A new examination of hospital performance after healthcare reform in Turkey: sensitivity and quality comparisons

Kaçak, Hakan; Özcan, Yaşar A.; Kavuncubaşı, Şahin

doi:10.1504/ijpp.2014.063073

Cited by 25 publications

(13 citation statements)

References 13 publications

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“…Relatively high levels of congestion have also been found in other developing countries. In a sample of 30 hospitals from Zambia, the average congestion level was estimated at 1.36 [17], while in China, the average congestion level of hospitals aggregated by regions was estimated at 1.23 [18] 3 .…”

Section: Resultsmentioning

confidence: 99%

“…In this study, we explore this hypothesis in the context of neonatal care units of a network of public hospitals in Peru, a middle-income country that is gradually implementing a universal health insurance program. Our study contributes to the health policy view that universal health coverage in isolation is no guarantee of efficient care [2], and it also contributes to the literature assessing the efficiency of healthcare facilities in low-and middle-income countries [3][4][5][6].…”

Section: Introductionmentioning

confidence: 93%

“…FromTable 4, the average congestion score of congested hospitals is equal to 1.51 3. In the study from Zambia, congestion was reported as 1/C.…”

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confidence: 96%

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Output congestion leads to compromised care in Peruvian public hospital neonatal units

Arrieta

Guillén

2015

Health Care Manag Sci

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Peru is moving toward a universal health insurance system, and it is facing important challenges in the provision of public health services. As more citizens gain access to health insurance, the flow of patients exceeds the capacity of public hospitals to provide care with quality. In this study we explore the relationship between technical efficiency and patient safety events in neonatal care units of Peru's public hospitals. We use Data Envelope Analysis (DEA) with output congestion to assess the association between technical efficiency and patient safety events. We study 35 neonatal care units of public hospitals in Peru's Social Security Health System, and identify two undesirable (risk-adjusted) safety outcomes: neonatal mortality and near-miss neonatal mortality. We found that for about half of hospital's neonatal care units, technical efficiency is affected by output congestion. For those hospitals, patient safety is being compromised by receiving too many patients. Our results are consistent with public reports indicating that hospitals in the Peru's Social Security Health System are overcrowded, affecting efficiency and jeopardizing quality of care. We found that most congested hospitals are located in the capital city and suburban areas, and are more likely to be hospitals with the lowest and the highest level of care. Our results call for improvements in the patient referral system and capacity expansion.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 93%

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Output congestion leads to compromised care in Peruvian public hospital neonatal units

Arrieta

Guillén

2015

Health Care Manag Sci

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“…Kacak et al (2014) examined hospital performance after healthcare reform in Turkey, using Data Envelopment Analysis of 245 general hospitals. Two models with old and new output variables were compared in sensitivity analysis.…”

Section: Discussionmentioning

confidence: 99%

A transdisciplinary approach to health policy research and evaluation

Wan

2014

IJPP

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An integrated perspective consists of macro- and micro-level approaches to health policy research and evaluation is presented. Analytical strategies are suggested for policy analysis, targeting on health disparities at individual and population levels. This systems approach enables investigators to view how scientific public policy analysis can be implemented to assess policy impacts. In this special issue, five papers are introduced.

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“…However, much work remains to be done to improve their satisfaction with healthcare (Camgöz-Akdag and Zineldin 2010; Yasar 2011; Kacak et al 2014). …”

Section: Introductionmentioning

confidence: 99%

Evaluation and implementation of QR Code Identity Tag system for Healthcare in Turkey

Uzun

Bilgin

2016

SpringerPlus

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For this study, we designed a QR Code Identity Tag system to integrate into the Turkish healthcare system. This system provides QR code-based medical identification alerts and an in-hospital patient identification system. Every member of the medical system is assigned a unique QR Code Tag; to facilitate medical identification alerts, the QR Code Identity Tag can be worn as a bracelet or necklace or carried as an ID card. Patients must always possess the QR Code Identity bracelets within hospital grounds. These QR code bracelets link to the QR Code Identity website, where detailed information is stored; a smartphone or standalone QR code scanner can be used to scan the code. The design of this system allows authorized personnel (e.g., paramedics, firefighters, or police) to access more detailed patient information than the average smartphone user: emergency service professionals are authorized to access patient medical histories to improve the accuracy of medical treatment. In Istanbul, we tested the self-designed system with 174 participants. To analyze the QR Code Identity Tag system’s usability, the participants completed the System Usability Scale questionnaire after using the system.

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A new examination of hospital performance after healthcare reform in Turkey: sensitivity and quality comparisons

Cited by 25 publications

References 13 publications

Output congestion leads to compromised care in Peruvian public hospital neonatal units

Output congestion leads to compromised care in Peruvian public hospital neonatal units

A transdisciplinary approach to health policy research and evaluation

Evaluation and implementation of QR Code Identity Tag system for Healthcare in Turkey

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