Is affiliation system successful in healthcare at Turkey?

The main objective of the study was to compare technical efficiency between affiliated and non-affiliated hospitals of Turkey. There was six otput variables and four input variables to evaluate hospitals efficiencies using with Ministry of Health (MoH) data from 2013 to 2017. Totally, 25 affiliated hospitals and 53 non-affiliated hospitals were analysed using input-oriented Data Envelopment Analysis (DEA) model under variable return to scale assumptions. The study results that, affiliated hospitals efficiency scores were higher than non-affiliated training and research hospitals. These results showed us the application of the affiliation system was successful in Turkey. Furthermore, this is the first study which has been performing whole affiliated and non-affiliated hospital efficiency measures together in Turkey and it offers an original contribution to literature with this direction.