The effect of departmental productivity on performance-based additional pament in university hospitals: a model proposal

Abstract

Purpose-In the research, for the additional payment system applied in university hospitals; It is aimed to create a department-based model that reduces costs, creates an income-expense balance, and will win not only the hard workers but also the efficient and quality employees. Methodology-In the first stage, incomes and expenses of thirty departments of Pamukkale University Hospitals which constitute the universe of the research were detected and financial productivity values were extracted. Since only financial outputs are not considered sufficient, in the second stage, the resource utilization efficiency of the departments were measured by data envelopment analysis. Findings-According to the results, the ratio of the income obtained from the provision of health services to the expense is 85%. Only one department was found financially productive and only two departments were efficient. These two results, with a high correlation value such as 0.995 are supported each other. The results may be reflected separately or equally on the additional payment. Concolusion-As a result, public health care revenues are unable to cover costs and this state the continuity of the service difficult. The personal rights of staff paid from the revolving fund budget must be paid from the university budget with a legal arrangement. In addition, application of performance based on departmental productivity can be added to the existing system.