Productivity and efficiency of city hospitals: a semiotic analysis for Turkey case

Abstract

City hospitals are new trends in especially growing economies. Although the main idea of collecting all health services and branches within a complex structure seems to be logical, there have been some negative applications and criticisms on city hospitals. Since health is a global public good, it was aimed in the research to evaluate city hospitals and their advantages and disadvantages based on hospital managers and health professionals. In the research, a semi-conducted interview was applied to 20 health managers. Results of the study showed that city hospitals are good solution for interdisciplinary bounding of health services within a city or a territory. On the other hand, past experiments and current public opportunities such as transportation, accommodations show that it is not useful to collect all health service labor and opportunities in a one center. In addition, managers attempted to the research stated that centralization of health services may cause difficulties in management functions.