This study defines key issues for sustainable healthcare policy in COVID-19 period. For this purpose, 9 different criteria that affect vaccine hesitancy are selected with the help of a detailed literature evaluation. A novel hybrid fuzzy decision-making model is developed using DEMATEL and TOPSIS based on q-Rung orthopair fuzzy sets. A comparative evaluation has also been performed using IF DEMATEL and PF DEMATEL. The results of all different methods are almost the same that indicates the reliability and coherency of the proposed model. The findings demonstrate that religion is the most critical factor that causes vaccine hesitancy. It is also defined that active population in daily life is the most important alternative. Developing countries should mainly focus on the actions regarding the religious issues to have sustainable healthcare policies in COVID-19 period. In this context, religious leaders can be released to the media and give information that the vaccine is not against religious rules. This has a significant contribution to convince people who are against the vaccine. Furthermore, these countries should also give priorities to the active population in daily life. Because this group supports the workforce in the country very seriously, it can be possible to increase the workforce in the country by completing the vaccination of this group that helps to boost economic development.
The purpose of this study is to develop health tourism strategies in order to get more share of the international market. In this scope, firstly the negatives for health tourism of Turkey are examined by researching literature. Then a fuzzy AHP (Analytic Hierarchy Process) method was employed in the study. The decision-making group consists of the health tourism and management and strategy experts of hospital and university who have at least twelve years of experience. According to analysis findings, decision makers primarily chose the subjects of Insufficient legal sanctions for faulty applications, lack of coordination with agencies and insurance companies abroad and insufficient number of physicians and health personnel who can speak a foreign language and qualified. For increasing market share of Turkey on health tourism priority strategies can be as follows; legal regulations should be made that are comprehensive, future-oriented and protect all stakeholders, including important organs of the public and private sector and complication insurance may be required, in order to ensure the coordination of national and international stakeholders, the conference, fairs and events should be increased and each stakeholder should be taken into account, and finally in order to increase the foreign language skills of physicians and healthcare personnel, it is necessary to cooperate with Ministry of Health, Ministry of National Education and Universities.
Bu çalışmada Yozgat, Isparta, Adana ve Mersin Şehir Hastanelerinin iyi uygulama örnekleri ile ilgili öne çıkan tema, kategori ve kodların tespit edilmesi amaçlanmıştır. Mevcut şehir hastaneleri bünyesindeki iyi uygulama örneklerinin gelecekte açılacak olan diğer şehir hastanelerine yol göstermesi sağlanırken, süreçlerin iyileştirilmesi, sürdürülebilirliğin ve yönetilebilirliğin sağlanması adına şehir hastaneleri yöneticilerine de fayda sağlaması hedeflenmektedir. Nitel bir araştırma yöntemlerinden yüzyüze derinlemesine görüşme tekniği kullanılarak 2018 Nisan – Temmuz ayları arasında Şehir hastanelerinin üst ve orta düzey çeşitli pozisyonlarda görev yapan toplam 18 yönetici ile yaklaşık 830 dakika süren görüşmeler gerçekleştirilmiştir. Veriler katılımcılarla yarı-yapılandırılmış görüşme formu aracılığıyla toplanmıştır. Görüşme formunda yer alan sorular yedi tema altında toplanmıştır. Çalışmanın temalarını tesis yönetimi, insan kaynakları yönetimi, otelcilik hizmetleri yönetimi, tedarik zinciri yönetimi, yönetişim uygulamaları, hasta güvenliği uygulamaları ve elektronik sağlık kaydı temelli katma değerli uygulamalar oluşturmaktadır. NVIVO 12.0 nitel analiz programında her bir tema ayrı ayrı değerlendirilerek içerik analizi tekniği ile çözümlenmiş; kategori ve kodlar belirlenmiş, şehir hastanelerinde kullanılan iyi uygulamalar ortaya çıkarılmıştır. Sonuç olarak, Türkiye’de açılmış ve açılması planlanan şehir hastanelerinde yaşanması muhtemel problemlerin iyi uygulama örnekleri ile minimuma indirgenebilmesi için diğer hastanelere yönetsel fonksiyonlar ve sağlık bilişimi gibi temel konularda yol gösterici nitelikte olacak bulgulara yer verilmiştir. Nitel analiz sonucu elde edilen bulgular tartışılarak yorumlanmıştır.
This study is a field study conducted in order to determine the relationship between some variables related to professional competence levels and professional perception and attitudes of religious officials working in the religious services class within the Presidency of Religious Affairs. The personal information form prepared for this purpose was applied to 433 religious officials working in Bilecik Provincial and District Mufti Offices on August 2018-November 2018.SPSS v22.0 package program was used in the statistical analysis of the data obtained in the study. In the analysis of the data, descriptive statistics such as frequency analysis, T (Student) and F (Variance) tests, arithmetic mean, standard deviation, and percentage were used. Analysis was used.As a result of the research; the level of professional competence of the professors, the satisfaction of the profession and the place of duty, the status of whether or not they like to do the job, whether they are sufficient in terms of professional knowledge and skills, and if there are appropriate conditions, there is a significant difference according to the situation of thinking about leaving the profession p <0.05; the level of professional competence of those who are not satisfied at the place of duty and those who are slightly satisfied is quite low compared to those who are satisfied with the place of duty, the occupational competency levels of those who partially enjoy their profession are lower than those who enjoy the profession completely, the level of professional competence of those who indicate that they are sufficient in terms of professional knowledge and skills is higher and that the proficiency levels of those who declared that they could leave their profession in case of suitable conditions were lower than the others.
Bu çalışmanın amacı üniversite öğrencilerinin Covid-19'un kontrolüne ve aşısına yönelik algı ve tutumlarının incelenmesidir. Ayrıca öğrencilerin bölümlerine, sağlık eğitimi alma durumlarına ve çevresinde Covid-19 vakası olma durumlarına göre de algı ve tutumları arasındaki farklılıklar incelenmiştir. Araştırmanın evrenini bir vakıf üniversitesindeki 730 öğrenci; örneklemini ise %95 güven aralığı esas alınarak 304 öğrenci oluşturmaktadır. Değişkenler arasındaki farklılıklar bağımsız örneklem T testi ile analiz edilmiştir. Araştırma bulgularında, öğrencilerin aşıya yönelik tutum ortalamaları 3,09±0,68; kontrol algı ortalamaları ise 2,82±0,53 olarak tespit edilmiştir. Öğrencilerin bölümlerine ve sağlık eğitimi alma durumlarına göre Covid-19 pandemisine yönelik kontrol algıları ve Covid-19 aşısına yönelik olumlu tutum alt boyutunun anlamlı olarak farklılık gösterdiği (p<0,05); olumsuz tutum alt boyutuna ve çevresinde Covid-19 tanısı konulan hasta olma durumuna göre ise istatistiksel olarak anlamlı bir farklılık göstermediği tespit edilmiştir. (p>0,05). Sonuç olarak; İnsan Kaynakları Yönetimi bölümü öğrencilerinin hastalığa karşı bilincinin artırılması ve aşılama karşıtı tutumlarının köreltilmesi için sağlık bilgisine olan ihtiyacı aşikardır. İnsan Kaynakları Yönetimi müfredatına sağlık bilgisi ve hastalık yönetimi ile ilgili dersler eklenebilir. Öğrenciler için bağışıklamaya yönelik eğitim, sempozyum ve paneller düzenlenebilir. Bunlar yardımıyla aşılamaya karşı asılsız bilgi kirliliği ortadan kaldırılmalı ve öğrenciler aşılamaya özendirilmelidir.
Introduction The use of forklift trucks during work has a high accident potential. The aim of this study is to describe injury patterns, treatment and outcome after forklift truck accidents in the context of the employersʼ liability insurance association. Methods Retrospective data collection of all cases between 2004 and 2019. Excluded were patients < 18 years, without follow-up or with definitive external treatment. Trauma mechanism, injury patterns and distribution, treatment, complications, time of incapacity for work, return to work and impairment of earning capacity were recorded. Results Of 109 patients with 110 injuries, 52.7% showed isolated injuries and 47.3% combined injuries, which affected the lower extremity in 95 cases. There were fractures in 85.5%, including 32.7% in open form. The mean length of stay was 29.1 days (range 1 – 129); an indication for surgery was seen in 80.9%. Surgical treatment required an average of 3 interventions, with significantly more operations for soft tissue closure than for the fractures (p ≤ 0.023). Amputations were necessary in 8 cases; complications occurred in 29.1%. Return to work was possible in 90%, after a mean period of incapacity for work of 33.6 weeks. A total of 40% showed a pensionable impairment of earning capacity. Conclusion Accidents with forklift trucks result in complex lower extremities injuries with the need of multi-stage treatment and show relatively high complication rates. A return to work is often possible after a long period of convalescence, and a pensionable impairment of earning capacity often persists.
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