TSK yataklı tedavi kurumlarında verimlilik analizi

Abstract

VII- SUMMARY Research on the efficiency of in patient treatment institutions of The Turkish Armed Forces (TAF) needs to be done to improve their functioning so that they are more economic, effective, efficient, continous, and conformable to our national structure and to the development of modern medicine. For that purpose the data about hospital activities, personeli performance (physicians, nurses), bed effectiveness such as Bed Occupancy Rate (BOR), Average Length of Stay (ALOS), Bed Turnover Interval (BTI), Bed Turnover Rate (BTR), and average length of stay based on illness were screened between 1990 - 1991 using the retrospective record search method, then evaluated in statistical calculations, and finally discussed in 10 Military Hospitals chosen as samples. Using BOR as the only scale of hospital efficiency is insufficient for the hypothesis which supports the thought that our hospitals are inefficient, thus demonstrating a necessity to analyze ALOS concurrently with BOR for bed effectivness. For example, the BOR and ALOS values for the Izmir Air Force Hospital and Gölcük Navy Hospital were calculated to be 73%, 14.9 days, and 62%, 8.4 days, respectively. As seen in the results, Izmir Air Force Hospital has a higher BOR. However, Gölcük Navy Hospital is using their beds more effectively and economically. In addition, it is decided that ALOS, which is believed 117to be a factor that increases the economic performance of hospitals, prevents wasteful expenditure of resources, and decreases the post determined under the same type of illness by the statistical differences between length of stay and rank of patient, treatment centers with bed capacity, sex, and type of discharge from hospital, has to be taken under control. 118

VII- SUMMARY Research on the efficiency of in patient treatment institutions of The Turkish Armed Forces (TAF) needs to be done to improve their functioning so that they are more economic, effective, efficient, continous, and conformable to our national structure and to the development of modern medicine. For that purpose the data about hospital activities, personeli performance (physicians, nurses), bed effectiveness such as Bed Occupancy Rate (BOR), Average Length of Stay (ALOS), Bed Turnover Interval (BTI), Bed Turnover Rate (BTR), and average length of stay based on illness were screened between 1990 - 1991 using the retrospective record search method, then evaluated in statistical calculations, and finally discussed in 10 Military Hospitals chosen as samples. Using BOR as the only scale of hospital efficiency is insufficient for the hypothesis which supports the thought that our hospitals are inefficient, thus demonstrating a necessity to analyze ALOS concurrently with BOR for bed effectivness. For example, the BOR and ALOS values for the Izmir Air Force Hospital and Gölcük Navy Hospital were calculated to be 73%, 14.9 days, and 62%, 8.4 days, respectively. As seen in the results, Izmir Air Force Hospital has a higher BOR. However, Gölcük Navy Hospital is using their beds more effectively and economically. In addition, it is decided that ALOS, which is believed 117to be a factor that increases the economic performance of hospitals, prevents wasteful expenditure of resources, and decreases the post determined under the same type of illness by the statistical differences between length of stay and rank of patient, treatment centers with bed capacity, sex, and type of discharge from hospital, has to be taken under control. 118