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Health Transformation Program (HTP) was launched in 2003 with the primary aim of achieving effectiveness, efficiency, and equity in organization, delivery, and financing of health care services in Turkey.   In the final leg of the program, the Public Hospital Associations (PHA), which are basically the regional hospital unions, were announced in 2011 with the legislative decree no.663 and have been in operation since fall 2012. Establishment of the PHAs introduced a new management approach for Turkish public hospitals. This model based on a new managerial performance assessment approach, which was developed to evaluate the hospitals’ performances in many dimension, including medical, administrative, financial, quality, patient safety, employee-satisfaction and education aspects. In this regard, the Turkish Public Hospitals Institution (PHI), which is the highest institution that rules all the public hospitals, has begun to use modified version of Balanced Score Card (BSC) approach to assess the managerial performance of the PHAs. In this approach, production efficiency scores of hospitals, which are estimated with Stochastic Frontier Analysis (SFA), became a key or a target indicator for hospital performance assessment. In this paper, the performance measurement approach of the PHAs is assessed with respect to the theoretical methods used in this approach, i.e. BSC and SFA efficiency methods. Ozet Saglikta Donusum Programi (SDP), Turkiye’de saglik hizmetlerinin organizasyon, sunum ve finansmaninda etkililik,  etkinlik ve hakkaniyet saglamak amaciyla 2003 yilinda uygulamaya konulmustur. Programin son ayaginda, basit anlamda hastanelerin yonetimsel olarak birlesmesi ifade eden Kamu Hastaneleri Birlikleri (KHB), 2011 yilinda 663 nolu KHK ile kurulmus ve 2012 yilinda faaliyete baslamistir. KHB’lerin kurulmasiyla birlikte Turkiye kamu hastaneleri icin yeni bir yonetim yaklasimi olusturulmustur. Bu yaklasim, hastanelerin performansini, tibbi, idari, mali, kalite, hasta ve Calisan guvenligi-memnuniyeti ile egitim boyutlarinda degerlendirilmesini amaciyla gelistirilmis olan yonetimsel performans modeli uzerine kurulmustur. Uygulamaya konulan yeni sistemde, kamu hastanelerinin yonetici kurulusu olan Turkiye Kamu Hastaneleri Kurumu (TKHK), KHB’lerin yonetimsel performansinin degerlendirilmesi icin, Dengeli Skor Karti (DSK) yaklasiminin uyarlanmis bir seklini kullanmaya baslamistir.  Bu yaklasimda, Stokastik Sinir Analizi yontemiyle hesaplanan hastane uretim etkinlik skorlari, hastane performansinin belirlenmesinde anahtar ya da hedef gosterge olmustur. Bu calismada Kamu Hastaneleri Birlikleri performans degerlendirme modelinin, modelin kullandigi DSK ve SSA yontemleri cercevesinde bir degerlendirmesi sunulmaktadir.

uluslararası i̇nsan bilimleri dergisi

An assessment for Public Hospitals Associations' performance measurement approach&lt;p&gt;Kamu Hastaneleri Birlikleri performans ölçüm yöntemi üzerine bir değerlendirme