Kamu Hastaneleri̇ Bi̇rli̇ği̇ Yapilanmasinin Sağlik Hi̇zmeti̇ Sunum Süreçleri̇ne Etki̇si̇ni̇n Yöneti̇ci̇ Ve Çalişan Açisindan Değerlendi̇ri̇lmesi̇

Bostan, Sedat; Ağaç, Gökhan

doi:10.22139/jobs.483566

Cited by 2 publications

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“…The findings of this study are parallel to those by Bostan (2009), specifically in the context of merger of public hospitals, implementation of general health insurance coverage and the importance accorded to quality and accreditation. In a study conducted with health care professionals and hospital managers, the following points were reported: there was a positive change with the implementation of public hospital associations, there was an increase in patient satisfaction, and effective and in situ management became more prominent while health care workers were not able to get enough share from the transformation (Bostan & Ağaç, 2019).…”

Section: Discussionmentioning

confidence: 99%

Effects of organisational restructuring of hospitals on nurses

2020

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In the last quarter century, there have been worldwide changes in the way public institutions operate and are organised. These changes have impacted government staffing and employment strategies, and personnel promotion and evaluation approaches. Health care policies and the governments' roles and responsibilities in health care were transformed in the process, as much as the changes in the understanding of the public and the staffing system were reflected in the field of health care (Özkal Sayan & Küçük, 2012). In addition to these changes, health reforms that occurred due to demographic changes, technological developments, increased expectations, financial pressures and improved health have been implemented or, at least, discussed in almost all countries (Bostan & Çiftçi, 2016). Within this scope, the Turkish Ministry of Health (MoH) implemented health reforms under the name of Transformation in Health Program in 2003, leading to significant changes in the health care system (Bostan & Ağaç, 2019). Ever since, a rapid transformation has

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Section: Discussionmentioning

confidence: 99%

Effects of organisational restructuring of hospitals on nurses

2020

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“…Public hospital unions (PHUs) were established in 2012, and the public hospitals a liated were reorganized as autonomous under the umbrella of PHUs. However, since PHUs were not well managed and multi-headedness emerged [43], they were abolished by a decree law in 2017, and hospitals were reassigned to provincial health directorates. Other regulations implemented within the scope of HTP were the "integrated health campuses" and "city hospitals" projects based on the public-private partnership model.…”

Section: Turkish Health Sector Reforms: 2000-2021mentioning

confidence: 99%

Measuring Efficiency of Public Hospitals Under the Impact of Covid-19 in Türki̇ye

SÜLKÜ,

Mortaş,

Küçük

2023

Preprint

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The Covid-19 pandemic has had serious medical, administrative and financial effects on the health system and hospitals around the world. In Türkiye, compared to 2019 realizations, in 2020 and 2021 respectively there were 39% and 21% decrease in the number of outpatient services and 29% and 17% decline in total inpatient services of public hospitals. The main subject of this research is how the pandemic period affects the Turkish public hospitals’ efficiency. We have measured the technical efficiency of outpatient and inpatient care services of Turkish public hospitals using Stochastic Frontier Analysis (SFA). The dataset includes 563 hospitals for the years 2015 through 2021. Inputs of number of physicians, nurses and other medical staff, and number of beds and their interactions with each other are introduced to the SFA models of outputs of outpatient visits and inpatient discharges adjusted with case mix index are derived. Firstly, we found that the years associated with Covid-19 have a significant negative impact on the inpatient service efficiency. Training and Research and City Hospitals have low efficiency scores in outpatient services but high efficiency scores in inpatient services. In addition, the regions with high population rates have positive impact in outpatient efficiency and negative impact in inpatient efficiency. During the pandemic, city hospitals, have received large investments, gained a key role by increasing both the patient load and their efficiency. Future reforms can be guided by taking advantage of the efficiency differences of hospitals in different environmental factors. JEL Codes: D22, D24, I11, I180

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Kamu Hastaneleri̇ Bi̇rli̇ği̇ Yapilanmasinin Sağlik Hi̇zmeti̇ Sunum Süreçleri̇ne Etki̇si̇ni̇n Yöneti̇ci̇ Ve Çalişan Açisindan Değerlendi̇ri̇lmesi̇

Abstract: çalışmada kamu kurumlarındaki stratejik yönetim çalışmalarının örgüt içindeki güç örüntüsünü hangi güç alanları ve kaynakları üzerinden şekillendirdiği sorusuna cevap aranmaktadır.

Cited by 2 publications

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Effects of organisational restructuring of hospitals on nurses

Effects of organisational restructuring of hospitals on nurses

Measuring Efficiency of Public Hospitals Under the Impact of Covid-19 in Türki̇ye

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