SUPPLIER- INDUCED DEMAND IN HEALTH SERVICES AND TRUST IN PHYSICIANS: A RESEARCH ON PATIENTS’ OPINIONS

Battal Burak Temel; Fatih Şantaş

Article Details

SUPPLIER- INDUCED DEMAND IN HEALTH SERVICES AND TRUST IN PHYSICIANS: A RESEARCH ON PATIENTS’ OPINIONS

Authors:

Battal Burak Temel | Fatih Şantaş

Publisher:

Hacettepe University

Main Topics:

Sağlık Yönetimi

Journal:

Hacettepe Sağlık İdaresi Dergisi Vol.27 Issue 1, pp.91-120

Document Type:

Article

Publication Date:

3/2024

Document Language:

Turkish

Document ID (Org No.):

2001314484

pISSN:

2148-9041

Keywords:

Abstract:

 In this study, it is aimed to examine the unnecessary use of health services arising from the service provider in the health sector and the issues of trust in the physician through patient perception. In addition, it is also among the aims of the study to determine whether the supply creates unnecessary demand and whether the perception of trust in the physician differs according to the personal and demographic characteristics of the participants. The population of the study consists of people over the age of 18 eighteen who applied to the outpatient clinics of Yozgat Bozok University Hospital. Approximately 400 outpatients daily and 12,500 monthly outpatients receive service from this hospital. In this case, the sample size of the research was calculated as 631 with 99 confidence level and 1 error. The number of people reached in this research was 650 people. In the literature review conducted within the scope of the study, the Scale of Evaluation of Unnecessary Supply-Based Health Service Use and Doctor Trust Scale were used, which are thought to be suitable for the purposes of the study. Significance test of the difference between two means, one-way analysis of variance ANOVA and correlation analyzes were used to test the hypotheses of the research. As a result of the analyzes, it was determined that there was a statistically significant difference between the personal and demographic characteristics of the participants in the scales and all other characteristics except health insurance. In addition, a negative and strong relationship was found between all sub-dimensions of the Physician Trust Scale and the Unnecessary Supply-Based Health Care Use Scale. Accordingly, as the perception of supply creating demand increases, the perception of trust in the physician decreases. This situation was also confirmed in the regression analysis and the variance to the explained was found to be 85. As a result of the study, it is recommended to prevent unnecessary service-providing behaviors of physicians for various reasons by focusing on courses and practices that give more importance to professional ethics in medical education, and to develop the behaviors of requesting unnecessary service or rejecting this service in case of unnecessary service by increasing the health literacy of citizens. In addition, practices and news that undermine confidence in the medical profession, which has been considered sacred since the past, should be avoided as much as possible.

 In this study, it is aimed to examine the unnecessary use of health services arising from the service provider in the health sector and the issues of trust in the physician through patient perception. In addition, it is also among the aims of the study to determine whether the supply creates unnecessary demand and whether the perception of trust in the physician differs according to the personal and demographic characteristics of the participants. The population of the study consists of people over the age of 18 eighteen who applied to the outpatient clinics of Yozgat Bozok University Hospital. Approximately 400 outpatients daily and 12,500 monthly outpatients receive service from this hospital. In this case, the sample size of the research was calculated as 631 with 99 confidence level and 1 error. The number of people reached in this research was 650 people. In the literature review conducted within the scope of the study, the Scale of Evaluation of Unnecessary Supply-Based Health Service Use and Doctor Trust Scale were used, which are thought to be suitable for the purposes of the study. Significance test of the difference between two means, one-way analysis of variance ANOVA and correlation analyzes were used to test the hypotheses of the research. As a result of the analyzes, it was determined that there was a statistically significant difference between the personal and demographic characteristics of the participants in the scales and all other characteristics except health insurance. In addition, a negative and strong relationship was found between all sub-dimensions of the Physician Trust Scale and the Unnecessary Supply-Based Health Care Use Scale. Accordingly, as the perception of supply creating demand increases, the perception of trust in the physician decreases. This situation was also confirmed in the regression analysis and the variance to the explained was found to be 85. As a result of the study, it is recommended to prevent unnecessary service-providing behaviors of physicians for various reasons by focusing on courses and practices that give more importance to professional ethics in medical education, and to develop the behaviors of requesting unnecessary service or rejecting this service in case of unnecessary service by increasing the health literacy of citizens. In addition, practices and news that undermine confidence in the medical profession, which has been considered sacred since the past, should be avoided as much as possible.

 In this study, it is aimed to examine the unnecessary use of health services arising from the service provider in the health sector and the issues of trust in the physician through patient perception. In addition, it is also among the aims of the study to determine whether the supply creates unnecessary demand and whether the perception of trust in the physician differs according to the personal and demographic characteristics of the participants. The population of the study consists of people over the age of 18 eighteen who applied to the outpatient clinics of Yozgat Bozok University Hospital. Approximately 400 outpatients daily and 12,500 monthly outpatients receive service from this hospital. In this case, the sample size of the research was calculated as 631 with 99 confidence level and 1 error. The number of people reached in this research was 650 people. In the literature review conducted within the scope of the study, the Scale of Evaluation of Unnecessary Supply-Based Health Service Use and Doctor Trust Scale were used, which are thought to be suitable for the purposes of the study. Significance test of the difference between two means, one-way analysis of variance ANOVA and correlation analyzes were used to test the hypotheses of the research. As a result of the analyzes, it was determined that there was a statistically significant difference between the personal and demographic characteristics of the participants in the scales and all other characteristics except health insurance. In addition, a negative and strong relationship was found between all sub-dimensions of the Physician Trust Scale and the Unnecessary Supply-Based Health Care Use Scale. Accordingly, as the perception of supply creating demand increases, the perception of trust in the physician decreases. This situation was also confirmed in the regression analysis and the variance to the explained was found to be 85. As a result of the study, it is recommended to prevent unnecessary service-providing behaviors of physicians for various reasons by focusing on courses and practices that give more importance to professional ethics in medical education, and to develop the behaviors of requesting unnecessary service or rejecting this service in case of unnecessary service by increasing the health literacy of citizens. In addition, practices and news that undermine confidence in the medical profession, which has been considered sacred since the past, should be avoided as much as possible.

 Bu çalışmada, sağlık sektöründe arzın talep yaratması ile hekime güven konularının hasta algısı üzerinden incelenmesi amaçlanmıştır. Ayrıca arzın gereksiz talep yaratması ve hekime güven algısının katılımcıların kişisel ve demografik özelliklerine göre farklılaşıp farklılaşmadığının belirlenmesi de çalışmanın amaçları arasındadır. Tanımlayıcı ve kesitsel türdeki çalışmanın evrenini, Yozgat Bozok Üniversitesi Hastanesi polikliniklerine başvuran 18 yaşını doldurmuş kişiler oluşturmaktadır. Bu hastaneden günlük yaklaşık 400, aylık 12.500 poliklinik hastası hizmet almaktadır. Bu durumda araştırmanın örneklem büyüklüğü 99 güven düzeyi ve 1 hata ile 631 olarak hesaplanmıştır. Bu araştırmada ulaşılan kişi sayısı 650 olmuştur. Çalışma kapsamında yapılan literatür taramasında, çalışmanın amaçlarına uygun olduğu düşünülen Arz Kaynaklı Gereksiz Sağlık Hizmeti Kullanımının Değerlendirilmesi Ölçeği ve Doktora Güven Ölçeği kullanılmıştır. Araştırmanın hipotezlerinin testinde iki ortalama arasındaki farkın anlamlılık testi, tek yönlü varyans analizi ANOVA, korelasyon analizi ve çoklu regresyon analizinden yararlanılmıştır. Analizler sonucunda, arzın talep yaratması ve hekimlere güven ölçeklerinde katılımcıların kişisel ve demografik özelliklerinden sağlık sigortası dışındaki tüm özellikleri arasında istatistiksel olarak anlamlı farklılık olduğu belirlenmiştir. Ayrıca Hekime Güven Ölçeği ile Arz Kaynaklı Gereksiz Sağlık Hizmeti Kullanımı Ölçeğinin tüm alt boyutları arasında negatif yönlü ve güçlü bir ilişki bulunmuştur. Buna göre arzın talep yaratması algısı arttıkça hekime güven azalmaktadır. Bu durum regresyon analizinde de tespit edilmiş ve açıklanan varyans 85 olarak bulunmuştur. Çalışma sonucunda tıp eğitiminde meslek etiğine daha fazla önem veren ders ve uygulamalara ağırlık verilerek hekimlerin çeşitli gerekçelerle gereksiz hizmet sunma davranışlarının önlenmesi, vatandaşların sağlık okuryazarlığının artırılarak gereksiz hizmet talep etmeme ya da gereksiz hizmetin teklif edilmesi durumunda bu hizmeti reddetme davranışlarının geliştirilmesi önerilmektedir. Ayrıca geçmişten beri kutsal kabul edilen hekimlik mesleğine güveni sarsıcı uygulama ve haberlerden mümkün olduğu ölçüde kaçınılmalıdır.

Article Details

SUPPLIER- INDUCED DEMAND IN HEALTH SERVICES AND TRUST IN PHYSICIANS: A RESEARCH ON PATIENTS’ OPINIONS

Authors:

Battal Burak Temel | Fatih Şantaş

Publisher:

Hacettepe University

Main Topics:

Sağlık Yönetimi

Journal:

Hacettepe Sağlık İdaresi Dergisi Vol.27 Issue 1, pp.91-120

Document Type:

Article

Publication Date:

3/2024

Document Language:

Turkish

Document ID (Org No.):

2001314484

pISSN:

2148-9041

Health Services

Supply Demand

Physician Trust

Healthcare ProfessionalsSağlık Hizmetleri

Arzın Talep Yaratması

Hekime Güven

Sağlık Çalışanları

Issues

Article Details

Authors: Battal Burak Temel | Fatih Şantaş

Publisher: Hacettepe University

Main Topics: Sağlık Yönetimi

Journal: Hacettepe Sağlık İdaresi Dergisi Vol.27 Issue 1, pp.91-120

Document Type: Article

Publication Date: 3/2024

Document Language: Turkish

Document ID (Org No.): 2001314484

pISSN: 2148-9041

Issues

Authors:

Battal Burak Temel | Fatih Şantaş

Publisher:

Hacettepe University

Main Topics:

Sağlık Yönetimi

Journal:

Hacettepe Sağlık İdaresi Dergisi Vol.27 Issue 1, pp.91-120

Document Type:

Article

Publication Date:

3/2024

Document Language:

Turkish

Document ID (Org No.):

2001314484

pISSN:

2148-9041