Sa�l�k Stat�s� G�stergelerinin �ok Boyutlu �l�ekleme ve MOORA Uygulamas� ile Kar��la�t�r�lmas�

Canser Boz¹, Emrah �nder², Nihat Ta�²

¹�stanbul �niversitesi, Sa�l�k Bilimleri Fak�ltesi, Sa�l�k Y�netimi B�l�m�, Sa�l�k Ekonomisi Ana Bilim Dal�, �stanbul
²�stanbul �niversitesi, ��letme Fak�ltesi, Say�sal Y�ntemler Ana Bilim Dal�, �stanbul

G�R�� ve AMA�: Sa�l�k, �lkelerin kalk�nma ve geli�im d�zeylerinin belirlenmesinde �nemlidir. �lkelerin sa�l�k sisteminin hedeflerinden biri, toplumun sa�l�k d�zeyini m�mk�n oldu�unca art�rmakt�r. Toplulu�un sa�l�k performans� �e�itli g�stergelerle hesaplanabilir ve �l��lebilir. Bunlara sa�l�k stat�s� g�stergeleri denir. Ama�: Bu �al��man�n amac�, sa�l�kta d�n��m program� �ncesi (2002) ve sonras� OECD �lkeleri aras�nda T�rkiye'nin konumunu belirlemek ve sa�l�k g�stergeleri a��s�ndan �lkelerin net performans s�ralamalar�n� yapmakt�r.
Y�NTEM ve GERE�LER: OECD �lkelerinin konumunu belirlemek i�in �ok Boyutlu �l�eklendirme (MDS), �lkelerin net performans s�ralamas�n� hesaplamak i�in ise MOORA y�ntemi kullan�lm��t�r.
BULGULAR: Performans s�ralamas�na g�re, 2002 ve 2014 y�llar� aras�nda 34 OECD �lkesi aras�nda �svi�re en iyi performansa sahipken, T�rkiye 2002 y�l�nda sa�l�k stat�s� g�stergeleri a��s�ndan en k�t� performansa sahiptir. MDS analizi sonucunda, �svi�re ve Japonya benzer �lkelerdir. T�rkiye, �ili, Macaristan, Meksika ve Slovakya ise benzer di�er �lkelerdir.
TARTI�MA ve SONU�: Son y�llarda T�rkiye'nin sa�l�k sonu�lar� a��s�ndan �nemli olumlu geli�melere ra�men, T�rkiye ile geli�mi� �lkeler aras�nda halen �nemli farkl�l�klar bulunmaktad�r. Sa�l�k sistemlerinde m�kemmellik elde etmek i�in �lkelerin kendi modellerini geli�tirmeleri ve birbirlerinin deneyimlerinden yararlanmalar� �nerilmektedir.

Anahtar Kelimeler:

Comparison of Health Status Indicators with Multidimensional Scaling and The Multi Objective Optimization by Ratio Analysis

Canser Boz¹, Emrah �nder², Nihat Ta�²

¹Istanbul University, Faculty of Health Sciences, Department of Health Management, Health Economics, Istanbul
²Istanbul University, Faculty of Business Administration, Department of Quantitative Methods, Istanbul

INTRODUCTION: Health is important in determining the development and development levels of countries. One of the goals of the country's health system is to raise the health level of the community as much as possible. The health performance of the community can be calculated and measured with various indicators. These are called health status indicators. Aim: The aim of this study is to determine the position of Turkey in OECD countries before and after the health transition program and make net performance ranking of countries in terms of health status indicators.
METHODS: The Multidimensional Scaling (MDS) was used to determine OECD countries' position and The MOORA method, was used to calculate the net performance ranking of countries according to health status indicators in the study.
RESULTS: According to the performance ranking analysis, while Switzerland has the best performance among 34 OECD countries in both 2002 and 2014, Turkey has the worst performance in terms of health status indicators in 2002. As a result of the MDS analysis for 2014, Switzerland and Japan are similar countries in terms of health status indicators and Turkey, Chile, Hungary, Mexico, Slovakia are similar countries.
DISCUSSION AND CONCLUSION: Despite significant positive developments in terms of Turkey's health outcomes in recent years, there are still considerable differences between Turkey and developed countries. It is suggested that countries should improve their own models in order to achieve excellence in health systems, besides benefiting from each other's experiences based on good examples.

Keywords:

Canser Boz, Emrah �nder, Nihat Ta�. Comparison of Health Status Indicators with Multidimensional Scaling and The Multi Objective Optimization by Ratio Analysis. Journal of Health and Nursing Management. 2018; 5(3): 179-187

Sorumlu Yazar: Canser Boz, T�rkiye