Sağlık hizmetleri arzında defansif tıp ve hekimlerin karar verme algısı
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Tarih
2019
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info:eu-repo/semantics/closedAccess
Özet
Amaç: Bu çalışmada, sağlık hizmetleri arzında defansif tıp ve hekimlerin karar verme algılarıarasındaki ilişkinin incelenmesi amaçlanmıştır.Gereç ve Yöntem: Araştırma, Konya ilinde 4 özel hastenede görev yapmakta olan hekimler üzerindeuygulanmıştır. Nicel araştırma deseni kullanılan araştırmaya 32 kadın 70 erkek olmak üzere toplam 102 hekimkatılmıştır. Araştırmada örneklem grubunun oluşturulmasında kolayda örneklem yöntemi, verilerintoplanmasında ise anket tekniği kullanılmıştır. Çalışmada demografik bilgileri içeren “kişisel bilgi formu”kullanılmıştır. Hekimlerin karar verme algılarını ölçmek için Scott ve Bruce (1995) tarafından geliştirilenTaşdelen (2002) tarafından Türkçeye uyarlanan Karar Verme Stilleri Ölçeği ile birlikte hekimlerin defansif tıptutumlarını ölçmek amacıyla Başer ve Ark. (2014) tarafından geliştirilen Defansif Tıp Tutum Ölçeğikullanılmıştır.Bulgular: Araştırmaya katılan hekimlerin %31,4’i kadın, %68,6’sı erkektir. Katılımcıların %39,2’si 35-44 yaş aralığındadır. Çalışılan birimlere baktığımızda hekimlerin çoğu %44,1 ile dahili birimlerdeçalışmaktadır. Katılımcıların %60,8’i 11 yıl ve üstü süre hekimlik yaptığı görülmüştür. Çocuk sayısıincelendiğinde %39,2’inin 2 çocuk sahibi olduğu görülmüştür. Karar verme ile defansif tıp arasındanegatif yönde düşük düzeyde anlamlı bir ilişki tespit edilmiştir. Hekimlerin karar verme ile defansif tıp tutumlarıarasındaki ilişki incelenmiş ve sonucunda karar verme stilleri ile defansif tıp arasında negatif yönde düşükdüzeyde anlamlı bir ilişki tespit edilmiştir (r-,229; p0,05). Defansif tıp ile karar verme puan ortalamaları ilecinsiyet ve medeni durum değişkenleri arasında bağımsız gruplarda t testi analizi yapılmış ve anlamlı farklılıkgörülmemiştir. Çalışmamıza katılan hekimlerden “Hekimlik mesleğiniz sürecinde malpraktis nedeni ile davaaçıldı mı” sorusuna 13 hekim (%2,7) evet cevabını verirken, 89 hekim (%87,3) hayır cevabı vermiştir. Defansiftıp uygulamaları kavramının içeriği konusunda yeterli bilgiye sahip misiniz? sorusuna 56 hekim (%54,9)“hayır” cevabını vermiştir.Sonuç: Araştırmamızın sonuçlarına göre hekimler defansif tıp konusunda yeterli bilgiye sahip değildirve defansif tıp davranışı gösterme eğilimleri fazladır.
Objective: The aim of this study was to investigate the relationship between defensive medicine and thedecision-making perceptions of physicians in the supply of health services.Materials and Methods: In this study, four different private hospitals in the province of Konya wereapplied to the prescribing physicians. Using qualitative research design, 102 physicians, 32 females and 70males, participated in the study. Sampling method was used to create the sample group and the survey techniquewas used to collect the data. In the study, ‘personal information form’ containing demographic information wasprepared. In order to measure the perception of physicians' decision making, the Decision-Making Styles Scale,which was developed by Scott and Bruce (1995) and adapted by Taşdelen (2002) was used. Defensive MedicalAttitude Scale, which was developed Başer et al. (2014) was used.Results: Of the participating physicians, 31.4% were female and 68.6% were male. 39.2% of theparticipants were in the 35-44 age range. Considering the units studied, most of the physicians work in internalunits as 44.1%. It was observed that 60.8% of the participants were doctors with the experience of 11 years ormore. As far as the parentage rates are concerned, it is found that 39.2% have 2 children. A negative low ratecorrelation was found between the decision making and defensive medicine. The relationship between thedecision making and defensive medicine attitudes of physicians was examined and as a result, there was a lownegative correlation between decision-making styles and defensive medicine (r -. 229; p0.05). T test analysiswas performed in interdependent groups, no significant difference was observed among defensive medicine anddecision-making mean scores, and sex and marital status variables.13 physicians (2.7%) answered in theaffirmative to the question of “Is there a case for malpractice in the process of your medical profession?” 56physicians (54.9%) answered negatively to the question “Do you have enough information about the contents ofthe concept of defensive medical practice?”Conclusion: According to the results of our study, physicians do not have enough knowledge about defensivemedicine and they have a tendency to show depressive medicine behavior.
Objective: The aim of this study was to investigate the relationship between defensive medicine and thedecision-making perceptions of physicians in the supply of health services.Materials and Methods: In this study, four different private hospitals in the province of Konya wereapplied to the prescribing physicians. Using qualitative research design, 102 physicians, 32 females and 70males, participated in the study. Sampling method was used to create the sample group and the survey techniquewas used to collect the data. In the study, ‘personal information form’ containing demographic information wasprepared. In order to measure the perception of physicians' decision making, the Decision-Making Styles Scale,which was developed by Scott and Bruce (1995) and adapted by Taşdelen (2002) was used. Defensive MedicalAttitude Scale, which was developed Başer et al. (2014) was used.Results: Of the participating physicians, 31.4% were female and 68.6% were male. 39.2% of theparticipants were in the 35-44 age range. Considering the units studied, most of the physicians work in internalunits as 44.1%. It was observed that 60.8% of the participants were doctors with the experience of 11 years ormore. As far as the parentage rates are concerned, it is found that 39.2% have 2 children. A negative low ratecorrelation was found between the decision making and defensive medicine. The relationship between thedecision making and defensive medicine attitudes of physicians was examined and as a result, there was a lownegative correlation between decision-making styles and defensive medicine (r -. 229; p0.05). T test analysiswas performed in interdependent groups, no significant difference was observed among defensive medicine anddecision-making mean scores, and sex and marital status variables.13 physicians (2.7%) answered in theaffirmative to the question of “Is there a case for malpractice in the process of your medical profession?” 56physicians (54.9%) answered negatively to the question “Do you have enough information about the contents ofthe concept of defensive medical practice?”Conclusion: According to the results of our study, physicians do not have enough knowledge about defensivemedicine and they have a tendency to show depressive medicine behavior.
Açıklama
Anahtar Kelimeler
İşletme, İşletme Finans, Defansif Tıp, Defensive Medicine, Malpraktis, Malpractice
Kaynak
Business and Management Studies: An International Journal
WoS Q Değeri
Scopus Q Değeri
Cilt
7
Sayı
2
Künye
Yorulmaz, M., Sabırlı, H. (2018). Sağlık Hizmetleri Arzında Defansif Tıp ve Hekimlerin Karar Verme Algısı. Business and Management Studies: An International Journal, 7(2), 579-590.
