An Evaluation Of Healthcare System Resilience in a Possible Earthquake: The Case of  Istanbul

Gülay Ekinci; Mustafa Hakan Yılmaztürk; Merve Koç; Aysun Danayiyen

Makale detayları

An Evaluation Of Healthcare System Resilience in a Possible Earthquake: The Case of Istanbul

Yazarlar:

Gülay Ekinci | Mustafa Hakan Yılmaztürk | Merve Koç | Aysun Danayiyen

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Sağlık Kurumları Yönetimi | Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Osmangazi Tıp Dergisi Vol.46 Issue 3, pp.359-377

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001313506

pISSN:

1305-4953

Anahtar kelimeler:

Özet:

 Turkey is frequently exposed to natural disasters due to both its geopolitical structure and geographical location. As a matter of fact, tens of thousands of people lost their lives and more than a hundred thousand people were injured in the recent Maraş Earthquakes, which were effective in 11 provinces and occurred consecutively. In these earthquakes, many of the institutions and organizations providing health services were destroyed, and many health personnel living in those regions were lost. This situation has caused serious disruptions in the provision of health services in the region. This research was conducted to examine the health care capacity of 39 districts in Istanbul in preparation for a possible Istanbul earthquake, which is frequently mentioned by earthquake experts. The study used data envelopment analysis DEA to determine healthcare capacity. DEA analyzes were carried out using BCC-CCR input and output oriented models. According to the analysis results, 12.8 5 districts in BCC input-output oriented models in the health services capacity of districts in Istanbul; in CCR input-output oriented models, 7.6 3 districts were found to be fully effective. In addition, it was determined that the technical efficiency average in health services of 39 districts was between 0.155-0.594. This research was conducted under the assumption that the available medical facilities in Istanbul can operate at full capacity for the health services needed in a possible Istanbul Earthquake, and it has been interpreted that even under this assumption, the needed health services can be provided with an average of 37.4 capacity. As a result of the research, it was suggested that health services capacity planning in Istanbul should be done within the framework of the needs to be experienced at the district level.

 Turkey is frequently exposed to natural disasters due to both its geopolitical structure and geographical location. As a matter of fact, tens of thousands of people lost their lives and more than a hundred thousand people were injured in the recent Maraş Earthquakes, which were effective in 11 provinces and occurred consecutively. In these earthquakes, many of the institutions and organizations providing health services were destroyed, and many health personnel living in those regions were lost. This situation has caused serious disruptions in the provision of health services in the region. This research was conducted to examine the health care capacity of 39 districts in Istanbul in preparation for a possible Istanbul earthquake, which is frequently mentioned by earthquake experts. The study used data envelopment analysis DEA to determine healthcare capacity. DEA analyzes were carried out using BCC-CCR input and output oriented models. According to the analysis results, 12.8 5 districts in BCC input-output oriented models in the health services capacity of districts in Istanbul; in CCR input-output oriented models, 7.6 3 districts were found to be fully effective. In addition, it was determined that the technical efficiency average in health services of 39 districts was between 0.155-0.594. This research was conducted under the assumption that the available medical facilities in Istanbul can operate at full capacity for the health services needed in a possible Istanbul Earthquake, and it has been interpreted that even under this assumption, the needed health services can be provided with an average of 37.4 capacity. As a result of the research, it was suggested that health services capacity planning in Istanbul should be done within the framework of the needs to be experienced at the district level.

 Turkey is frequently exposed to natural disasters due to both its geopolitical structure and geographical location. As a matter of fact, tens of thousands of people lost their lives and more than a hundred thousand people were injured in the recent Maraş Earthquakes, which were effective in 11 provinces and occurred consecutively. In these earthquakes, many of the institutions and organizations providing health services were destroyed, and many health personnel living in those regions were lost. This situation has caused serious disruptions in the provision of health services in the region. This research was conducted to examine the health care capacity of 39 districts in Istanbul in preparation for a possible Istanbul earthquake, which is frequently mentioned by earthquake experts. The study used data envelopment analysis DEA to determine healthcare capacity. DEA analyzes were carried out using BCC-CCR input and output oriented models. According to the analysis results, 12.8 5 districts in BCC input-output oriented models in the health services capacity of districts in Istanbul; in CCR input-output oriented models, 7.6 3 districts were found to be fully effective. In addition, it was determined that the technical efficiency average in health services of 39 districts was between 0.155-0.594. This research was conducted under the assumption that the available medical facilities in Istanbul can operate at full capacity for the health services needed in a possible Istanbul Earthquake, and it has been interpreted that even under this assumption, the needed health services can be provided with an average of 37.4 capacity. As a result of the research, it was suggested that health services capacity planning in Istanbul should be done within the framework of the needs to be experienced at the district level.

 Türkiye gerek jeopolitik yapısı gerek coğrafi konumu dolayısıyla sıklıkla doğa kaynaklı afetlere maruz kalmaktadır. Nitekim yakın zamanda 11 ilde etkili olan ve ardışık şekilde gerçekleşen Maraş Depremlerinde on binlerce insan hayatını kaybetmiş, yüz binin üzerinde insan yaralanmıştır. Yaşanan bu depremlerde sağlık hizmeti sunan kurum ve kuruluşların birçoğu yıkılmış ayrıca o bölgelerde ikamet eden çok sayıda sağlık personeli kaybı da yaşanmıştır. Bu durum, bölgede sağlık hizmetlerinin sunumunda ciddi aksaklıklara neden olmuştur. Bu araştırma, deprem uzmanlarının sık sık dile getirdiği olası İstanbul depremine hazırlıkta sağlık hizmetleri kapasitesinin İstanbul özelinde 39 ilçesinin incelenmesi amacıyla yapılmıştır. Çalışmada sağlık hizmetleri kapasitesini belirlemek için veri zarflama analizi VZA kullanılmıştır. VZA analizleri BCC-CCR girdi ve çıktı odaklı modeller kullanılarak gerçekleştirilmiştir. Analiz sonuçlarına göre İstanbulda ilçelerin sağlık hizmetleri kapasitesinde BCC girdi-çıktı odaklı modellerde 12,8i 5 ilçe; CCR girdi-çıktı odaklı modellerde ise 7,6sı 3 ilçe tam etkin bulunmuştur. Ayrıca 39 ilçenin sağlık hizmetlerinde teknik etkinlik ortalamasının 0,155-0,594 arasında olduğu tespit edilmiştir. Bu araştırma olası bir İstanbul Depreminde ihtiyaç duyulacak sağlık hizmetlerinin İstanbulda mevcut kullanılabilir tıbbi olanaklarının tam kapasite ile çalışabileceği varsayımı altında yapılmış olup; bu varsayım altında bile ihtiyaç duyulan sağlık hizmetlerinin ortalama 37,4 kapasiteyle sunulabileceği şeklinde yorumlanmıştır. Araştırma sonucunda İstanbul ilinde sağlık hizmetleri kapasite planlamasının ilçeler düzeyinde yaşanacak ihtiyaçlar çerçevesince yapılması önerilmiştir.

Makale detayları

An Evaluation Of Healthcare System Resilience in a Possible Earthquake: The Case of Istanbul

Yazarlar:

Gülay Ekinci | Mustafa Hakan Yılmaztürk | Merve Koç | Aysun Danayiyen

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Sağlık Kurumları Yönetimi | Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Osmangazi Tıp Dergisi Vol.46 Issue 3, pp.359-377

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001313506

pISSN:

1305-4953

Earthquake

Health Capacity

Natural Disasters

IstanbulDeprem

Sağlık Kapasitesi

Doğal Afetler

İstanbul

Sayı

Makale detayları

Yazarlar: Gülay Ekinci | Mustafa Hakan Yılmaztürk | Merve Koç | Aysun Danayiyen

Yayıncı: Eskişehir Osmangazi University

Ana Başlıklar: Sağlık Kurumları Yönetimi | Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi: Osmangazi Tıp Dergisi Vol.46 Issue 3, pp.359-377

Belge Tipi: Makale

Yayın Tarihi: 5/2024

Belge Dili: Türkçe

Document ID (Org No.): 2001313506

pISSN: 1305-4953

Sayı

Yazarlar:

Gülay Ekinci | Mustafa Hakan Yılmaztürk | Merve Koç | Aysun Danayiyen

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Sağlık Kurumları Yönetimi | Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Osmangazi Tıp Dergisi Vol.46 Issue 3, pp.359-377

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001313506

pISSN:

1305-4953