在土耳其的公私伙伴关系医院的比较绩效分析
Aziz Küçük1, Volkan Soner Özsoy2
1Directorate General for Public Hospitals, The Ministry of Health of Türkiye, Üniversiteler Mah., Dumlupınar Bulv. 6001 Cad. No: 9, 06800, Bilkent-Çankaya, Ankara, Turkey. aziz.kucuk@yahoo.com.
BMC health services research
|December 13, 2025
概括
土耳其医院的公私伙伴关系 (PPP) 总体上提高了效率,在实施后获得更高的分数. 这项研究使用纵向数据包裹分析评估了PPP医院的绩效.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 公共政策 公共政策
背景情况:
- 在医疗保健领域,公私伙伴关系 (PPP) 的全球趋势是为了减少政府的财务负担.
- 土耳其的医疗改革包括通过PPP模式转变公共医院.
- 这项研究是对土耳其PPP医院绩效的首次纵向评估.
研究的目的:
- 为了比较土耳其公共医院在实施PPP模式之前和之后的表现.
- 用纵向启动数据包裹分析来评估效率.
- 为了确定性能问题是否源于设备或人员短缺.
主要方法:
- 在14个PPP医院 (2015-2023) 进行了纵向启动数据包裹分析 (DEA).
- 两个DEA模型:EQ (设备专注) 和PH (医生专注).
- 对效率估计进行偏差校正.
主要成果:
- 一般来说,PPP医院的效率高于传统管理.
- 在PPP之后,EQ得分从0.76增加到0.91 (2017-2023),而PH得分从0.82增加到0.90.
- 由于服务利用率下降,COVID-19大流行对PPP医院的表现产生了负面影响.
结论:
- 公共公共合作模式型医院为土耳其的医疗保健基础设施做出了重大贡献.
- 建议进行进一步的研究,包括与非PPP医院的比较和长期成本效益分析.
- 关于PPP模式的长期影响的最终结论需要进行更广泛的研究.
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