Examination of Efficiency Change of Provincial Hospitals in Azerbaijan with Malmquist Index

Authors : Fuad SELAMZADE, Oğuzhan YÜKSEL

Pages : 53-61

Doi:10.48121/jihsam.911044

View : 16 | Download : 8

Publication Date : 2021-10-31

Article Type : Research Paper

Abstract :The level of development in health is an important criterion for countries. In a study aimed at measuring the performance of the health system in Azerbaijan on a provincial basis, the change in health efficiency of 56 cities between 2015-2019 was analyzed with the Malmquist Total Factor Productivity Index insert ignore into journalissuearticles values(MPI);. As an input variable, the number of hospital beds, the number of health workers and the number of physicians were used in the provinces. The values used in input variables are figures per 10,000 people. As an output variable, the number of deaths of infants insert ignore into journalissuearticles values(under 1 year old);, the number of deaths and the number of outpatient clinics were determined. The values used in the output variables are figures per 1000 people. The average MPI scores of the provinces covered by the study were 0.998 in 2015-2016, 1.002 in 2016-2017, 1.036 in 2017-2018 and 1.027 in 2018-2019. Out of the sample cluster of 56 provinces, Total Factor Productivity insert ignore into journalissuearticles values(TFP); increased in 36 insert ignore into journalissuearticles values(64.29%);, remained constant in 1 insert ignore into journalissuearticles values(1.79%); and decreased in 19 insert ignore into journalissuearticles values(33.93%);. Furthermore, TFP values were highest in Qazakh insert ignore into journalissuearticles values(20.6%);, Aghdam insert ignore into journalissuearticles values(12,7); and Dashkesen insert ignore into journalissuearticles values(12,2);. As a result of the study, it was found that there was an increase in productivity levels during the time period when the health performance of the provinces in Azerbaijan was evaluated. For this reason, it is proposed to develop actions and policies aimed at improving performance in low-productivity provinces and to allocate resources taking into account social needs.
Keywords : Malmquist productivity index, efficiency measurement, health performance