Health services management in Turkey: Failure or success?

Bener, Abdulbari; Alayoğlu, Nihat; Çatan, Funda; Torun, Perihan; Yilmaz, Esra Safak

doi:10.4103/ijpvm.ijpvm_422_17

Cited by 11 publications

(24 citation statements)

References 20 publications

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“…This was supported by Srivastava K 2009, who confirms the strong association between urbanization and mental disorders. On the other side, this was inconsistent with a study from Turkey done by Demirbag et al 2017 on the evaluation of the life quality of workers in a cement factory, and found that there was no effect of residence on life quality of the studied workers, this could be explained by the efforts done by ministry of health in Turkey to reach the equity in health services in all areas (urban and rural) thus affecting behavior disorders (Bener et al 2019).…”

Section: Discussioncontrasting

confidence: 67%

Detection of Stress among Workers in a Cement Factory

Elkhayat

Mohamed

Ezzeldien

et al. 2020

Egypt. J. Occup. Med.

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Introduction: Stress is one of the most important work-related psychological health problems. Occupational stress is defined as harmful physical and emotional responses incurred in work environment. Recently, researches focused more on the impact of the psychosocial work environment on health more than physical hazards in the workplace. As a lot of economic problems can result from mental problems among workers such as raising absenteeism, decrease productivity, expensive treatment and labor compensation claims. Aim of work: To study the stress condition among workers in a cement factory in Upper Egypt, and to detect vulnerable workers for stress. Materials and methods:A cross-sectional study was performed included 86 workers from main four departments (quarry, production, packing and maintenance). Pre-designed questionnaire was answered, including personal and occupational histories and specific questions to assess stress; extracted from Job Stress Questionnaire (JSQ), which was created in a study specially made by Japanese Ministry of Health, Labor and Welfare. Persons with a total score for physical stress response of 25 points or more are considered to have physical stress response. Results: The current study showed that nearly half of the studied group was current smokers, 22 % worked as farmers in their weekend, 95 % of workers were categorized in low physical job stress response. The mean of job stress score of all studied workers was 14.9 ±4.8, recording highest score 32 and lowest score 11. However, when comparing the job stress difference among workers according to different characteristic; there was statistically significant relationship between job stress and department distribution, duration of exposure, presence of respiratory complains and residency (p< 0.05).Conclusion: Nearly most of the studied workers (95 %) were categorized among low job stress group. However the most vulnerable groups for stress were maintenance workers, workers with respiratory complains, workers with high duration of exposure "more than 20 years", workers resident in urban areas, and supervisors.

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Section: Discussioncontrasting

confidence: 67%

Detection of Stress among Workers in a Cement Factory

Elkhayat

Mohamed

Ezzeldien

et al. 2020

Egypt. J. Occup. Med.

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“…Additionally, despite developments in recent years, health referral system cannot function properly in Turkey. 39 Such reasons make it easier for patients to reach the hospital and choose to die in the hospital.…”

Section: Discussionmentioning

confidence: 99%

Place of Death of Geriatric Population in Turkey: A 7-Year Observational Study

et al. 2021

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Background End-of-life care has become an important public health issue in recent years. Place of death is a major component of end-of-life care. Despite attempts to improve end-of-life care, there has not been published any data about place of deaths in Turkey. Aim: This retrospective, cross-sectional study investigates the place of death and trends over the years in geriatric age groups in Turkey. Methods: Patients who were admitted to geriatric outpatient clinic of a university hospital during a 7-year period were included. Place and date of death information were received from the death notification system and recorded as hospital or out-of-hospital death. Demographic and clinical data were collected from the hospital information system. Deaths occurring after March 1, 2020 were not included to eliminate the effect of coronavirus disease-2019 pandemic. Results: A total of 4025 (20.7%) patients were determined to be dead. Approximately three-quarters of deaths (73.0%) occurred in hospital. The number of deaths reported from nursing homes was only 13 (3.0%). Patients with dementia less frequently died in hospital, however, it was not statistically significant (12.4% vs 14.7%, P = .05). The prevalence of death in hospital was significantly higher in patients with chronic renal failure (3.1% vs 1.7%, P = .02). The presence of comorbid conditions such as heart failure, cerebrovascular disease, Parkinson's disease, chronic obstructive pulmonary disease/asthma, and cancer did not affect the place of death ( P = .24, .21, .24, .51, and .18). Out-of-hospital mortality increased with advanced age ( P < .001). No significant difference was found in the place of death over the years ( P = .41). Conclusion: To the best of our knowledge, this is the first study examining the place of death in Turkey, an aging country. Our results may help to establish policies about end-of-life care in elderly people to improve quality of life by using resources effectively.

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“…A study conducted in that country suggested the need for specific methods to control costs, improve cost-efficiency, and monitor the impact of spending on health (33). Also, the need for physicians in urban health centers and the importance of pre-service and in-service training have been shown in similar studies (34,35). Contrary to our results, an investigation conducted in Canada rated physicians' clinical performance as good to excellent without the need for retraining and acquiring skills (36).…”

Section: Discussionmentioning

confidence: 94%

Explaining the Role of Physicians in Urban Comprehensive Health Service Centers After Implementing Health Transformation Plan in Southeast of Iran: A Qualitative Study

Shahabianmoghaddam

Baygi

2022

Health Scope

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Background: Health transformation plan (HTP) in Iran was established in 2014 to promote primary health care through expanding and strengthening the first level of services in urban and rural areas. The activities of physicians and their colleagues in comprehensive health service centers have increased access and improved community health. Conducting various studies on the urban physicians’ roles can help policymakers achieve the goals. Objectives: This study aimed to explain the role of physicians working in urban, comprehensive health service centers after implementing the HTP. Methods: Participants in this qualitative study consisted of physicians, healthcare providers, managers, and experts, working in urban health centers selected by a purposive sampling method. The data were collected by semi-structured interviews. After data saturation, they were analyzed by conventional content analysis. Results: After interviewing 35 people and several stages of review, coding, and using the experience of experts, the data were classified into six main categories, 11 subcategories, and 33 codes. Factors influencing the role of physicians were service delivery, electronic health records, resources, community culture, monitoring, supervision, and practical suggestion. The participants expressed the workload, referral system, integrated electronic health record, financial resources, human resources, equipment, and public participation as some aspects related to the role of physicians. Conclusions: Based on the current study, human and financial resources should be managed to retain the physicians in this plan. In addition, increasing the quality of services, improving electronic health records, and attention to public culture can be considered.

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Health services management in Turkey: Failure or success?

Cited by 11 publications

References 20 publications

Detection of Stress among Workers in a Cement Factory

Detection of Stress among Workers in a Cement Factory

Place of Death of Geriatric Population in Turkey: A 7-Year Observational Study

Explaining the Role of Physicians in Urban Comprehensive Health Service Centers After Implementing Health Transformation Plan in Southeast of Iran: A Qualitative Study

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