Reorganization Health Care Delivery and Productivity Change: An Assessment of Turkish Public Hospital Performance with Malmquist Index

Abstract

Public Hospital Unions (PHU) were established with the aim of two pillars of Health Transformation Project. First was the regulatory and supervisory Ministry of Health (MoH) and the second was public health service providers with financial and managerial autonomy. Level of attaining the objectives of these entities compared the efficiency of input-output conversion processes with the hospitals managing pre and post era of the public hospital unions. Data Envelopment Analysis and Malmquist Total Factor Efficiency Indice were used as the analysis method. This study comprises 260 hospitals running between 2011 and 2013 period.