Akademik Veri Yönetim Sistemi
Turk Hijyen ve Deneysel Biyoloji Dergisi, cilt.79, sa.3, ss.531-548, 2022 (Scopus)
© 2022,Turk Hijyen ve Deneysel Biyoloji Dergisi. All Rights Reserved.Objective: Health systems are increasingly concerned about the sustainability of health services due to factors such as increasing demand and costs worldwide. While countries seek to secure safe and quality health care, they also struggle with increasing costs. It is now recognized that health systems must go beyond their therapeutic role. Public health services adopting the principle of keeping individuals healthy are the most rational and cost-effective tools that can be used to compensate for these problems. Public health can help improve the effectiveness of health services by bringing a societal perspective to the organization of health services. Methods: Efficiencies of the health systems of 27 OECD countries between 2010 and 2018 were calculated using the Dynamic Network Data Envelopment Analysis method. Public health and hospital services system efficiencies and overall system performance are examined. The variables to be analyzed were alcohol consumption, primary health care expenditures, average life expectancy, maternal mortality rates for the public health system, hospital beds, physicians, inpatients and outpatient numbers for the hospital service system. The connection between the public health system and the hospital service system is based on vaccination rates and diabetes-based hospitalization numbers. In addition, the relationship between the periods is provided by preventive mortality rates for the public health system and the treatment of the hospital service system. Results: The average efficiency scores of the countries were calculated, nine countries were efficient. The number of public health systems evaluated as efficient was 11, and the number of efficient hospital service systems was 18. According to Malmquist index results, the total factor productivity of all countries has increased except for five countries. Conclusion: Considering the input and connection projections of ineffective health systems, health systems need to improve their use of inputs and take precautions against lifestyle-related diseases, maternal mortality, and preventable and treatable mortalities. Despite the progress made in the eight-year period, it is clear that there is still a long way to go.