Nurhan Davutyan

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The authors present a directional distance model where quality of care is brought in by treating mortality in each hospital as a strongly disposable " bad output. " After deriving pure technical and scale inefficiencies under strong disposability, the authors derive " congestion " inefficiencies via allowing weak disposability. A second stage, " seemingly(More)
We analyze the operational performance of 202 Turkish rural general hospitals. To help improve performance on both input and output space, we adopt a directional distance approach. We treat a mortality based measure as a " needs indicator ". We derive pure technical, scale and output congestion inefficiency measures and show how they vary across size(More)
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