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Öğe Determining Breast Cancer Treatment Costs Using the Top Down Cost Approach(Aves, 2019) Tekin, Rukiye Numanoglu; Saygili, MeltemObjective: Breast cancer is the most common type of cancer among women in Turkey, with approximately 15.000 breast cancer diagnoses each year. In this study, our goal was to determine annual direct medical costs of all breast cancer patients in Turkey with top down cost approach. Materials and Methods: Data regarding patients who have been diagnosed with breast cancer and received health services from any hospital in Turkey in 2014 were used for the purpose of the study. Data were obtained from the MEDULA System for a total of 126.664 patient. Treatment of costs of patients were calculated based on types of patient admissions (inpatient/outpatient/intensive care) and costs of drugs and medical equipment. Indirect costs and out of pocket costs were not included. Results: Total medical costs of 126,664 patients was calculated as $116.792.107,9, with an average treatment cost per patient of $922,1. Based on types of patient admission, intensive care treatment had the highest average cost with $2.916.5. In metastatic breast cancer patients, average annual treatment cost per patient is $2.326,6, which is 2.8 times higher compared to non-metastatic breast cancer patients. Conclusion: In order to ensure effective resource allocation at micro and macro level, healthcare administrators have to learn costs of diseases with high incidence such as breast cancer. Results obtained from studies on disease costs calculated using the top down cost approach provide data on actual health services use and therefore are seen as important tools for healthcare administrators in terms of effective resource allocation.Öğe Effect of Organizational justice on Work Engagement in Healthcare Sector of Turkey(Sage Publications India Pvt Ltd, 2017) Ozer, Ozlem; Ugurluoglu, Ozgur; Saygili, MeltemWork engagement is a concept that reflects a positive way of thinking that relates to commitment and involvement to one's organization, his/her enthusiasm and energy. In relevant literature there is a wide range of studies focusing on the relation between work engagement and a set of variables. Thus this study was executed to analyze the effect of organizational justice on work engagement. Implementation stage of the research was conducted on healthcare personnel working in a state hospital in Turkey and data were collected from 414 healthcare employees. Conducted analyses revealed that the correlations between subdimensions of organizational justice and work engagement were positive and in medium level. In the regression analysis which was implemented to measure the effect of subdimensions of organizational justice on work engagement it was identified that subdimensions of organizational justice perception in tandem explained 33 per cent of total variance. It can thus be claimed that climbing organizational justice perception increases in turn in a statistically significant way the work engagement level of the personnel. As regards work engagement, the most significant effect was created by procedural justice subsequently followed by distributive and interactional justice.Öğe An evaluation of the cost-effectiveness of the different palliative care models available to cancer patients in Turkey(Wiley, 2019) Saygili, Meltem; Celik, YusufBackground Three different models are commonly used to provide palliative care services to cancer patients in Turkey: comprehensive palliative care center (CPCC), hospital inpatient services (HIS) and home healthcare (HHC). Objectives The purpose of this study was to evaluate the cost-effectiveness of three alternative palliative care models for cancer patients. Methods The study included a total of 160 patients diagnosed with cancer (CPCC:60, HIS:59, HHC:41). The patients' quality of life and their levels of satisfaction were used as the indicators of effectiveness, while direct and indirect costs incurred by service providers, patients and relatives were considered in estimating the costs of alternative models. The cost and effectiveness of the alternatives compared the "patient perspective" and "societal perspective" separately. Results From a societal perspective, palliative care services provided the HIS model was found to be more cost-effective than the CPCC model. From a patient perspective, HHC was found to be more cost-effective compared to the other two models. Conclusions This study has the potential to provide substantial evidence to health managers and decision-makers with respect to health planning and the formulation of social security policies in Turkey.Öğe Exploring the impacts of personal factors on self-leadership in a hospital setting(Wiley-Blackwell, 2015) Ugurluoglu, Ozgur; Saygili, Meltem; Ozer, Ozlem; Santas, FatihSelf-leadership may be defined as a self-effecting process that individuals experience by maintaining the motivation they require for fulfilling their roles and duties. The self-leadership process comprises three key strategies: behaviour-oriented strategies, natural reward strategies and constructive thought pattern strategies. What is intended herein is to inquire about the implementation of self-leadership within organisations and to examine the effects of such variables as age, gender, total terms of employment, marital status and education on self-leadership strategies. The primary data collection instrument was a survey distributed to 450 personnel working at a state hospital in Krkkale, Turkey, and feedback thereto was received from 308 (68.4%) of those surveyed. As a result of the findings taken from the analyses, age, total terms of employment and receipt of education in leadership affect the use of self-leadership strategies. Although age and total terms of employment display a negative-directional correlation with the self-leadership strategies, female employees and those who receive education in leadership are more inclined towards self-leadership strategies. Copyright (c) 2013 John Wiley & Sons, Ltd.Öğe Hospital Food Waste Trends: A Bibliometric Analysis(Prince of Songkla University, 2025) Mu’awanah, Hafidlotul; Ulfa, Maria; Rajikan, Roslee; Saygili, Meltem; Akca, NesrinObjective: Food waste in hospitals has a significant impact on environmental sustainability. The effect of food waste includes the potential for pollution, eutrophication, and global warming, all of which are highly destructive to the Earth’s ecology. This study aims to determine the trends of hospital food service based on hospital waste to achieve a sustainable hospital. Material and Methods: This study examined 137 articles from the Scopus database using the descriptive-analytic method. The records issued between 2018 to 2022 that were gathered based on the keywords “hospital,” and “food,” and “waste” were used in this exploration investigation. Results: The result indicated that the three-year (93 papers) analysis trend of hospital food waste has been toward developing sustainable hospitals. The top three keywords are waste (3.3%), food (3.09%), and hospital (2.06%). The hospital food waste was positively associated with the food, food service, and hospital assessment, with correlation values ranging from 0.76 to 0.85 (p-value?0.70). The cluster’s themes on hospital food were waste food contamination (36.13%), environmental sustainability (34.45%), and hospital food services (29.4%). Conclusion: Addressing hospital food waste is crucial for achieving sustainable hospital development. Managing food waste is essential to achieve sustainability in hospitals as it produces the highest amount compared to other sectors. © 2024 JHSMR. Hosted by Prince of Songkla University. All rights reserved.Öğe The impact of work alienation on organizational health: A field study in health sector(Routledge Journals, Taylor & Francis Ltd, 2019) Ozer, Ozlem; Ugurluoglu, Ozgur; Saygili, Meltem; Songur, CumaThis study aims to examine the impact of work alienation on organizational health. The implementation of the research is conducted on the nurses and physicians working in a public hospital and the data collected from 388 people are evaluated. As a result of the analyses carried out, work alienation's subdimensions and correlations with organizational health are moderate in the negative direction and the subdimensions of perception of work alienation explain the 21.5% of total variance on organizational health. When the test results of regression coefficient significance in the regression model are analyzed, increasing levels of powerlessness and self-estrangement of the participants decrease the perception of organizational health statistics. Order of relative importance predictor variables on the organizational health level is such as powerlessness, self-estrangement, and meaninglessness.Öğe The effect of patient empowerment on patient activation level: A review of individuals with cardiovascular diseases(SAGE Publications Ltd, 2023) Düzel, Barış; Saygili, Meltem; Özer, Özlem; Zubaroğlu Yanardağ, MelekObjectives: The aim of this study is to examine the effect of patient empowerment on patient activation level in individuals with cardiovascular diseases. Methods: The population of the study is adult individuals receiving inpatient treatment in the Cardiology clinic of a city hospital operating in Turkey. In the study, convenience sampling method was applied, and a questionnaire was conducted from 543 patients. Results: As a result of the analyses made in the study, positive and low correlations were detected between the patient empowerment scale sub-dimensions and the patient activation level. According to regression analysis results, it was identified that the patient empowerment sub-dimensions together accounted for 6.4% of the total variance on the patient activation level, and the increase in the ‘knowledge and understanding’ levels of the patients statistically increased their perceptions of the patient activation level. Discussion: The results show that by providing patient empowerment in individuals with chronic diseases, their active participation can be increased in the treatment processes and consequently in the chronic disease management. © The Author(s) 2023.Öğe The relationship between the perception of chronic disease care and health-related quality of life in adults with chronic kidney disease(Sage Publications Ltd, 2022) Akca, Nesrin; Saygili, Meltem; Ture, Aysun Kandemir[Abstract No tAvailable]Öğe TRUST IN THE HEALTHCARE SYSTEM AND SOCIAL CORONAVIRUS ANXIETY; A STUDY IN THE TURKISH SOCIETY(Dokuz Eylul Univ Inst Health Sciences, 2022) Saygili, Meltem; Tekin, Rukiye NumanogluPurpose: The aim of this research is to determine the level of trust in the healthcare system and coronavirus anxiety of the Turkish society during the COVID-19 pandemic. Methods: To obtain the data; Multidimensional Trust in Health-Care Systems Scale (MTHCSS) and Coronavirus Anxiety Scale (CAS) were used. The research was carried out with 1185 people living in Turkey between August and September 2020, using an online questionnaire. Two-Sample Independent TTest, One-Way Analysis of Variance (ANOVA) and correlation analysis were used in the analysis of the data. Results: It was determined that the mean scale scores of the participants the MTHCSS was high (59.06 +/- 13.76) and the mean score of the CAS was (1.86 +/- 3.30) low. Analyses carried out; showed that there are significant statistical differences between gender, presence of chronic disease, working status and compliance with the measures taken, trust in the healthcare system and coronavirus anxiety (p< 0.05). In Addition, the correlation analysis performed showed that there is a weak negative relationship between trust in the healthcare system and social coronavirus anxiety. Conclusion: The results showed that the Turkish society trusts their healthcare system. This makes think that the struggle given under the pandemic conditions is well managed by the Turkish healthcare system.
