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Türkiye’de Sağlık Kurumlarında Değer Algısına Yönelik Bir Araştırma

Year 2023, Volume: 9 Issue: 1, 91 - 110, 31.07.2023

Mustafa Filiz Sümeyye Güngör

https://doi.org/10.22466/acusbd.1260691
Cited By: 1

Abstract

Bu çalışmanın amacı Türkiye’de toplumun, sağlık hizmetlerine yönelik değer algısını demografik değişkenlere göre ortaya koymaktır. Ankete 905 kişi katılım sağlamıştır. Veri toplama aracı olarak ‘‘Hastane Algılanan Değer Ölçeği” kullanılmıştır. Veriler SPSS 25 paket programında, tanımlayıcı istatistikler, korelasyon analizi, t testi ve ANOVA testleri yapılarak değerlendirilmiştir. Elde edilen bulgulara göre bireylerin kronik hastalık durumuna ve hizmet aldıkları hastane türüne göre değer algısında tüm boyutlarda anlamlı bir farklılık bulunmamaktadır. Ancak, bölgeler arasında, yaş gruplarında, yerleşim türünde ve cinsiyet değişkeninde değer algısının bazı boyutlarında anlamlı farklılıklar bulunmaktadır. Özellikle COVID-19 sürecinde hastaneye başvuru yapan bireylerin, başvuru yapmayan bireylere göre tüm boyutlarda anlamlı fark olduğu ve bireylerin değer algısının daha düşük olduğu görülmektedir. Bireylerin sağlık hizmeti alırken sosyal ve duygusal değerlere, işlevsel değerlere göre daha az önem verdikleri de bulunan sonuçlar arasındadır. Hastaların sağlık hizmeti kullanımında her bir değerin değişkenlere göre anlamlı olması, hastanenin tek bir boyuta odaklanmaktan ziyade birçok boyuta odaklanan bir yapıda olduğunun göstergesi olarak yorumlanabilir.

Keywords

Değer Algısı Hastane Sağlık Hizmetleri Değer Odaklılık

References

  • Akbolat, M. ve Durmuş, A. (2021). Hastane algılanan değer ölçeğinin Türkçe geçerlilik ve güvenilirlik çalışması. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 12(2), 326-334.
  • Asshidin, N. H. N., Abidin, N., & Borhan, H. B. (2016). Perceived quality and emotional value that ınfluence consumer's purchase ıntention towards American and local products. Procedia Economics and Finance, 35(20), 639–643.
  • Bryman, A., & Cramer, D. (2001). Quantitative data analysis with SPSS release 10 for Windows. Routledge.
  • Budrevičiūtė, AÇ, Kalėdienė, R., Bagdonienė, L., Paukštaitienė, R., & Valius, L. (2019). Perceptions of social, emotional, and functional values in patients with type 2 diabetes mellitus and their satisfaction with primary health care services. Primary Health Care Research ve Development, 20(122), 1–9.
  • Caruana, A., & Fenech, N. (2005). The effect of perceived value and overall satisfaction on loyalty: A study among dental patients. Journal of Medical Marketing, 5(3), 245–255. https://doi.org/10.1057/palgrave.jmm.5040236.
  • Çavmak, Ş. (2020). Değer odaklı sağlık hizmetlerinin sunumu: Türkiye sağlık sistemi ı̇çin öneriler. Health Sciences, 6(3), 285-301.
  • Cengiz, E. ve Kirkbir, F. (2007). Customer perceived value: The development of a multiple item scale in hospitals. Problems and Perspectives in Management, 5(3), 252-268.
  • Chahal, H., & Kumari, N. (2012). Consumer perceived value: The development of a multiple item scale in hospitals in the Indian context. International Journal of Pharmaceutical and Healthcare Marketing, 29, 182-205.
  • Dobbs, P., & Warriner, D. (2018). Value-based health care: the strategy that will solve the NHS?. British Journal of Hospital Medicine, 79(6), 306–307.
  • Duhayer, C. (2020, Semptember 14). Why covıd-19 makes value-based healthcare more critical than ever?. http://www.medtechviews.eu/article/why-covid-19-makes-value-based-healthcare-more-critical-ever adresinden 10 Mart 2022 tarihinde alınmıştır.
  • El-Haddad, C., Hegazi, I., & Hu, W. (2020). Understanding patient expectations of health care: a qualitative study. Journal of Patient Experience, 7(6), 1724–1731.
  • Gökçe, B. (2007). Toplumsal bilimlerde araştırma. Savaş Yayınevi.
  • Gomez-Carmona, D., Paramio, A., Cruces-Montes, S., & Marín-Dueñas, P. P. (2021). Impact of covid-19 prevention measures on health service quality perceived value and user satisfaction A structural equation modeling (SEM) approach. Atención Primaria, 52(2), 1-9.
  • Gupta, R. (2019). Health care value. primary care: clinics in office practice. Primary Care The Clinics, 46, 603-622. https://doi:10.1016/j.pop.2019.07.005.
  • Gurung, B. (2021). Impact of perceived value on perceived quality, perceived price, perceived location and satisfaction of hospitals in Kathmandu Valley [Management ınvestigation and dissertation]. University of London Metropolitian.
  • IPSOS. (2020, May 2). Managing brand saliency and perceived value amidst covıd-19. https://www.ipsos.com/en-us/knowledge/media-brand-communication/Managing-Brand-Saliency-and-Perceived-Value-Amidst-Covid-19 adresinden 12 Şubat 2022 tarihinde alınmıştır.
  • Karagöz, Y. (2019). Spss amos meta uygulamalı istatistiksel analizler. Nobel Yayıncılık.
  • Lateef, F. (2011). Patient expectations and the paradigm shift of care in emergency medicine. Journal of Emergencies, Trauma, And Shock, 4(2), 163–167.
  • Lee, P.Y. (1996). The nature of values and valuations: theory, measurement and application [Doctoral dissertation]. University of London.
  • Li, H., Wei, X., Wong, M. C., Wong: Y., Yang, N., & Griffiths: M. (2015). A cross-sectional comparison of perceived quality of primary care by hypertensive patients in Shanghai and Shenzhen, China. Medicine, 94(34), 1-9.
  • Mead, L. B. (1976). The meaning of value: a review and analysis of a sociological concept, dissertations, theses, and masters projects [Doctoral dissertation]. University College London.
  • Meola A. (2019, April 15). How and why the value based payment model is trending in the healthcare industry. https://www.businessinsider.com/value-based-care-pay-for-performance-healthcare-model adresinden 10 Şubat 2022 tarihinde alınmıştır.
  • Moliner, M. A. (2006). Hospital perceived value. Health Care Management Review, 31(4), 328–336.
  • Moynihan, R., Sanders S., Michaleff, Z.A, Scott, M. A., Clark, J., Emma, J.T., Jones, M., Kitchener, E., Fox, M., Johansson, M., Lang, E., Duggan, A., Scott, L., & Albarqouni, L. (2021). BMJ Open, 11, 1-10.
  • Mu’ah,, & Bon, T.A. (2019). Service quality of patient’s perceived value in private hospital Surabaya, Indonesia. Proceedings of the International Conference on Industrial Engineering and Operations Management Pilsen, Czech Republic, 23-26.
  • Ní Chróinín, D., Fletcher, T., & O’Sullivan, M. (2017). Pedagogical principles of learning to teach meaningful physical education. Physical Education and Sport Pedagogy, 1–17.
  • Ottolenghi, J. Rodney, A., McLaren, Jr., Cecilia, B., Mudar, D., Sandra, M., & Howard, M. (2021). Health care workers’ attitudes toward patients with covıd-19, Open Forum Infectious Diseases, 8(8), 1-5.
  • Owens, G. (2008). Gender differences in health care expenditures, resource utilization, and quality of care. Journal of Managed Care Pharmacy, 14(3), 2–6.
  • Örgev, C., & Bekar, T. (2013). Non-monetary costs, hospital perceived value and patient satisfaction in health ınstitutions. International Journal of Alanya Faculty of Business, 5(2), 87-97.
  • Özer, L., Başgöze, P., & Karahan, A. (2016). The association between perceived value and patient loyalty in public university hospitals in Turkey. Total Quality Management ve Business Excellence, 1–19.
  • Özsarı, H. (2018). Değer temelli yönetim anlayışının sağlık yönetimindeki yeri. TÜSEB Sağlıkta Kalite ve Akreditasyon Dergisi, 1(2), 6-9.
  • Pan, F.C.F. (2011). Perceived values on hospital services: A fuzzy logic application. African Journal of Business Management, 5(11), 4465-4475.
  • Pauls, R. (1990). Concepts of value: a multidisciplinary clarification [Information Paper]. Centre for Resource Management Lincoln University and University of Canterbury.
  • Pevec, T., & Pisnik, A. (2016). Perceived value of health service the conceptual model. China-Usa Business Review, 15, 80-87.
  • Porter, M. E. (2010). What ıs value in health care?. New England Journal of Medicine, 363(26), 2477–2481.
  • Richins, M. (1997). Measuring emotions in the consumption Experience. Journal of Consumer Research, 24(2), 127-46
  • Sanıl, M., & Eminer, F. (2021). An integrative model of patients’ perceived value of healthcare service quality in North Cyprus. Arch Public Health, 79, 227.
  • Seyfioğlu, F. (2019). Değer temelli sağlık hizmetleri modeli. Hacettepe Sağlık İdaresi Dergisi, 22(4), 799-822.
  • Schwartz: H. (2012). An overview of the schwartz theory of basic values. Online Readings in Psychology and Culture, 2(1), 1-20.
  • Sivanenthira, S., & Shanmugathas, S. (2013). Factors ınfluencing customer perceived value of services of medical clinics. International Journal of Multidisciplinary Management Studies, 3(5), 254-270.
  • Spencer, S., Ewing, S., & Calcagno, K. (2018). Adopted Individuals’ views on the utility and value of expanded carrier screening. Journal of Genetic Counseling, 27, 1341–1348.
  • Şeker, M. ve Bulduklu, Y. (2018). Sağlık kurumlarında değerler. Kültür Yayınları.
  • Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Allyn and Bacon.
  • Taylor, D., Kennedy, M. P., Virtue, E., & McDonald, G. (2006). A multifaceted intervention improves patient satisfaction and perceptions of emergency department care. Journal of the International Society for Quality in Health Care, 18(3), 238–245.
  • Teke, A., Cengiz, E., Çetin, M., Demir, C., Kirkbir, F., & Fedai, T. (2012). Analysis of the Multi-Item Dimensionality of Patients’ Perceived Value in Hospital Services. Journal of Medical Systems, 36, 1301–1307 (2012).
  • Tuulik, K., Õunapuu, T., Kuimet, K., & Titov, E. (2016). Rokeach’s instrumental and terminal values as descriptors of modern organisation values. International Journal of Organizational Leadership, 5, 151-161.
  • Qian, H., Lu, W., & Zhang, D. (2020). Why patients dissatisfy with medical care in china evidence from the patient perceived value. Reseach Square, 1-13.
  • Varinli, İ. ve Çakır, A. (2004). Hı̇zmet kalı̇tesı̇, değer, hasta tatmı̇nı̇ ve davranışsal nı̇yetler arasındakı̇ ı̇lı̇şkı̇ -Kayserı̇'de polı̇klı̇nı̇k hastalarına yönelı̇k bı̇r araştırma. Sosyal Bilimler Enstitüsü Dergisi, 17(2), 33-52.
  • Yıldırım, H. H., Arı, O. H. ve Uslu, B. K. M. (2021). Değer temelli sağlık hizmeti: Türkiye örneği. Türkiye Sağlık Enstitüleri Başkanlığı Dergisi, 33-48.
  • Zeithaml, A. V. (1988). Consumer perceptions of price, quality and value: a means-end model and synthesis of evidence. Journal of Marketing, 52, 2-22.

An Assessment On Perceptıon Of Value In Health Instıtutıons In Turkey

Year 2023, Volume: 9 Issue: 1, 91 - 110, 31.07.2023

Mustafa Filiz Sümeyye Güngör

https://doi.org/10.22466/acusbd.1260691
Cited By: 1

Abstract

This study aims to reveal the society's value perception of health services in Turkey according to demographic variables. The "Hospital Perceived Value Scale" was used in the study. The data were evaluated by using descriptive statistics, correlation analysis, t -test, and ANOVA tests in SPSS 25 program. According to the findings, there is no significant difference in all dimensions in the perception of value according to the chronic disease status of the individuals and the type of hospital they receive service. However, significant differences were found between regions, age groups, type of settlement, and gender in some dimensions of value perception. It was observed that there was a significant difference in all dimensions, and the perception of value was lower among individuals who applied to the hospital, especially during the COVID-19 process, compared to those who did not. It is seen that individuals give less importance to social and emotional values than functional values while receiving health services. The fact that each value is significant according to the variables in the use of health services by the patients indicates that the hospital is in a structure that does not focus on a single dimension but on many dimensions.

Keywords

Value Perception Hospital Health Services Value Orientation

References

  • Akbolat, M. ve Durmuş, A. (2021). Hastane algılanan değer ölçeğinin Türkçe geçerlilik ve güvenilirlik çalışması. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 12(2), 326-334.
  • Asshidin, N. H. N., Abidin, N., & Borhan, H. B. (2016). Perceived quality and emotional value that ınfluence consumer's purchase ıntention towards American and local products. Procedia Economics and Finance, 35(20), 639–643.
  • Bryman, A., & Cramer, D. (2001). Quantitative data analysis with SPSS release 10 for Windows. Routledge.
  • Budrevičiūtė, AÇ, Kalėdienė, R., Bagdonienė, L., Paukštaitienė, R., & Valius, L. (2019). Perceptions of social, emotional, and functional values in patients with type 2 diabetes mellitus and their satisfaction with primary health care services. Primary Health Care Research ve Development, 20(122), 1–9.
  • Caruana, A., & Fenech, N. (2005). The effect of perceived value and overall satisfaction on loyalty: A study among dental patients. Journal of Medical Marketing, 5(3), 245–255. https://doi.org/10.1057/palgrave.jmm.5040236.
  • Çavmak, Ş. (2020). Değer odaklı sağlık hizmetlerinin sunumu: Türkiye sağlık sistemi ı̇çin öneriler. Health Sciences, 6(3), 285-301.
  • Cengiz, E. ve Kirkbir, F. (2007). Customer perceived value: The development of a multiple item scale in hospitals. Problems and Perspectives in Management, 5(3), 252-268.
  • Chahal, H., & Kumari, N. (2012). Consumer perceived value: The development of a multiple item scale in hospitals in the Indian context. International Journal of Pharmaceutical and Healthcare Marketing, 29, 182-205.
  • Dobbs, P., & Warriner, D. (2018). Value-based health care: the strategy that will solve the NHS?. British Journal of Hospital Medicine, 79(6), 306–307.
  • Duhayer, C. (2020, Semptember 14). Why covıd-19 makes value-based healthcare more critical than ever?. http://www.medtechviews.eu/article/why-covid-19-makes-value-based-healthcare-more-critical-ever adresinden 10 Mart 2022 tarihinde alınmıştır.
  • El-Haddad, C., Hegazi, I., & Hu, W. (2020). Understanding patient expectations of health care: a qualitative study. Journal of Patient Experience, 7(6), 1724–1731.
  • Gökçe, B. (2007). Toplumsal bilimlerde araştırma. Savaş Yayınevi.
  • Gomez-Carmona, D., Paramio, A., Cruces-Montes, S., & Marín-Dueñas, P. P. (2021). Impact of covid-19 prevention measures on health service quality perceived value and user satisfaction A structural equation modeling (SEM) approach. Atención Primaria, 52(2), 1-9.
  • Gupta, R. (2019). Health care value. primary care: clinics in office practice. Primary Care The Clinics, 46, 603-622. https://doi:10.1016/j.pop.2019.07.005.
  • Gurung, B. (2021). Impact of perceived value on perceived quality, perceived price, perceived location and satisfaction of hospitals in Kathmandu Valley [Management ınvestigation and dissertation]. University of London Metropolitian.
  • IPSOS. (2020, May 2). Managing brand saliency and perceived value amidst covıd-19. https://www.ipsos.com/en-us/knowledge/media-brand-communication/Managing-Brand-Saliency-and-Perceived-Value-Amidst-Covid-19 adresinden 12 Şubat 2022 tarihinde alınmıştır.
  • Karagöz, Y. (2019). Spss amos meta uygulamalı istatistiksel analizler. Nobel Yayıncılık.
  • Lateef, F. (2011). Patient expectations and the paradigm shift of care in emergency medicine. Journal of Emergencies, Trauma, And Shock, 4(2), 163–167.
  • Lee, P.Y. (1996). The nature of values and valuations: theory, measurement and application [Doctoral dissertation]. University of London.
  • Li, H., Wei, X., Wong, M. C., Wong: Y., Yang, N., & Griffiths: M. (2015). A cross-sectional comparison of perceived quality of primary care by hypertensive patients in Shanghai and Shenzhen, China. Medicine, 94(34), 1-9.
  • Mead, L. B. (1976). The meaning of value: a review and analysis of a sociological concept, dissertations, theses, and masters projects [Doctoral dissertation]. University College London.
  • Meola A. (2019, April 15). How and why the value based payment model is trending in the healthcare industry. https://www.businessinsider.com/value-based-care-pay-for-performance-healthcare-model adresinden 10 Şubat 2022 tarihinde alınmıştır.
  • Moliner, M. A. (2006). Hospital perceived value. Health Care Management Review, 31(4), 328–336.
  • Moynihan, R., Sanders S., Michaleff, Z.A, Scott, M. A., Clark, J., Emma, J.T., Jones, M., Kitchener, E., Fox, M., Johansson, M., Lang, E., Duggan, A., Scott, L., & Albarqouni, L. (2021). BMJ Open, 11, 1-10.
  • Mu’ah,, & Bon, T.A. (2019). Service quality of patient’s perceived value in private hospital Surabaya, Indonesia. Proceedings of the International Conference on Industrial Engineering and Operations Management Pilsen, Czech Republic, 23-26.
  • Ní Chróinín, D., Fletcher, T., & O’Sullivan, M. (2017). Pedagogical principles of learning to teach meaningful physical education. Physical Education and Sport Pedagogy, 1–17.
  • Ottolenghi, J. Rodney, A., McLaren, Jr., Cecilia, B., Mudar, D., Sandra, M., & Howard, M. (2021). Health care workers’ attitudes toward patients with covıd-19, Open Forum Infectious Diseases, 8(8), 1-5.
  • Owens, G. (2008). Gender differences in health care expenditures, resource utilization, and quality of care. Journal of Managed Care Pharmacy, 14(3), 2–6.
  • Örgev, C., & Bekar, T. (2013). Non-monetary costs, hospital perceived value and patient satisfaction in health ınstitutions. International Journal of Alanya Faculty of Business, 5(2), 87-97.
  • Özer, L., Başgöze, P., & Karahan, A. (2016). The association between perceived value and patient loyalty in public university hospitals in Turkey. Total Quality Management ve Business Excellence, 1–19.
  • Özsarı, H. (2018). Değer temelli yönetim anlayışının sağlık yönetimindeki yeri. TÜSEB Sağlıkta Kalite ve Akreditasyon Dergisi, 1(2), 6-9.
  • Pan, F.C.F. (2011). Perceived values on hospital services: A fuzzy logic application. African Journal of Business Management, 5(11), 4465-4475.
  • Pauls, R. (1990). Concepts of value: a multidisciplinary clarification [Information Paper]. Centre for Resource Management Lincoln University and University of Canterbury.
  • Pevec, T., & Pisnik, A. (2016). Perceived value of health service the conceptual model. China-Usa Business Review, 15, 80-87.
  • Porter, M. E. (2010). What ıs value in health care?. New England Journal of Medicine, 363(26), 2477–2481.
  • Richins, M. (1997). Measuring emotions in the consumption Experience. Journal of Consumer Research, 24(2), 127-46
  • Sanıl, M., & Eminer, F. (2021). An integrative model of patients’ perceived value of healthcare service quality in North Cyprus. Arch Public Health, 79, 227.
  • Seyfioğlu, F. (2019). Değer temelli sağlık hizmetleri modeli. Hacettepe Sağlık İdaresi Dergisi, 22(4), 799-822.
  • Schwartz: H. (2012). An overview of the schwartz theory of basic values. Online Readings in Psychology and Culture, 2(1), 1-20.
  • Sivanenthira, S., & Shanmugathas, S. (2013). Factors ınfluencing customer perceived value of services of medical clinics. International Journal of Multidisciplinary Management Studies, 3(5), 254-270.
  • Spencer, S., Ewing, S., & Calcagno, K. (2018). Adopted Individuals’ views on the utility and value of expanded carrier screening. Journal of Genetic Counseling, 27, 1341–1348.
  • Şeker, M. ve Bulduklu, Y. (2018). Sağlık kurumlarında değerler. Kültür Yayınları.
  • Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Allyn and Bacon.
  • Taylor, D., Kennedy, M. P., Virtue, E., & McDonald, G. (2006). A multifaceted intervention improves patient satisfaction and perceptions of emergency department care. Journal of the International Society for Quality in Health Care, 18(3), 238–245.
  • Teke, A., Cengiz, E., Çetin, M., Demir, C., Kirkbir, F., & Fedai, T. (2012). Analysis of the Multi-Item Dimensionality of Patients’ Perceived Value in Hospital Services. Journal of Medical Systems, 36, 1301–1307 (2012).
  • Tuulik, K., Õunapuu, T., Kuimet, K., & Titov, E. (2016). Rokeach’s instrumental and terminal values as descriptors of modern organisation values. International Journal of Organizational Leadership, 5, 151-161.
  • Qian, H., Lu, W., & Zhang, D. (2020). Why patients dissatisfy with medical care in china evidence from the patient perceived value. Reseach Square, 1-13.
  • Varinli, İ. ve Çakır, A. (2004). Hı̇zmet kalı̇tesı̇, değer, hasta tatmı̇nı̇ ve davranışsal nı̇yetler arasındakı̇ ı̇lı̇şkı̇ -Kayserı̇'de polı̇klı̇nı̇k hastalarına yönelı̇k bı̇r araştırma. Sosyal Bilimler Enstitüsü Dergisi, 17(2), 33-52.
  • Yıldırım, H. H., Arı, O. H. ve Uslu, B. K. M. (2021). Değer temelli sağlık hizmeti: Türkiye örneği. Türkiye Sağlık Enstitüleri Başkanlığı Dergisi, 33-48.
  • Zeithaml, A. V. (1988). Consumer perceptions of price, quality and value: a means-end model and synthesis of evidence. Journal of Marketing, 52, 2-22.
There are 50 citations in total.

Details

Primary Language Turkish
Subjects Sociology of Health
Journal Section Articles
Authors

Mustafa Filiz 0000-0002-7445-5361

Sümeyye Güngör 0000-0002-6543-2467

Publication Date July 31, 2023
Submission Date March 6, 2023
Published in Issue Year 2023 Volume: 9 Issue: 1

Cite

APA Filiz, M., & Güngör, S. (2023). Türkiye’de Sağlık Kurumlarında Değer Algısına Yönelik Bir Araştırma. Artvin Çoruh Üniversitesi Uluslararası Sosyal Bilimler Dergisi, 9(1), 91-110. https://doi.org/10.22466/acusbd.1260691

Cited By

ALGILANAN HASTANE DEĞERİ VE HASTANE BAĞLILIĞI İLİŞKİSİNİN ARAŞTIRILMASI
SDÜ Tıp Fakültesi Dergisi
https://doi.org/10.17343/sdutfd.1385590
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