İşletme Bölümü Koleksiyonu

Permanent URI for this collectionhttps://hdl.handle.net/20.500.12469/66

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    Article
    Citation - WoS: 23
    Citation - Scopus: 26
    Efficiency Analysis of Emergency Departments in Metropolitan Areas
    (Elsevier, 2020) Akkan, Can; Karadayı, Melis Almula; Ekinci, Yeliz; Ulengin, Füsun; Uray, Nimet; Karaosmanoğlu, Elif
    The demand in the healthcare industry is increasing exponentially due to aging population of the world and this is leading to a rapid increase in the cost of healthcare. The emergency departments of the hospitals are the frontline of health care systems and play an additional critical role in providing an efficient and high-quality response for patients. The overcrowding at the emergency departments due to growing demand results in a situation where the demand for ED services exceeds the ability to provide care in a reasonable amount of time. This has led countries to reconsider their health policies in a way to increase their efficiency in their healthcare systems in general and in emergency departments, in particular. As in many countries, there has been a steady and significant increase in the number of patients that seek health services at the emergency departments of state hospitals of Turkey, due to the significant structural reforms in health services since 2003. While meeting this increasing demand, it is ever more important to provide these critical health services efficiently. Therefore, the efficiency of the emergency departments of seven general hospitals run by Istanbul's Beyoglu State Hospitals Association have been analyzed using categorical Data Envelopment Analysis (DEA) models. The analysis of DEA results is supported by a set of statistical methods to make it easier for the hospital administrators to interpret the analysis and draw conclusions. The analysis shows that less-equipped EDs are supported by better equipped, larger EDs, resulting in a hub-and-spoke type of structure among the EDs where "satellite" EDs serve an important referral function and thus evaluating their efficiency without taking the interoperability among these units into account would not be an accurate assessment of their performance.
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    Article
    Citation - WoS: 42
    Citation - Scopus: 50
    Municipal Solid Waste Management Via Mathematical Modeling: a Case Study in İstanbul, Turkey
    (Elsevier, 2019) Çavdaroğlu Ayvaz, Nur; Çoban, Aslı; Fırtına Ertis, İrem
    The prominence of managing municipal solid waste (MSW) in an efficient and effective manner is increasing from day to day. In this paper, the solid waste management (SWM) system of İstanbul is analyzed by applying the techniques from mathematical programming methodology. In this manner, the solutions of the two optimization problems which aim to minimize the total cost and the environmental effects of SWM, respectively, are presented in this study. Additionally, a sensitivity analysis is performed and a multi-objective problem that combines two problems is presented. In this regard, the application of five MSW management technologies which are currently in use in İstanbul on six waste components is analyzed; and the optimal solution regarding the best mixture of these technologies is developed on a given waste composition. Besides, this optimal solution is compared with the current practice in İstanbul; and recommendations are presented about possible future investments for the policymakers. The results of the study emphasize the importance of material recovery and incineration facilities to improve profitability and to minimize environmental side effects. In particular, material recovery facility (MRF) should be expanded to be able to treat all of metal, paper and plastic from a cost management perspective. Incineration (INC) facility should also be expanded in order to treat plastics or organic waste from a Greenhouse Gas (GHG) minimization perspective. In addition to this, landfill appears to be the most prominent treatment technique according to the current problem parameters. However, regarding the waste composition, the amount of organic waste must be decreased by more than 37% for other waste streams to be treated in different facilities other than landfill. Anaerobic digestion and composting facilities need to be more cost-effective for becoming economically feasible. The methodology represented in this study can be extended and generalized to other cities around the world once the correct problem parameters are specified.