seps.2019.01.001
dc.identifier.issn0038-0121
dc.identifier.scopus2-s2.0-85060487025en_US
dc.identifier.urihttps://hdl.handle.net/11411/2100
dc.identifier.urihttps://doi.org/10.1016/j.seps.2019.01.001
dc.identifier.wosWOS:000509475400007en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.nationalInternationalen_US
dc.numberofauthors6en_US
dc.publisherElsevier Science Inc.en_US
dc.relation.ispartofSocio-Economic Planning Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.relation.tubitakYesen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.scopus.SNIP1.449en_US
dc.subjectEfficiency analysisen_US
dc.subjectData envelopment analysisen_US
dc.subjectEmergency departmentsen_US
dc.subjectTurkeyen_US
dc.titleEfficiency analysis of emergency departments in metropolitan areas
dc.typeArticle
dc.volume69en_US

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