Bu çalışmanın amacı, Türkiye'de Sağlık Bakanlığı tarafından oluşturulan 30 Sağlık Hizmet Bölgesinin (SHB) performanslarının değerlendirilmesidir. Yöntem: SHB'lerin performansının değerlendirilmesi amacıyla Veri Zarflama Analizi (VZA) kullanılmıştır. SHB'lerin etkinlik skorları girdi yönelimli olarak CCR ve BCC modellerine göre hesaplanarak karşılaştırılmıştır. Bulgular: CCR modeli sonuçlarına göre 30 SHB içerisinde 12 tanesi etkin, 18 SHB etkin değildir. Etkin olmayan SHB'ler içerisinde etkinlik skoru en düşük olan SHB 0,7660 ile Malatya, Elâzığ, Bingöl ve Tunceli'nin yer aldığı 4. SHB'dir. BCC modeli sonuçlarına göre ise etkin SHB sayısı 21 iken 9 SHB etkin değildir. CCR modeline göre genel etkinlik skor ortalaması 0,9498 iken, BCC modelinde 0,9769 olarak hesaplanmıştır. Her iki modelde de en düşük etkinlik skoruna sahip olan 4. SHB'nin etkin olabilmesi için CCR modeline göre yatak sayısının %39,86, pratisyen hekim sayısının %25,26, uzman hekim sayısının %25,34, hemşire/ebe sayısının ise %39,17 oranında azaltılması gerekmektedir. Özgünlük: Sağlık bölge planlaması yapısının amacına ulaşması için mevcut durumlarının değerlendirilmesi önemlidir. Literatür incelendiğinde SHB'lerin performansını değerlendiren bir çalışmaya rastlanmamıştır.
Drugs are an integral part of the health system, and our health. Rational drug use improves the quality of life and contributes the better health of society. Irrational use of drugs has a significant share in health spending. This study has been conducted to determine the approaches of Ankara University Faculty of Health Sciences' students about rational drug use. 2842 students studying in six departments in Ankara University Faculty of Health Sciences in the 2017-2018 academic years constitutes the universe of the research. The participants have been selected by stratified random sampling method. Data have been collected from 1102 volunteers. The research has been conducted by face-to-face survey method. Literature review on rational drug use and expert opinions have been used in order to create the survey. The data obtained from the study show that students have positive attitudes, but still have not known appropriate information and safe practices entirely in drug use. This study emphasizes the need to improve students' awareness and behaviour.
Mushroom management style is an approach that is based on the metaphor of mushroom cultivation, where employees are provided only with resources related to their jobs and no other information is shared. This management style affects employees in many ways such as performance, job satisfaction and organizational commitment. The aim of this study is to determine the level of exposure of research assistants to the mushroom management style in their institution and to examine the relationship between mushroom management perceptions and organizational commitment. The population of the study consists of 152 research assistants working in the health management department of public and foundation universities in Turkey. A questionnaire was used as the data collection tool, and the analyses were conducted on the data of 103 research assistants who completed and returned the questionnaires. Based on the findings, it was concluded that the mushroom management perceptions and organizational commitments of the research assistants in the health management department were at a moderate level. In addition, a weak negative relationship was found between their mushroom management scores and organizational commitment scores. Thus, it was concluded that the more positive mushroom management perceptions are, the lower the organizational commitment is. The findings of the study are important for determining the potential effects of mushroom management perceptions at universities.
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