Efficiency Assessment of Healthcare Resources: An In-Depth Exploration Using SFA, DEA, and Capacity Utilization Indicators

Abstract

The demand for health care has increased. This demand causes an increase in the resources allocated and pressures on health managers and policymakers. Thus, it is important to evaluate the efficiency. It aimed to investigate the efficiency of the hospitals operating in Turkey. Stochastic Frontier Analysis (SFA), Data Envelopment Analysis (Charnes, Cooper and Rhodes Model [CCR] and Banker, Charnes and Cooper Model [BCC]), and capacity utilization indicators (bed occupancy ratio [BOR], bed turnover rate [BTR], and average length of stay [LoS]) were used. Thirty-nine of the 96 hospitals were found to be efficient according to BCC. It found that there was a strong correlation between the CCR model and SFA. It was moderate between BCC and SFA. Also, it was seen that there were significant differences between the SFA and BTR averages of the hospitals that were found to be efficient and inefficient. However, there were no significant differences between the averages of BOR and LoS. It is thought that the results obtained from different methods will help decision makers to better understand and monitor the performance of hospitals.La demanda de atenci & oacute;n sanitaria ha aumentado. Esta demanda genera un aumento en la asignaci & oacute;n de recursos y ejerce presi & oacute;n sobre los gestores y responsables pol & iacute;ticos del sector salud. Por lo tanto, es fundamental evaluar la eficiencia. El objetivo del estudio fue investigar la eficiencia de los hospitales que operan en Turqu & iacute;a. Se utilizaron el An & aacute;lisis de Frontera Estoc & aacute;stica (AFE), el An & aacute;lisis Envolvente de Datos (Modelo de Charnes, Cooper y Rhodes [CCR] y Modelo de Banker, Charnes y Cooper [BCC]) e indicadores de utilizaci & oacute;n de la capacidad (tasa de ocupaci & oacute;n de camas [BOR], tasa de rotaci & oacute;n de camas [BTR] y duraci & oacute;n media de la estancia [LOS]). 39 de los 96 hospitales resultaron eficientes seg & uacute;n el BCC. Se observ & oacute; una fuerte correlaci & oacute;n entre el modelo AFE y el ADC, y moderada entre el BCC y el AFE. Adem & aacute;s, se observaron diferencias significativas entre los promedios de AFEy BTR de los hospitales considerados eficientes e ineficientes. Sin embargo, no se observaron diferencias significativas entre los promedios de BOR y LoS. Se considera que los resultados obtenidos con diferentes m & eacute;todos ayudar & aacute;n a los responsables de la toma de decisiones a comprender y monitorear mejor el desempe & ntilde;o de los hospitales.