4. International Journal of Health Administration and Education Congress

(1)

4. International Journal of

Health Administration and

Education Congress

Sanitas Magisterium

Abstract book

edItors

Prof.Dr. Aysegul KAPTANOGLU

Lecturer Sait SOYLER

(2)

4. International Journal of

Health Administration

and

Education Congress

(Sanitas Magisterium)

Sarajevo, Bosnia Herzegovina.

Hotel Hills

27-29 April 2018

ORGANIZATOR

Sanitas Magisterium Educational Cooperative

www.sanitasmagisteriumcoop.com

info@sanitasmagisteriumcoop.com

(3)

ORGANIZING COMMITTEE

PROF.DR. AYSEGUL KAPTANOGLU, BEYKENT UNIVERSITY

LECTURER SAIT SOYLER, ALTINBAS UNIVERSITY

LECTURER IDIL YILDIRIM ARI, ISTANBUL AREL UNIVERSITY

LECTURER DOGANCAN CAVMAK, ISTANBUL AREL UNIVERSITY

(4)

I-

II-

III-

HEALTH MANAGEMENT AND EDUCATION

HEALTH ECONOMICS AND HEALTH FINANCE

(5)

SCIENTIFIC ADVISORY BOARD

(From A to Z according to first name)

Prof. Abdullah Dinçkol, Doğuş University, Istanbul / Turkey

Prof. Afsun Ezel Esatoglu, Ankara University, Ankara /Turkey

Prof. Amy Parsons, King’s College, Wilkes-Barre/United States of America

Prof. Ayşegül Yıldırım Kaptanoğlu, Beykent University, İstanbul/Turkey

Prof. Bihterin Dinçkol, Marmara University, Istanbul / Turkey

Prof. Chryssoula V. Lemonidou, Athens University, Athens/ Greece

Prof. Cengiz Yakıncı, İnönü University, Malatya / Turkey

Prof. Despina Sapountzi-Krepia, Frederick University, Nicosia, Cyprus

Prof. Dilaver Tengilimoğlu, Atılım University Ankara/Turkey

Prof. Dimitar Dimitrov, Varna Free University, Varna (Chernorizets Hrabar) / Bulgaria

Prof. Dr. Dalila Lino, Instituto Politécnico de Lisboa, Portugal

Prof. Elizabeta Popova-Ramova, University “St. Kliment Ohridski” Bitola, Republic of Macedonia

Prof. Halil Ekşi, Marmara University,Istanbul /Turkey

Prof. EdJacobs.West VirginiaUniversity/UnitedStatesofAmerica

Prof. Fevziye Çetinkaya, Erciyes University, Kayseri / Turkey

Prof. Fevzi Akıncı, Duquesne University,

Pittsburgh

/United States of America

Prof. Korkut Ersoy, Baskent University, Ankara / Turkey

Prof. Lambrini Kourkouta, Alexander Technological Educational Institute, Thessaloniki, Greece

Prof. Metin Ateş, Istanbul Aydın University, Istanbul / Turkey

Prof. Mithat Kıyak, Okan University, Istanbul/Turkey

Prof. Musa Özata, Ahi Evran University, Kırşehir / Turkey

Prof. Nadir Çeliköz, Yıldız Technical University, Istanbul /Turkey

Prof. Nermin Ozgulbas, Baskent University, Ankara / Turkey

Prof. Stefan Terziev, Varna Free University, Varna (Chernorizets Hrabar) / Bulgaria

Prof. Stela Georgieva, Medical University –Pleven

(6)

Prof. Pervin Somer, Okan University, Istanbul / Turkey

Prof. Pavel Pavlov, Varna Free University, (Chernorizets Hrabar) Varna / Bulgaria

Prof. Ramazan Erdem, Suleyman Demirel University, Isparta / Turkey

Prof. Rehat Faikoğlu, Arel University, Istanbul / Turkey

Prof. Oğuz Özyaral, İstanbul Rumeli University,Istanbul /Turkey

Prof. Veselin Peychev, Varna Free University, ( Chernorizets Hrabar) Varna / Bulgaria

Prof. Yasar Oz, Virginia Commonwealth University,Richmond/ United States of America

Assoc. Prof. Aleksndar Kirov, Varna Free University, ( Chernorizets Hrabar) Varna / Bulgaria

Assoc. Prof. Aneta Georgieva, Varna Free University, ( Chernorizets Hrabar) Varna / Bulgaria

Assoc. Prof. Erkut Altındağ, Beykent University, Istanbul / Turkey

Assoc. Prof. Esra Esmen Gazioğlu, Istanbul University, Istanbul / Turkey

Assoc. Prof. Galya Todorova, Varna Free University, ( Chernorizets Hrabar) Varna / Bulgaria

Assoc. Prof. Gencho Penicharov, Varna Free University, ( Chernorizets Hrabar) Varna / Bulgaria

Assoc. Prof. Isam Denna, Bingazi University, Bingazi/ Libya

Assoc. Prof. Krasimir Todorov, Varna Free University, ( Chernorizets Hrabar) Varna / Bulgaria

Assoc. Prof. Milena Tencheva Kichekova, Varna Free University,(Chernorizets Hrabar )Varna /Bulgaria

Assoc. Prof. Maria Tsiligiri, Higher TechnologicaL Educational Institute, Thessaloniki / Greece

Assoc. Prof. Müge Yukay Yüksel, Marmara University, Istanbul / Turkey

Assoc. Prof. Neli Trizlova, Varna Free University, ( Chernorizets Hrabar) Varna / Bulgaria

Assoc. Prof. Isam Denna, Bingazi University, Bingazi/ Libya Assoc. Prof. Radka Kaneva, Pleven

University, Pleven / Bulgaria

Assoc. Prof. Rebecca Sipirito Dalgın, Scranton University,Scranton / United States of America

Assoc. Prof. Saffet Ocak Mugla University, Mugla / Turkey

Assoc. Prof. Sedat Bostan, Gumushane University, Gumushane / Turkey

Assoc. Prof. Tatyana Stoyanova, Varna Free University, ( Chernorizets Hrabar) Varna / Bulgaria

Assoc. Prof. Taşkın Kılıç, Gumushane University, Gumushane / Turkey

Assoc. Prof. Silviya Aleksandrova-Yankulovska, Pleven University, Pleven / Bulgaria

Assoc. Prof. Yanko Milev, Varna Free University, ( Chernorizets Hrabar) Varna / Bulgaria

Assoc. Prof. Yunus Emre Öztürk, Selcuk University, Konya /Turkey

(7)

Assist. Prof. Ali Yılmaz, Kırıkkale University, Kırıkkale / Turkey

Assist.Prof. Cem Dikmen, Cyprus International University, Nicosia/Cyprus

Assist. Prof. Hengameh M. Hosseini, Penn St. University,Harrisburg/ United States of America

Assist. Prof. Maria Lavdaniti, Higher TechnologicaL Educational Institute Greece

Assist. Prof. Gökhan Yılmaz, Karadeniz Technical University, Trabzon / Turkey

Assist. Prof. Murat Şentürk, Istanbul University, Istanbul /Turkey

Assist. Prof. Mustafa Otrar, Marmara University, Istanbul / Turkey

Assist. Prof. Müge Yukay Yüksel, Marmara University, Istanbul / Turkey

Assist. Prof. Sabahattin Tekingündüz Mersin University, Mersin / Turkey

Assist. Prof. Yuksel Yesilbağ, Istanbul Kultur University, Istanbul / Turkey

Dr. Anwar Ali Khan, London School of General Practice London /United Kingdom

Dr. Dan Ioan Sava, Former Consultant World Bank Buccharest Office / Romania

Dr. Rizvan Hasan Cambridge Judge Business School, United Kingdom

Dr. John Spicer, London School of General Practice London/United Kingdom

Dr. Sanjiv Ahluwalia, London School of General Practice London/United Kingdom

Mirza Oruç, University of Zenica Bosna and Herzegovina,

(8)

Welcome Address by Congress Chairman

Dear colleagues,

Welcome to 4. International Journal of Health Administration and Education Congress (Sanitas

Magisterium). We are proud to be hosting this meeting in Sarajevo.

The Sanitas Magisterium has attracted Health Scientist with an interest in management, safety, education

from not only the East European region but from other parts of the world as well. In this edition, we strive to

continue its dedicated vision of providing the most conducive and productive learning and knowledge

exchange platform for participants specializing in the field of health management, economy, safety and

healthcare.

Sanitas Magisterium 2018 will enable participants to equip themselves with updates on the latest

developments and practices through scientific sessions, plenary discussions, oral and poster sharing. We have

an exciting line-up of expert speakers and social programme to make your attendance a joyful one. We

encourage you to take this excellent opportunity to share your experiences, latest research findings and

present your abstracts and papers at the congress. We look forward to welcoming you and your family to

Sarajevo, a multi-cultural, historical and cosmopolitan city, for a memorable congress.

Prof. Aysegul Yildirim Kaptanoglu

(9)

With advancing technology, access to information has become easier in our day, and the questionability of information has also increased. Students at universities, which play an important role in the formation of knowledge societies, can participate actively in the learning process by using various channels in information access rather than accepting the informed information unconditionally. Students with critical thinking skills also play an important role in the right information access. Healthcare is a structure that does not tolerate errors and requires constant use of up-to-date information. In this context, it is an important issue to consider the critical thinking attitudes of the candidates for the healthcare manager, who should undertake important tasks in the hospitals where the healthcare service is provided. Along with that healthcare management department, which will be undertaking the task of managing these systems, where human health is mentioned, is the spiritual well-being of their students, their spiritual identities may be one of the most influential factors in shaping the healthcare that will be provided. Spiritual well-being, also referred to as spiritual health in the literature, describes the role of an individual who plays an active role in the factors that affect the general health status of the individual and the individual's quest for a meaning and purpose in his life and a strong personal value system by believing in the existence of a greater power. The value judgments that students with high spiritual well-being can use in hospital management may change in this direction, which may have an impact on hospital outcomes. Similarly, the self-esteem that expresses the sense of worthiness that individuals attribute to them as a result of their assessment of themselves is also an important issue in terms of healthcare management students. Self-esteem can affect individuals' achievements in both their work and student life and their relationships with other individuals in a positive or negative way. In this context, critical thinking attitudes, spiritual well-being and self-esteem of healthcare management students who are expected to take place in future hospital management are among the issues to be addressed since they have significant effects on hospital outcomes. It is thought that these subjects are also interacting with each other. The purpose of this study is to examine the relationship between these variables by determining the spiritual well-being, self-esteem and critical thinking attitudes of healthcare students. The study also examines the self esteem, spiritual well-being and critical thinking attitudes of university students according to age, gender, class, and type of teaching. The study was conducted on students who were studying at Süleyman Demirel University Healthcare Management Department and sampling included 350 students. Critical Thinking Attitude Scale, Self-Esteem Scale, and Spiritual Well-Being Scale were used to obtain data from the selected sample. The research is structured using the "relational scan model" and the data are in the analysis phase.

Keywords:

(13)

The Effect Of Paranormal Belıefs Of Hospıtal Employees On Lıfe Satısfactıon And Job Satısfactıon

Ramazan ERDEM

Suleyman Demirel University, Healthcare Management Department Isparta/Turkey raerdem@yahoo.com

Kevser SEZER KORUCU

Suleyman Demirel University, Healthcare Management Department Isparta/Turkey kevser_sezer@hotmail.com

Selin EROYMAK

Suleyman Demirel University, Healthcare Management Department Isparta/Turkey selineroymak@gmail.com

Abstract

The concept of paranormal belief emerged as a contemporary research topic in the field of social sciences. This belief is used to remaining the out of borders of science, pushing the limits of the human mind, accepting the presence of fantasy objects such as UFO, believing the mind can be controlled by hypnosis, believing the angel, the devil, the genie and the ghost, expressing any event that can not be explained by the laws of physics. Such beliefs are said to have a functional role, in particular, to make sense of individuals' lives, to create new identities and to satisfy them from life. At the same time it is known that individuals who have spiritually specific beliefs are both satisfied with their lives and accomplished their work successfully. It is thought that it is important to evaluate the paranormal beliefs they have, especially given that health care employees working in intensive work-labor positions directly affect the overall life satisfaction of job satisfaction. In this study, it was aimed to measure the effect of paranormal beliefs of health workers on their job and life satisfaction. The study was conducted on the health personnel at Isparta City Hospital and at Süleyman Demirel University Research and Practice Hospital who agreed to participate in the study. The face-to-face survey technique was used to collect data in the study. The Paranormal Beliefs Scale (PAS), developed by Tobacyk (2004) and conducted by Arslan (2010) for validity and reliability studies in Turkish, was used to measure paranormal beliefs possessed by health employee. The Job Satisfaction Scale developed by Minnesota (1967) was used to measure job satisfaction of health employees. Lastly, The Life Satisfaction Scale (SDS) developed by Diener et al. (1985) and conducted by Baysal and Dağlı (2016) for validity and reliability studies in Turkish, was used to assess the life satisfaction of health employees. The data obtained from the study are in the analysis stage with the SPSS 22.0 package program, and it is thought that the paranormal beliefs that the health personnel have in the study result will have a significant effect on their job and life satisfaction.

Key Words

(14)

Evaluation of Health Expenditure to The Disabled

Nezihe TÜFEKÇİ

Süleyman Demirel University, FEAS, Department of Health Management, Isparta/Turkey nezihetufekci@gmail.com

Hakan DEĞERLİ

Süleyman Demirel University, Institute of Social Science, Department of Health Management, Isparta/Turkey hhakandegerli@gmail.com

Abstract

The welfare state can be defined as a state model that implements arragements on social life in order to protect the social rights of its citizens. The importance of the welfare state has grown more and more in the developing and changing world. Individuals may be in a more disadvantaged position in communities where they live because of various reasons. Aba and Ates state that disadvantaged groups in society can vary widely from country to country as well as from individuals, such as women, the disabled, unemployed people, prisoners, immigrants / refugees / asylum seekers, homeless people, racial / ethnic minorities and children. So the arragements of the welfare state is very important especially disabled people in society. Because; the disabled is one of the groups that have some difficulties compared to other people who can live easily. Furthermore Kayalıdere and Sahin state that social policies for disabled people are important to achieve the goals of the welfare state. One of the tools the social state uses to realize its aims is social protection expenditures. The aim of this study is to deal with health expenditures to the disabled. To this aim, firstly the concepts of social state and social policies are mentioned. Following this conceptual section, pensions paid to disabled people and social protection benefits will be examined. The analysis and conclusion of the research will be presented during the congress.

Keywords:

(15)

Evaluation of the Philosophical Background of Architectural Structures in Hospitals

Ramazan Kaya

Department of Philosophy, FAS, SüleymanDemirel University, Isparta, Turkey rmzn35@yahoo.com

Elif Kaya

Department of Healthcare Management, FEAS , SüleymanDemirel University, Isparta, Turkey Fatma Kaya

Department of Architecture, AF, SüleymanDemirel University, Isparta, Turkey

Abstract

The concepts of patient, illness, disease and health have been redefined many times throughout history, and the changes in acceptance for these concepts and the social positions of patient individuals have also transformed. The underlying philosophy of the emergence of hospitals seems to remove "possible dangers", especially by isolating mental patients or sick persons from the society. Changes in both medical field and social scene, and attempts to escape from the "hospitalism" disease caused by negative physical conditions during hospitalization process are among the reasons why hospital architecture has undergone significant changes over time. Today, the patient, which is publicly known as a customer in the commercialized medical market, occupies a position to buy healing/cure as well as hotel services from hospitals. The new expectations from patients are, of course, among the premises transforming hospital architecture. The first architects of hospital buildings in modern sense are physicians. However, over time, architecture, which is a specialized profession, has developed and gain strength, then hospital buildings have begun to be constructed based on the principle of maximum cost efficiency and productivity, instead of being built as only patient and disease- oriented. On the other hand, the de-territorialization of communication channels has removed the necessity of architectural closeness among hospitals especially between their executive and administrative units. Technological developments have also influenced the formation of new architectural approaches. This study seeks for answers to the following questions: Does the fact that every customer does not have equal opportunities, create differences in terms of the architectural structure of the hospitals where they receive healthcare service? Is there a relationship between power and surveillance and hospital architectural types? Are political phenomena effective in the historical transformation of hospital architecture?

Keywords

(16)

Interdependence Perception in Healthcare: Case of A Class Private Hospitals in Istanbul

Doğancan ÇAVMAK

Istanbul Arel University, Vocational School, Medical Documentation and Secretary Programme dogancancavmak@arel.edu.tr

Abstract

The new business area around the World directly affects the healthcare services in terms of management approaches. Empowering human resources and providing a participatory management are now the core principles for many organizations as well as for healthcare. An effective human resources management is one of the key component to achieve continous production process and for cost containment. This brings a requirement for coexistence of human resources in a team based approach. Especially in healthcare, the adaptation to the contemporary management is crucial for optimizing the processes. This proves that world has been witnessing huge changes. But as Stephen Covey indicates, a few things haven’t changed such as importance of relationship and the freedom of choices. The concept of interdependence begins to appear at this point. The term of interdependence refers to recognizing individual ability and execute it in a team spirit. The view of interdependence is highly effective to strenghten communication skills and processes. Integration and teamwork are basic requirements for healthcare because of it’s matrix organizational structure. Interdependence can provide strong relationship and communication channels. The first step towards the interdependence is detection of the perception in the view of staff. This study aims to evaluate the interdependence perception level of healthstaff in İstanbul. The sample consists of 103 health staff from two A class private hospitals’ patient services department. The previosly developed scale by the author was used in order to measure the perception level. According to results, there is significant difference among the title/occupy in favour of team leaders.Team leaders are more tend to phenomenon of interdependence. It is observed that this familiarity does not originate from experience, when it is examined, because, no significant difference was found in terms of work experience. This indicates that working conditions are strongly related to perception of team and interdependence. Team leaders have more freedom and authority on the process. Therefore, they can evaluate the importance of interdependence in the production. Improving human resources and creating a participatory environment can be useful tools for developing strong ties and interdependence belief among healthcare workers.

Keywords:

(17)

The Study on Determinants of Informal Relations and Groups in Healthcare Services

Cenk TEKER

Nisantasi University/Hospitalist, cenk.teker@nisantasi.edu.tr Recep Pülat

Avrasya Hospital İstanbul/Turkey, recep_plt30@hotmail.com Hakan AVCI

Hospitalist, hakan.avci@hospitalist.com.tr Lokman Tosun

Avrasya Hospital, lokmantosun80@gmail.com Doğancan Çavmak

İstanbul Arel University, dogancancavmak@arel.edu.tr

Abstract

The concepts of informal relations and groups refer to naturally emerged groups by reason of individual relationship and similar interests. Informal groups are formed by the member of organization as per their common interst and likes. These common interests may be related to common career goals as well as to develop social relations in aim of having relax or sometimes it can be strategic step of managers to achieve goals in an easier way. There are so many types of groups in healthcare due to organizational structure of healthcare services. The communication between health staff is the main factor which determines the quality and effectiveness of healthcare services. Therefore, it is crucial to determine the factors which shape the formation process of informal groups in healthcare. The purpose of this study is to examine the determinants of informal groups in terms of formation process.The scaleconsist of 7 dimensions called as; intellectual familiarity, political and cultural familiarity, common educational experience, common social background, common organizational structure, demographic familiarity, common advancement expectation. The sample of the study consists of 3 A class private hospitals’ health staff in İstanbul.The sample size is 250. SPSS 22.0 program was used for analyses. The results will report by descriptive statistics and significance tests.

Keywords:

(18)

Cyber Bullying: A Review of Turkey

Sait Söyler

Altınbaş University, Healthcare Services Vocational School /soylersait@gmail.com

Abstract

Cyber bullying is an intentionally performed activity by an individual or a group to plague someone with humiliating, libeling, gossiping, harassing, threatening, embarrassing and exclusion on others in an electronic environment. It is often seen as taking and sharing images of individuals without permission; sending humiliating, ridiculous, threatening, sexual harassing, or violent messages to individuals in online settings such as social networks or chat rooms, sharing one's personal information through social media without informing, preparing shameful and degrading web pages about a person, opening a fake account on behalf of another person and keeping track of a person's social media accounts. The aim of this study is to examine the situation of cyber bullying in Turkey by analyzing the studies which were conducted in Turkey. Therefore, more than forty studies were examined. However, 12 studies included in the study as they provide wider information about the topic. In a study it is found that primary school teachers have a tendency to cyber bullying above the average. The other study reveals that there is a moderate and positive relationship between cyber bullying and being subject to cyber bullying. In another study conducted on high school students, it is found that 14% of the participants were exposed to cyber bullying in the past month and 10% were bullied to others. In the study which was conducted on the adolescents, it was determined that students were bullied with cyber linguistic bullying, identity hiding and cybercrime. It has been determined that pupils are most likely to suffer from bulimia by means of curses and threats. According to findings, students who are exposed to cyber bullying can experience negative feelings such as fear, anger and uneasiness, they cannot share their experiences with their relatives, and face problems in family and friends relations. In Turkey, 43% of children claim that they have faced cyber bullying at least one time. One out of every four kids stated that they face it multiple times. 70% of the students often say that they are witnessing online bullying. Individuals who are victims of bullying have problems such as tendency to violence, low self-esteem, depression, anxiety, feelings of loneliness, suicidal ideation, learning problems and negative psychological functions. For these reasons, awareness against cyber bullying must be increased, the aims and sources of motivation should be investigated in more detail and more effective measures should be taken against the cyber bullying.

Keywords:

(19)

An Easy Scale for Measuring Patient Healthcare Experiences on Quality after Health Care Transition in Turkey: Trakia Sample

Ayşegül Yıldırım Kaptanoğlu

Beykent University, Faculty of Health Sciences/aysegulyildirimkaptanoglu@gmail.com

Extended Abstract

Health system has been in a transition process since 2002 in Turkey. This transition is named Health Transformation Program (HTP). Many revisions have been adapted since the HTP started. One of the most important aim of HTP was to increase perceived quality in ambulatory and in hospital based health services. Therefore, it is important to develop a scale to determine perceived quality of health care in hospital and family practice centers. The aim of this study was to develop and validate an easy measurement instrument for assessing patient experiences on healthcare service quality in secondary care hospitals and family practice centers. Twelve family practice centers in urban and rural regions of Edirne and single secondary care hospital were selected randomly. Therefore, 12 questions for primary care and 11 questions for hospital practice were developed and validated. Each statement had response categories ranging from (1) “strongly agree” to (4) “strongly disagree”. The Patient Healthcare Experiences on Quality (PHEQ) scale has two parts: sociodemographic items on age, gender, education, health status and occupation. Data was collected between 2016 November -2017 and January from secondary care hospital internal and surgical services and twelve family health care centers. The scale developed from this study can be useful for policy makers, clinicians and healthcare managers after health care transition period in Turkey. Patients >18 years old who had a hospital stay >1 day (n = 491), and patients who received family practice center care (n = 510) were included. Total of 1001 patients were involved in the survey. Sample size calculated for a p=q=0.50, 5% error and a level of significance for two queues of 0.05. Informed consent were obtained. Exploratory and confirmatory factor analyses were conducted. Pearson correlations between factors were also calculated to check the factors’ independence. The ability of the questionnaire to discriminate between isolated dimensions was tested by performing T independent-test, ANOVA or Chi-Square, because differences in scores were expected based on differences in care delivery. Identified two sub-scales were found to have high construct validity, internal consistency and test-retest reliability. Score distributions for items were skewed towards positive experiences with item that means ranging from 3.7 to 4.1 for the items related to whether health services staff were interested in the patient’s expectation on quality. The comprehensive development phase and pilot- testing contributed to high content validity of the questionnaire. To assess whether data were appropriate for factor analysis, The Kaiser-Meyer-Olkin (KMO) Values indicated that the sampling for both groups were tolerable (KMO of Primary Care Quality = .78, KMO of Hospital Service Quality = .81. The Kaiser-Meyer-Olkin measure of sampling adequacy of total PHEQ was .86, and the Bartlett’s test of sphericity reached statistical significance, suggesting that the correlation matrix was suitable for factor analysis. Cronbach’s alpha coefficient revealed good internal consistency of the factors (range: 0.69–0.93). The value of the Chronbach’s alpha was 0.82 for the whole scale. The results suggest that the developed PHEQ is of good quality for measuring the quality of care among patients about the secondary and family practice center treatment and rehabilitation. The PHEQ has high content validity, and subsequent psychometric evaluation found high construct validity and internal consistency.

Keywords

Patient Experience  Quality, Secondary Hospital  Family Practice Center  Patient Healthcare Experiences on Quality (PHEQ).

(20)

An Analysis Toward Media News Fostering Stigmatization of Healthcare Staff And Institutions

Sümeyye Özmen

Uşak University, Vocational School of Healthcare Services/sumeyyeozmen@gmail.com Hatice Güneş

Suleyman Demirel University, Deparment of Healthcare Management/haticeyigit@sdü.edu.tr Sümeyye Güngör

Suleyman Demirel University, Deparment of Healthcare Management/sumeyyegungor51@gmail.com Meryem Koçaş

Suleyman Demirel University, Deparment of Healthcare Management/kocasmeryem_70@gmail.com

Extended Abstract

Today, technological developments are increasing day by day. These developments are a cause of stigmatization, which is defined as the discrediting of the reputation due to a person's characteristic, the fall of the eye. In recent years, television commercials, films in cinema, and messages on social media can be considered to increase prejudices and trigger stigmatization. One of the sources of mass communication is news media. The news media, which allows people to perceive the modern world, is able to present a stigmatizing negative frame against some people, groups and institutions. News can sometimes lead to increased prejudices against healthcare staff. This work is important, because the stigmatizing elements toward health staff and institutions will lead to increased violence cases in health and will affect the trust of patients to healthcare staff and the institution. In this research, it is aimed to investigate whether there are any stigmatizing elements by means of news on the internet about health staff and institutions. In this study, it that have been made on the stigmatization of health staff and institutions has been tried to show what kind of impression is reflected in the headline and content of the news. In this study, content analysis was used from qualitative research approaches. Sentences reflecting the news in the internet source were analyzed by examining the news headlines. "Nurse negligence", "Medical doctor negligence", "Hospital scandal", "Sexual assault medical doctor", "Harasser medical doctor" headings are searched as keywords on sites like IHA, Google news and national news from 2000 to 2018 was investigated, 81 news reports were selected. A content analysis guide consisting of 6 questions and a checklist table were created. Using the generated table, each news headline and contents were examined separately by four researchers and the data agreed upon by the four researchers were taken into consideration. The data obtained for the questions are coded. Frequency was used for digitization of qualitative data. News headlines about stigmatization, such as "shocked", "claim", "scandal", "negligence" approaches have been mentioned. Professional stigmatization in physicians and nurses in the health sector; institutional stigmatization has been established about the hospital. It has been revealed that 35 of the published news are on the head of sexual assault/ harassment with regarding to physicians. It has been revealed that 22 of the published news are in the title of "medical doctor negligence". It has been revealed that 21 of the published news are in the headlines such as negligence, mistake and mocking of nurses. It has been determined that 15 of the published news are related to newborns, 13 in the gynecology branch and 8 in the intensive care, death, organ loss, death risk and sexual assault. Of the published news, 73 were found to be professional stigmatization, and 16 were found to contain institutional stigmatization. It was found that 48 of the published news were made a target to the doctor, 19 to the nurse, 12 to the hospital, 1 to the anesthesia technician and to the psychologist. 63 news national and 18 news local by news sources were published. It was emerged that the events that caused the stigmatization were generally due to sharing on social media of photographs and videos made by the staff. The press has important responsibilities in reducing incidents of violence in health. Published news must be prepared realistically in the framework of ethical principles, without making a target people and institutions in the health sector, without violating their rights and without disturbing the peace in society.

Keywords:

(21)

Case Analysis of Energy Efficiency: An Example of Public Hospitals Union

Mehmet Yorulmaz

Selcuk University, Faculty of Health Sciences/mtyorulmaz@hotmail.com Hasan Evirgen

Konya Directorate of Health, evirgen42@gmail.com Kıymet Ergün

Konya Directorate of Health/kiymet.ergun@saglik.gov.tr

Abstract

The aim of this study is to examine 23 health facilities depending on Secretariat of Public Hospitals Union in terms of the sort of energy use, energy costs, and actions providing energy saving. The data obtained in this study, in which the retrospective three years data (the years of 2012 – 2014 ) are used, were electronically drawn from “Energy Follow Module” of General Secretariat of Public Hospitals Union. Within the General Secretariat of Public Hospitals Union, there are a total of 23 health facilities as 1 Education and Research Hospital, 1 Branch Hospital, 2 over - 500 Beds Hospitals in A2 role, 18 Public Hospitals, 2 Oral and Dental Health Centers (ODHC), and 1 Oral and Dental Health Hospital (ODHH). The data used in the study include the costs of electricity, and fuel expenditures for heating, which are used by 23 health facilities, in respect of the years. In additions, the efforts to be carried out to increase the energy efficiency of 23 health facilities are also mentioned in the study. In the study, the concept of “Green Hospital” was also emphasized. 4 of the facilities depending on public hospitals union heat their facilities with fuel oil, known as liquid fuel; 6, with coal; 10, natural gas; and 3, transported natural gas. It is seen that natural gas is used as sort of fuel in the hospitals located in the settlement places, where there is infrastructure for natural gas., Energy expenditures that was TL 9,178,132 in 2012 became TL 10,258,586 in 2014 with the increase of 11.1%. It is seen that 2013 energy expenditures increase in the rate of 2.95% compared to 2012. In addition, in the year 2014, energy cost used in the health facilities was identified to increase in the rate of 7.87% compared to 2013. That being the most important one of the actions of priority taken about energy efficiency is to provide insulation in the buildings. When the state of exterior insulation in 23 health facilities is analyzed, it was identified that exterior insulations (mantling) of all health facilities, whose building age is in the range of age 0-5, were made. It is seen that the [number] of health facilities, whose building mantling is insufficient or lack, as building age increases It was identified that there were 9 health facilities, whose building age are 15 and over. As a result of the study, it is seen that 4 of these buildings have a necessary conditions in terms of heat insulation and 5 of which do not have any heat insulation. There are two main results of effectively using energy first is economic dimension, which supports to develop additional resources, reducing costs. The second is global dimension, which causes the protection of ecological balance, preventing air pollution as a result ıf reducing the use of fossil fuels. In order to be able to provide sustainability in the presentation of high quality service, in this study mentioning about the importance of increasing the effectiveness in energy use for effectively using energy, preventing waste, lightening the burden of costs on using budget, and protecting environment, the health facilities depending on General Secretariat of Public Hospitals Union were examined in terms of the sort of energy use, energy costs, and actions providing energy saving.

Keywords:

(22)

Future of Healthcare with e-Health

Taşkın Kılıç

Gumushane University/ Department of Healthcare Management

Sedat Bostan

Gumushane University/ Department of Healthcare Management

Abstract

According to World Health Organisatione; e-Health; refers to use of information and communication technologies for

health (WHO). That can improve prevention, diagnosis, treatment, monitoring and management. eHealth,

Telemedicine, Mobile Health, Digital and Virtual Hospitals are the focus areas of the healthcare sector in recent years. This study was conducted to discuss the fact that how these technological developments will affect the present and future years of the health sector (Hospitals, healthcare workers, diagnosis and treatment processes) and to offer a future perspective for the sector. Part of the data of the study was obtained through by content analysis, a qualitative research method, and by analyzing the secondary sources. As a result of the study, it has been concluded that the eHealth system provides innovation, speed and flexibility to the health sector, reduces the referral rate to the second line, provides a gain up to 50% in health costs and a gain up to 35% in productivity (digital hospitals etc.), and enables the individuals who have difficulty to reach any healthcare services (isolated areas) due to geographical distance, economical and other reasons to access the healthcare services for 24/7 hours via eHealth system. It has been also concluded that the physical area of hospitals is becoming smaller thanks to eHealth and thus the hospitals may carry their services farther (digital and virtual hospitals) using more complex and advanced technology.

Keywords:

(23)

The Development and Validation of an Instrument to Measure Health Staff’ Perception with Health Insurances Finance and Services Usage

Oğuz Cece

Ayvansaray University, Vocational School/oguzcece@gmail.com

Ayşegül Yıldırım Kaptanoğlu

Beykent University, Faculty of Health Sciences/aysegulkaptanoglu@gmail.com

Abstract

The perceived value of health care service represents an increasingly important concept in health service usage and insurance. To measure health staff's perception of health services and insurance (HSPFU) a different measuring instrument is needed after transforming Turkey's Health System in 2017. Starting from 2003, the Ministry of Health (MoH) of Turkey started a World Bank assisted health care reform. The aim of this agenda was to arrange finance and give health services in line with the principles of equity, efficiency and effectiveness. To develop and validate a new instrument to measure the health staff's perception of health care services and insurances. For measuring multidimensionality of the perceived value after transition that called “Health Transformation Program (HTP)” that aimed to improve public health, provide health insurance for all citizens and expand access to care. The development of the instrument is consisted of a test and re-test, a reduction number of items, validation, structural and internal consistency evaluations are conducted by factor analyses. Both exploratory and confirmatory factor analyses are conducted (EFA, CFA). The age of primary care physicians and nurses who participated in the study was determined as 24 and 59 years. Gender of respondents was as follows 36 % male, 64 % female. A forced choice scale (1 to 4 with 1 = Strongly Agree, Agree, Disagree, Strongly Disagree) was used to identify the level of the subscriber understanding of each instruction, question and answer of the questionnaire. The scale's structural validity was assessed. The factor structure of the questionnaire was evaluated by principal component analysis. The internal consistency of this scale was evaluated by Cronbach's alpha. To assess test–retest reliability the interclass correlation coefficient (ICC) was used. Cronbach coefficient for different constructs are as follows: for health insurances finance 0.78, for services usage 0.71. The values of other coefficients (Kaiser - Meyer - Olkin, Bartlett in Explained Variants) are also appropriately high. The final absolute responding indices are: Chi-Square 514.08, df = 45, RMSEA = 0.000, NFI = 0.70, CFI = 0.82. The instrument has good characteristics of reliability and validity for measuring health staff’ perception of health insurances finance and services usage. The scale (HSPFU) developed is brief, easy-to-use and possesses satisfactory validity, internal consistency and test–retest reliability.

Keywords:

(24)

Effects of Work-Family Conflicts Experienced By Healthcare Professionals on The Organizational Commitment

Yunus Emre Öztürk

Selcuk University, Health Sciences Faculty/Health Management Department/yunemeozturk@gmail.com Mehmet Yorulmaz

Selcuk University, Health Science Faculty Health Management Department mtyorulmaz@hotmail.com Ramazan Kıraç

Selcuk University, Health Science Faculty Health Management Department, ramazan46k@gmail.com

Abstract

The aim of this study was to investigate the effect of work-family conflict situation on organizational commitment. The study was applied to hospital staff working in a state hospital. The sample of there search consists of 256 individuals. Descriptive and quantitative research design is used in research. In the first part of there search questionnaire socio-demographic characteristics of the participant savailable. Inthesecond chapter; Meyer and Allen'scommitment measure was developed to measure the level of organizationalcommitment of individuals in 1977. The scale is a Likert-type scale with 5 items with a score of 1 to 5 consisting of 23 items. In the third chapter; The work-family life conflict scale developed by Netenmeyer et al. (1996) was used to measure the levels of work-family life conflicts among employees. This scale of Netenmeyer et al. is a likert type measurement with 6 items, scored from 1 to 6 consisting of 10 items. The cronbach alpha values of the scales are respectively as follows; Loyalty is 0.917, the work-family conflict is 0.946. The data obtained by using theface-to-face survey method in the study were analyzed and interpreted in the SPSS program. Descriptivestatistics, reliability test, t test, variance test and correlation test were applied in thestudy. The health worker sparticipating in there search; 55.5% are male, 44.5% are females. These; 18% is in theagerange of 18-25 years, 61.7% is in the age range of 26-35 years, 20.3% is in theage of 36 years and over. 59% of the health care worker sparticipating in the study were married and 41.0% were single. The education a status ratios of health worker sparticipating in thesurveyare; 28,5% areprimaryschoolandhighschoolgraduates, 23,8% are associate degree graduate sand 47,7% are undergraduate graduates.

Conclusion:According to the results of the research, it is observed that as th econflict of work-family increases, the loyal commitment decreases. Men'sorganizationa lcommitment is also higher than that of women. This is thoughtto be due to the fact that women have both family and job responsibilities. There was no significant difference between marital status and organizationalcommitment. When we look at age, we see organizational commitment is lower than that of people between the ages of 26-35 who are between the ages of 18-25. Organizational commitment is lower for undergraduate graduates of high school graduates.

Keywords

(25)

Relation of Tolerance Levels of Healthcare Manager Candidates to Attitudes Towards Mental Problematic Individuals

Elif Kaya

Suleyman Demirel University/ Health Care Management/elifakkas@sdu.edu.tr

Kevser Sezer Korucu

Suleyman Demirel University/ Health Care Management/ kevser_sezerrr@hotmail.com

Merve Uysal

Suleyman Demirel University/ Health Care Management/merveuysal@sdu.edu.tr

Hilal Demirhan

Suleyman Demirel University/ Health Care Management/hilalhan@e-mail.com.tr

Abstract

Health management is a profession that requires more people to work with people in different cultures and professions than many management positions. In the health system where tragic landscapes are often experienced, the level of burnout is usually high, and the mercilessly tired individuals are employed, each health manager can be a candidate to communicate, work, and manage people with mental problems. In such an environment, it can be said that one of the important qualities that managers need is tolerance. Tolerance; does not mean freedom to the wrong and the bad or regardlessness. Despite the fact that person has the gentle power to disavow an act or situation that he does not approve, does not use it. That is, a human virtue, an ideal procession. Mostly the concepts are related to the anger control and anger levels. tolerance such as patience, stamina, endurance is used synonymously with many concepts.

This study will relate attitudes towards mentally challenged individuals who are likely to face tolerance levels of future health manager. In this context, all the students who are studying under Health Management undergraduate education at a state university are designated as universes and the aim is to reach the whole of the universe as a sample. It is expected that candidates with high level of tolerance and anger control score are related to positive attitudes towards mental individuals.

Keywords:

(26)

Research on The Terminal Period Service Expectances in Individuals

Muazez DEMİR

Suleyman Demirel University/Healthcare Management Department/muazzezdemir@sdu.edu.tr İrem ŞENGÜN

Suleyman Demirel University/Healthcare Management Department/ iremsengunn@gmail.com Ramazan ERDEM

Suleyman Demirel University/Healthcare Management Department/ ramazanerdem@sdu.edu.tr

Abstract

With many developments taking place in the world, life expectancy has been prolonged and active aging has become one of the popular topics. With the aging of the population, there is an increase in chronic diseases, cancer cases and terminal patients. The terminal period is defined as period in which the hope of healing end and the life signs will end in a short time. Palliative care, defined as a set of palliative activities aimed at eliminating all physical, social and spiritual needs of patients in the terminal period and raising the quality of life of the patient; It is a multifaceted service that is offered from the diagnosis of the disease until after the death of the patient. Increased palliative care needs have brought about problems of access to services and expectations of service. In our country, palliative care units have been increased to provide services to terminal patients in hospitals. In these units, it is important to make arrangements in line with the expectations of the staff, patients and their relatives. When we look at the literature, it is observed that patient service providers and the patients and their relatives benefiting from the service are working. There was no study that examined the expectations of the individuals. This makes our study unique. In the study, it was aimed to determine the expectation of terminal period and palliative care of the individuals. With the "Terminal Period Service Expectation Questionnaire", it was tried to determine the expectations of the services that individuals need in this process which is difficult for patients and their relatives. It has been tried to evaluate the expectations of physical, social, psychological, material, spiritual, social and existential problems of terminal patients. The universe of our work is determined as Isparta province center (241,723 populations). It was applied the survey to 300 people with easy sampling method by the researcher. It is in the analysis phase of the survey results. As a result of the analysis, it is expected that individuals expect to have high communication expectations with nurses and doctors in the terminal period.

Keywords:

(27)

The Place of Public - Private Partnership in Turkish Health Services

Yunus Emre Öztürk

Selcuk University, Health Sciences Faculty/Health Management Department/yunemeozturk@gmail.com Merve Banaz

Hacettepe University/Healhcare Management Master Programme/ mrvebnz@gmail.com Ramazan Kıraç

Selcuk University, Health Science Faculty Health Management Department, ramazan46k@gmail.com

Abstract

Public-Private partnership is a financing model, which is known in international area and which has a broad range. It includes every sort of public goods and services that are applicable from hospital to infrastructure, from energy to defense, and from highway to land route. In this model, a partnership is mentioned about, made in order to prevent goods and services and construction works government are going to present from delaying or ending due to budget sufficiency. Here, government includes a private organization, determined with tender, in service presentation. While the private corporate body winning tender is responsible for the construction stage and operation of service, the role of government is to conduct supervisorship of service presentation. Financing model of public-private partnership is also active in health area in our country. Gradually increasing demand to health system brings together many developments with it. Public-private partnership model was first modelled in United Kingdom and planned to be implemented and was also executed in Turkish Health System as “integrated health campuses ”and “city hospitals”, which make a tender and in which all of construction works, and of maintenance – repair, medical support services, and operation of trade areas, made with long term hiring agreement, are transferred to a private organization, This study was carried out to identify what the projects made in the area of health services in the framework of public-private partnership in our country are and at what level they are.

Keywords:

(28)

Cyberloafing in Healthcare Institutions: A Private Hospital Case

İsmail Biçer

Istanbul Arel University, Vocational School/Hacettepe University, Health Management Department/ismailbicer@arel.edu.tr

Abstract

Internet have begun to take place in every aspect of life with the development of technology. The internet have brought some opportunities in the fields of business and education. The widespread use of computers and the internet in business environments and the fact that employees tend to use the internet facilities provided by their workplaces during their work hours for personal purposes. The study aims to, in this context is to determine the health staff’s internet using level and purpose of usage during the working hours. Was conducted through a questionnaire on 96 personnel working in a private health institution in Istanbul. When it is examined, it was found that there wasn’ t significant difference between groups in terms of age, education and job position. But it turns out that there are statistical differences between men and women.

Keywords:

(29)

Determining The Future Expectation of Health Management Students: Selçuk Unıversity Sample

Handan ERTAŞ

Selcuk University, Healthcare Management Department/handanertas@selcuk.edu.tr

Fatma ÇİFTÇİ KIRAÇ

Selcuk University, Healthcare Management Department/ciftcifatma50@gmail.com

Abstract

The aim of this study is to examine the future expectations of Selcuk University Health Management students within the concept of anxiety. Simple random sampling method and quantitative research design were used in the study. The questionnaire used in the research was created by Kaya (2013) and the Cronbach's Alpha value of the questionnaire used was found to be 0.831. The universe of the research was formed in 2016-2017 academic year by the students who were educated in Selcuk University Health Sciences Faculty Health Management Department. The sample size is set to 240. %57.1 of the students who participated in the survey do not believe that they can find a job immediately when they graduate, %73.8 think that those who graduated from their department are difficult to find job, %60.9 think that the education they are receiving is inadequate in the application part. %63.3 of participants who participating in the survey believe that their goals can be achieved, %53.8 believe they will get what they want in the future, and %67.1 believe they will be happy in the future. According to the results of the research, a significant difference was found between future expectant and gender. According to this, the expectation of the men is more positive than the ladies. The expectation at the class level is that the first grade students are more hopeful and the third grade students are desperate.

Keywords:

(30)

Triage Applıcation in Emergency Department

Mehmet Yorulmaz

Selcuk University, Health Sciences Faculty/mtyorulmaz@hotmail.com

Necati Bükecik

necati_bukecik14@hotmail.com

Emel Filiz

Selcuk University, Health Sciences Faculty/ efiliz@selcuk.edu.tr

Abstract

The aim of this study is to evaluate triage applied in determining the priorities of patients referring to emergency department. The data used in this study are the data belonging to emergency department of an education and research hospitalwith over 1000 beds in 2017. These data are drawn from automation system of the hospital and classified in respect of months. In this study, in which retrospective data were used, triage groups are separated by using Excel software. Triage groups consist of three areas. These areas are grouped as Red Area (very risky area ), Yellow Area (medium risky area), and Green Area that is a riskless area. 817,921 patients refereed to the emergency department of the hospital. 273, 959 of them are female patients and 243,962 of them are male patients. Among the male patients, the age group referring the most are in the range of age 45-49. It was identified that the rate of the patients in this age group to the number of total patients was 19.1%. The month, in which the most male patients referred to emergency department, was October with 25,098 people. Only 2.2% of these patients that refer were treated in red area triage group. A part of 86.3 was treated in the scope of yellow area triage. The remaining group of male patients of 11.5% was treated in green area triage group. As a result of the study, the rate of the number of over 65 female patients to total number of patients was found 4.4%. When the patients referring to the emergency department are grouped according to the areas, a part of 12.1% was treated in the green area; 85.3%, in yellow area; 2.6%, in red area, we call very risky area. The rate of children in age group 0-14 years referring to emergency department consists of a part of 28% of all patients Among pediatric patients, the rate of the boys referring to emergency department to a total of pediatric patients was found 56% As a result of the study, as seen, more than a half million people referred to the hospital and received health service. But, only a part of 2.6% was treated in the scope of red area that is very risky group. This case revealed that the conclusion that emergency departments, established to give service to only emergency patients, are not effectively used. To the area, to which the patients, whose health levels are not critical, are referred, a part of 12.1% of a total of those referring to emergency department referred. Although the patients in this patient group do not have very critical health levels, they preferred emergency department to be treated. As a result, it can be said that a part of 12.1 of the resources used in the emergency service is ill- spent or wasted.

Keywords:

(31)

An Analysıs Study On Occupatıonal Health And Safety Of Health Personnel

Hatice Sağcan

Usak University, Vocational School of Health Services/hatice.sagcan@usak.edu.tr Özcan Öney

Usak University, Faculty of Engineering/ozcan.oney@usak.edu.tr Sümeyye Özmen

Usak University, Vocational School of Health Services/sumeyyeozmen@gmail.com

Abstract

In recent years, the health and safety of healthcare workers has become adversely affected in increased manner. 24/7 services of health institutions and the characteristics of the work environment are already a threat. In addition, conditions changing in both public and private sectors day by day have brought more risks for healthcare professionals. Psychosocial risks of stress are also on the agenda with increased working hours, violence tendency of the patient and his / her relatives. Infectious diseases as a result of cutter piercing tool injuries, ambulance accidents, violence and suicide are the preliminary of the events that threaten the workplace safety and security in terms of health personnel. In this study, it was aimed to analyze the causes and consequences of the threats to the occupational health and safety of health personnel, especially doctors and nurses through the news on the internet. It has been tried to reveal a work accident or violence according to topics, the unit, the city and the sector according to the profession of the health personnel. In this study, Qualitative Content Analysis was used. The news in the internet source was examined and analyzed. National news were examined to collect data between the years of 2000-2018 with searching the sites such as google and national sites using the following keywords; "Occupational Health and Safety of Health and Medical Staff " and "Physician and Nurse Injury" and "Physician and Nurse Violence" and " Physician and Nurse Death"and "Health Personnel Injury" and "Health Personnel Infectious Diseases".111 news reports were taken into consideration. A content analysis scheme consisting of 9 questions was applied. A checklist table was created to answer the questions. Each news topic, reason, result was examined separately by three researchers using the generated table, and the results agreed upon by the all researchers were evaluated. The data obtained for the queries were coded. Digitization of qualitative data was frequently used. As a result of the research, it has been seen that many incidents have threaten occupational health and safety of health personnel. Of the 111 news cases investigated, it was determined that 56 of them related to ambulance accidents, 56 of them related to ambulance accidents,37 of them related to violence, 10 of them related to infectious diseases, 2 of them related to fire, 6 of them related to explosion, suicide etc. 68 of the published news belonged to the year of 2017 and later. It was determined that 60 of them were in the emergency aid ambulance of 112 and 12 of them were in the emergency services. It was also determined that 30 physicians, 42 nurses, 29 medical emergency technicians and 12 drivers were affected. Only 3 events were experienced in the private sector; the vast majority were experienced in the public sector; 5 of them in Konya, 5 of them in Ağrı, 5 of them in Istanbul, 5 of them in Samsun and 5 of them in İzmir. Wrong movements in traffic (41), communication problems (15), unethical assault (8), pinning (7), place controversy (4) took part in among the leading reasons. Injuries (77), death (17), minor injuries (5), assault (3) were the results. As a result of the findings obtained, it has been found that the health personnel are exposed to risks such as ambulance accident, violence, infectious diseases intensively and have serious consequences such as death or injury. Necessary precautions should be taken by the health administrators in order to protect the health and safety of the health personnel. It has been proposed to Bureaucrats in the Ministry of Health showing sensitivity to the issue and make some regulatory laws and increase public sanctions.

Keywords:

(32)

A Study to Determine The Attitudes of Nurses to Glass Ceiling Syndrome

Kevser Sezer Korucu

Suleyman Demirel University/Health Care Management/kevser_sezerrr@hotmail.com Merve Uysal

Suleyman Demirel University/ Health Care Management/ merveuysal@sdu.edu.tr