I. Uluslararası Sağlıkta Performans ve Kalite Kongresi Bildiriler ...

management of health care facilities and personnel. This study aims to discover
opinions of Health Group Presidents concerning to what extent service quality is
influenced by the existing practices in health care system.
Questionnaires, which were distributed to 64 Health Group Presidents having
participated in Health Managers Training organized by Turkish Health Institution
and the General Directorate of Personnel of the Ministry of Health on 21-25 July
2008 in Ankara. Data were analyzed by the SPSS 13 Program.
Average work life of participants is 14.9 years while average work life as managers
is 6.1 years. Fifty-five managers of participating managers (83.3 %) do not hold a
graduate degree in management or business administration. 74.2 % of managers
consider them adequate in terms of managerial skills. Family Medicine system is
under implementation in 12 districts Family medicine implementation is reported
to have very positive effects on health service delivery in 8 provinces (66.7 %)
and positive effects on heath service delivery in 2 provinces (16.7 %). 48.5 %
of participants considers that performance-based additional payment system as
contributed to health care services while 40.9 % considers that the system has
made outstanding contributions.
It is though that in-service trainings and trainings on management, if given before
health managers take up work, would improve quality in both management and
delivery of health care services. Further emphasis should be put on announcing
amendments in service delivery to personnel and managers, and in-service trainings
should be rolled out. Inter-provincial communication should be empowered and
information should be exchanged by new practices. More often, heath managers
need to be informed about automation and data processing, as well as encouraging
their use.
Key Words: Management, Health Group Presidents, Family Medicine, Health
Services Quality
1. GİRİŞ ve AMAÇ
Tüm dünyada yaşanan hızlı gelişim ve değişim süreci sonucu tüm organizasyonlar
tarafından yakından takip edilen ve önem verilen bir kavram haline gelen yönetim,
son yıllarda sağlık sektöründe yapılan atılımlarla bu sektörde de oldukça önemli bir
yer edinmiştir.
Ülkemizde kamu sağlık kuruluşlarının ve personelin planlama ve yönetimi Sağlık
Bakanlığınca yapılmaktadır. İllerde ise Sağlık Bakanlığı adına bu işi Sağlık Müdürleri,
İlçelerde ise Sağlık Grup Başkanları yapmaktadır. Sağlık Bakanlığını temsil etmesi
ve ilçedeki en yetkili sağlık yöneticisi olması itibariyle Sağlık Grup Başkanları önemli
görevler yüklenmektedir ve bu nedenle yalnızca sağlık alanında değil yönetim
alanında da tam donanımlı olması zorunludur.
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