Mustafa Kosdak | Ege University (original) (raw)
Papers by Mustafa Kosdak
Journal of Islamic Academy of Sciences, 2014
Brain drain and physician migration The "brain drain" could be described as migration of the qual... more Brain drain and physician migration The "brain drain" could be described as migration of the qualified and educated people for purposes such as better living conditions, better jobs, higher wages, high quality education, access to advanced technology and career development to any place in the world (1-2). The brain drain in the field of health especially the physician migration has become an important issue because of the reasons such as the deficits in the health labor of the rich countries and globalization (3). The literature shows that the U.S., U.K., Canada, and Australia (4) are the largest migrant receiving countries, supplementing their need of physicians with those from countries with weaker economies (5). These migrations in the medical area bring results especially against the healthcare services of the underdeveloped and developing countries, as well as serious unbalanced distribution problems. Docquier and Bhargava (6) remark that 12 out of 30 countries that were affected the most by the physician migration are the Sub-Saharan African countries, where the number of physician is very small. In addition to this, the
Rural and Remote Health, Nov 9, 2012
Introduction: A sufficient and balanced distribution of physicians plays a key role in access to ... more Introduction: A sufficient and balanced distribution of physicians plays a key role in access to high quality healthcare services. However, this issue presents serious problems globally. Turkey is currently experiencing physician shortages, with insufficient numbers of physicians in its rural and underdeveloped areas. The objectives of this study were to identify the views of new graduate physicians, prior to employment, on working in underdeveloped areas, in order to discover factors impacting their desire to work in these areas, and to show the actual geographic distribution of physicians in Turkey. This provides the basis for discussing future policies. Methods: This study was conducted in Turkey from September to November 2009. All physicians (N=4753) who graduated in 2009 were included in the study via online questionnaires. The response rate was 78%. Variables potentially related to physicians' decisions to work in underdeveloped areas were analyzed using the χ2 test. To discover the imbalance in geographic distribution of physicians, data collected by the Turkish Ministry of Health (MoH) were re-analyzed. Physician density was calculated for the six zones determined by the MoH according to socioeconomic development. Results: Of the physicians who participated, 52.5% were male and 13.5% expressed a desire to work in underdeveloped areas. Male physicians were more likely to work in underdeveloped areas (17.5% and 9.1%, respectively; p<0.05). There was a significant relationship between desire to work in underdeveloped areas, regions of longest stay and birthplace (p<0.05). Physicians who had lived for a significant period in areas with a high number of underdeveloped cities (Southeastern and Eastern Turkey) and those who were born in underdeveloped cities were more likely to wish to work in these areas. The most influential factor for working in these areas was higher salaries.
Giris ve Amac Bruselloz akut ve sinsi baslangicli bir sistem hastaligidir. Aralikli ve degisik su... more Giris ve Amac Bruselloz akut ve sinsi baslangicli bir sistem hastaligidir. Aralikli ve degisik surelerde duzensiz ates, bas agrisi, halsizlik, bol terleme, usume, eklem agrisi, duskunluk ve genellesen agri ile seyreden bir zoonozdur. Ulkemizde bruselloz siklikla koyun, keci, inek ve manda yoluyla bulasmakta ve olgular agirlikli olarak hayvancilikla ugrasanlarda gorulmektedir. Besiciligin yani sira, cig sut ve sut urunleri tuketimi en onemli risk faktorlerinden biridir (1). Ulkemizde pazarlarda acikta satilan cig sut ve sut urunlerinin incelendigi calismalarda da brusella cinsi bakteriler siklikla saptanmaktadir (2,3). Bu calismanin amaci, 1990-2010 yillari arasinda Bruselloz hastalik insidans trendinin cinsiyet, yas gruplari ve bolgelere gore analiz edilmesi yoluyla ulkemizdeki hastalik epidemiyolojisinin degerlendirilmesi ve hastaligin onlenmesi ile kontrolune yonelik stratejilerin onerilmesidir. Gerec ve Yontem Bruselloz insidans trendlerinin degerlendirilmesi amaciyla Saglik Baka...
Rural and Remote Health, 2015
Introduction: An unbalanced geographical distribution of physicians leads to important difference... more Introduction: An unbalanced geographical distribution of physicians leads to important differences in healthcare outcomes and difficulties in accessing healthcare services in rural areas. As in many other countries in the world, the geographical distribution of physicians in Turkey is unbalanced. Although there has been an increase in the number of physicians in the rural areas of Turkey since the introduction of the Health Transformation Program in 2003, health statistics indicate that significant differences still exist between regions in terms of the population-to-physician ratio. The aim of this study was to determine the factors that affect physicians' decisions about working in rural areas in Turkey. Methods: Overall, 1340 physicians working in urban areas constituted the sample group of this study. A survey method was used to collect the data. The questionnaire, which was used as a data collection tool, included nine questions to gather the opinions of physicians regarding working in rural areas. Variables such as occupational group and financial incentives affecting the physicians' willingness to work in rural areas were analyzed with descriptive statistics, and the answers given according to these variables were compared via t-test and one-way analysis of variance.
Rural and Remote Health, 2012
Introduction: A sufficient and balanced distribution of physicians plays a key role in access to ... more Introduction: A sufficient and balanced distribution of physicians plays a key role in access to high quality healthcare services. However, this issue presents serious problems globally. Turkey is currently experiencing physician shortages, with insufficient numbers of physicians in its rural and underdeveloped areas. The objectives of this study were to identify the views of new graduate physicians, prior to employment, on working in underdeveloped areas, in order to discover factors impacting their desire to work in these areas, and to show the actual geographic distribution of physicians in Turkey. This provides the basis for discussing future policies. Methods: This study was conducted in Turkey from September to November 2009. All physicians (N=4753) who graduated in 2009 were included in the study via online questionnaires. The response rate was 78%. Variables potentially related to physicians' decisions to work in underdeveloped areas were analyzed using the χ2 test. To discover the imbalance in geographic distribution of physicians, data collected by the Turkish Ministry of Health (MoH) were re-analyzed. Physician density was calculated for the six zones determined by the MoH according to socioeconomic development. Results: Of the physicians who participated, 52.5% were male and 13.5% expressed a desire to work in underdeveloped areas. Male physicians were more likely to work in underdeveloped areas (17.5% and 9.1%, respectively; p<0.05). There was a significant relationship between desire to work in underdeveloped areas, regions of longest stay and birthplace (p<0.05). Physicians who had lived for a significant period in areas with a high number of underdeveloped cities (Southeastern and Eastern Turkey) and those who were born in underdeveloped cities were more likely to wish to work in these areas. The most influential factor for working in these areas was higher salaries.
TAF Preventive Medicine Bulletin, 2016
Objectives: The objectives of this study are to propound the relationship between job satisfactio... more Objectives: The objectives of this study are to propound the relationship between job satisfaction levels, motivation and organizational commitment of health care professionals who work in the public sector in Turkey and to specify the effect of their job satisfaction levels and motivation on organizational commitment. Method: This study was carried out as a part of Healthcare Employee Satisfaction Survey conducted in Turkey where the research sample consisted of 4,396 health care professionals from all around the country. The questionnaire which was used in the survey included, in addition to demographic features of the participants, 22 statements for job satisfaction, 26 statements for motivation and 16 statements for commitment. Regression and correlation analysis, t-test and ANOVA test were employed in addition to descriptive statistics in the analyses. The error level was set at α=0.05. Findings: It was observed that job satisfaction of health care professionals showed statistically significant difference with respect to gender and marital status variables, their motivation showed statistically significant difference with respect to age, profession and service region variables whereas their organizational commitment showed statistically significant difference with respect to age, profession and service region (p<0.05). It was found that a strong positive correlation among all variables was statistically significant at p<0.01 level. The effect of motivation (0.673) on organizational commitment was found to be higher than the effect of job satisfaction (0.654) on the latter. Conclusion: When the inadequacy of health care manpower in Turkey is taken into consideration, it is seen to be rather important for employees to get job satisfaction and for organizations to develop applications that will boost their employees' motivation so that organizations are able to keep hold of their employees.
Medical Journal of Islamic World Academy of Sciences, 2014
Brain drain and physician migration The "brain drain" could be described as migration of the qual... more Brain drain and physician migration The "brain drain" could be described as migration of the qualified and educated people for purposes such as better living conditions, better jobs, higher wages, high quality education, access to advanced technology and career development to any place in the world (1-2). The brain drain in the field of health especially the physician migration has become an important issue because of the reasons such as the deficits in the health labor of the rich countries and globalization (3). The literature shows that the U.S., U.K., Canada, and Australia (4) are the largest migrant receiving countries, supplementing their need of physicians with those from countries with weaker economies (5). These migrations in the medical area bring results especially against the healthcare services of the underdeveloped and developing countries, as well as serious unbalanced distribution problems. Docquier and Bhargava (6) remark that 12 out of 30 countries that were affected the most by the physician migration are the Sub-Saharan African countries, where the number of physician is very small. In addition to this, the
Cahiers de sociologie et de démographie médicales
This study aims to make an assessment of the current status of human resources for health in Turk... more This study aims to make an assessment of the current status of human resources for health in Turkey and to bring a new perspective to key issues in the development of human resources for health within the framework of a macro approach. Although a number of issues are covered in human resources for health (HRH) studies which need to be handled carefully, this study focuses on the number of health personnel, health personnel efficiency, geographic distribution, education and financing of health personnel, and migration.
Giris ve Amac: Saglik hizmetleri alaninda da insan kaynaklari yonetiminin amaci; dogru zaman ve y... more Giris ve Amac: Saglik hizmetleri alaninda da insan kaynaklari yonetiminin amaci; dogru zaman ve yerde, gerekli ozelliklere sahip personel istihdaminin saglanmasidir. Istihdam yapilirken yeterli sayida insanin, uygun is alaninda ve tatmin edici ucretle calistirilmasi esas alinmalidir. Bu sekilde ancak dogru calisma ciktilarina ulasilabilir. Saglik insan gucu planlamasi, stratejik bir yaklasim icerisinde toplumun saglikla ilgili gereksinimleri ve basvurulari goz onune alinarak, saglik kurumlarinin amaclari, hedefleri ve olanaklari cercevesinde, saglik alaninda calisanlarin yeterli nicelik, yuksek nitelik, duzgun bir dagilim, dogru bir zamanlama ve tam olarak istihdami amaciyla yapilan planlamadir. Bu calisma “Is yukune Dayali Personel Ihtiyaci Belirleme Yontemi” ile aile hekimi ihtiyacinin belirlenmesi amaciyla yapilmistir. Gerec ve Yontem: Calismada, Turkiye’nin farkli bolgelerinden secilmis 10 ilde calisan 3.507 aile hekiminden mevzuatta belirtilen gorevleri kapsaminda urettikleri h...
Turkiye Klinikleri Journal of Medical Sciences, 2012
The aim of the study is to evaluate the coverage rates for routine childhood vaccines at the prov... more The aim of the study is to evaluate the coverage rates for routine childhood vaccines at the provincial-level and to identify the districts with "unacceptably low" coverage rates. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : A Lot Quality Technique-based cross-sectional study was conducted in four selected provinces, on a representative sample of residents aged 12-23 months in order to evaluate coverage for routine childhood vaccines [Bacille Calmette-Guérin (BCG), diphtheria, tetanus, pertussis, polio & Haemophilus influenzae type b (DTaPHibIPV3), oral polio vaccine (OPV), Hepatitis B3 and measles, mumps & rubella (MMR)], to identify the districts with coverage rates below 75%, and to investigate reasons for non-vaccination. R Re es su ul lt ts s: : A total of 1640 children were included in the survey. Based on self-reports, the percentage of fully immunized children ranged between 88.6% and 98.1% in the four provinces. The percentage of timely vaccinations varied from 71.5 to 78.4, according to the type of the vaccine and overall coverage rates were below 75% in four lots. Potential associations between children's "fully and timely vaccination" status and some socio-demographic characteristics were examined with logistic regression modeling. The results have shown that the estimated risk of improper/inadequate vaccination is affected positively by having an employed mother, a primary school graduate or less educated mother and mother's age but is negatively affected by the child's age. C Co on nc cl lu us si io on n: : This study identified vaccine coverage for ten routine vaccines that should be completed before the age of 24 months and the areas that need a special attention in vaccination services. K Ke ey y W Wo or rd ds s: : Vaccination; lot quality assurance sampling; immunization schedule; child Ö ÖZ ZE ET T A Am ma aç ç: : Çalışmanın amacı il düzeyinde rutin çocukluk çağı aşılarının kapsayıcılığını değerlendirmek ve kabul edilemeyecek düzeyde düşük aşı kapsayıcılığının olduğu bölgeleri belirlemektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Oniki-23 ay arasındaki çocuklarda rutin çocukluk çağı aşılarının [Bacille Calmette-Guérin (BCG), difteri, tetanoz, boğmaca, polio & Haemophilus influenzae tip b(DTaPHibIPV3), oral polio aşısı (OPA), Hepatit B3 and kızamık, kabakulak ve kızamıkçık (KKK] yapılma oranlarını değerlendirmek, aşılama oranları %75'in altındaki bölgeleri belirlemek ve aşılamamanın nedenlerini araştırmak için Lot Kalite Tekniğine dayalı kesitsel çalışma seçilmiş dört ilde gerçekleştirildi. B Bu ul lg gu ul la ar r: : Toplam 1640 çocuk çalışmaya alınmıştır. Katılımcılardan alınan bilgilere göre, dört ilde tam olarak aşılanmış çocukların oranları %88,6 ile %98,1 arasında değişmekteydi. Zamanında aşılama yüzdesi aşının tipine göre %71,5 ile %78,4 arasında değişmekte olup, genel aşılanma kapsayıcılığı dört lotta %75'in altında olarak saptanmıştır. Çocukların tam ve zamanında aşılanma durumları ile bazı sosyodemografik özellikler arasındaki potansiyel ilişkiler lojistik regresyon modeli ile incelenmiştir. Sonuçlar, uygunsuz/yetersiz aşılanma için tahmin edilen riskin annenin çalışması, ilkokul mezunu veya daha düşük eğitimli olması ve annenin yaşından olumlu olarak etkilenmekte olduğunu fakat çocuğun yaşından olumsuz olarak etkilenmekte olduğunu göstermiştir. S So on nu uç ç: : Bu çalışma 24 aydan önce tamamlanması gereken on rutin aşının kapsayıcılığını ve aşılama hizmetlerinde özel dikkat gerektiren bölgeleri ortaya koymuştur. A An na ah ht ta ar r K Ke el li im me el le er r: : Aşılama; öbek kalite güvence örneklemesi; aşı program; çocuk T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J M Me ed d S Sc ci i 2 20 01 12 2; ;3 32 2((4 4
Journal of Islamic Academy of Sciences, 2014
Brain drain and physician migration The "brain drain" could be described as migration of the qual... more Brain drain and physician migration The "brain drain" could be described as migration of the qualified and educated people for purposes such as better living conditions, better jobs, higher wages, high quality education, access to advanced technology and career development to any place in the world (1-2). The brain drain in the field of health especially the physician migration has become an important issue because of the reasons such as the deficits in the health labor of the rich countries and globalization (3). The literature shows that the U.S., U.K., Canada, and Australia (4) are the largest migrant receiving countries, supplementing their need of physicians with those from countries with weaker economies (5). These migrations in the medical area bring results especially against the healthcare services of the underdeveloped and developing countries, as well as serious unbalanced distribution problems. Docquier and Bhargava (6) remark that 12 out of 30 countries that were affected the most by the physician migration are the Sub-Saharan African countries, where the number of physician is very small. In addition to this, the
Rural and Remote Health, Nov 9, 2012
Introduction: A sufficient and balanced distribution of physicians plays a key role in access to ... more Introduction: A sufficient and balanced distribution of physicians plays a key role in access to high quality healthcare services. However, this issue presents serious problems globally. Turkey is currently experiencing physician shortages, with insufficient numbers of physicians in its rural and underdeveloped areas. The objectives of this study were to identify the views of new graduate physicians, prior to employment, on working in underdeveloped areas, in order to discover factors impacting their desire to work in these areas, and to show the actual geographic distribution of physicians in Turkey. This provides the basis for discussing future policies. Methods: This study was conducted in Turkey from September to November 2009. All physicians (N=4753) who graduated in 2009 were included in the study via online questionnaires. The response rate was 78%. Variables potentially related to physicians' decisions to work in underdeveloped areas were analyzed using the χ2 test. To discover the imbalance in geographic distribution of physicians, data collected by the Turkish Ministry of Health (MoH) were re-analyzed. Physician density was calculated for the six zones determined by the MoH according to socioeconomic development. Results: Of the physicians who participated, 52.5% were male and 13.5% expressed a desire to work in underdeveloped areas. Male physicians were more likely to work in underdeveloped areas (17.5% and 9.1%, respectively; p<0.05). There was a significant relationship between desire to work in underdeveloped areas, regions of longest stay and birthplace (p<0.05). Physicians who had lived for a significant period in areas with a high number of underdeveloped cities (Southeastern and Eastern Turkey) and those who were born in underdeveloped cities were more likely to wish to work in these areas. The most influential factor for working in these areas was higher salaries.
Giris ve Amac Bruselloz akut ve sinsi baslangicli bir sistem hastaligidir. Aralikli ve degisik su... more Giris ve Amac Bruselloz akut ve sinsi baslangicli bir sistem hastaligidir. Aralikli ve degisik surelerde duzensiz ates, bas agrisi, halsizlik, bol terleme, usume, eklem agrisi, duskunluk ve genellesen agri ile seyreden bir zoonozdur. Ulkemizde bruselloz siklikla koyun, keci, inek ve manda yoluyla bulasmakta ve olgular agirlikli olarak hayvancilikla ugrasanlarda gorulmektedir. Besiciligin yani sira, cig sut ve sut urunleri tuketimi en onemli risk faktorlerinden biridir (1). Ulkemizde pazarlarda acikta satilan cig sut ve sut urunlerinin incelendigi calismalarda da brusella cinsi bakteriler siklikla saptanmaktadir (2,3). Bu calismanin amaci, 1990-2010 yillari arasinda Bruselloz hastalik insidans trendinin cinsiyet, yas gruplari ve bolgelere gore analiz edilmesi yoluyla ulkemizdeki hastalik epidemiyolojisinin degerlendirilmesi ve hastaligin onlenmesi ile kontrolune yonelik stratejilerin onerilmesidir. Gerec ve Yontem Bruselloz insidans trendlerinin degerlendirilmesi amaciyla Saglik Baka...
Rural and Remote Health, 2015
Introduction: An unbalanced geographical distribution of physicians leads to important difference... more Introduction: An unbalanced geographical distribution of physicians leads to important differences in healthcare outcomes and difficulties in accessing healthcare services in rural areas. As in many other countries in the world, the geographical distribution of physicians in Turkey is unbalanced. Although there has been an increase in the number of physicians in the rural areas of Turkey since the introduction of the Health Transformation Program in 2003, health statistics indicate that significant differences still exist between regions in terms of the population-to-physician ratio. The aim of this study was to determine the factors that affect physicians' decisions about working in rural areas in Turkey. Methods: Overall, 1340 physicians working in urban areas constituted the sample group of this study. A survey method was used to collect the data. The questionnaire, which was used as a data collection tool, included nine questions to gather the opinions of physicians regarding working in rural areas. Variables such as occupational group and financial incentives affecting the physicians' willingness to work in rural areas were analyzed with descriptive statistics, and the answers given according to these variables were compared via t-test and one-way analysis of variance.
Rural and Remote Health, 2012
Introduction: A sufficient and balanced distribution of physicians plays a key role in access to ... more Introduction: A sufficient and balanced distribution of physicians plays a key role in access to high quality healthcare services. However, this issue presents serious problems globally. Turkey is currently experiencing physician shortages, with insufficient numbers of physicians in its rural and underdeveloped areas. The objectives of this study were to identify the views of new graduate physicians, prior to employment, on working in underdeveloped areas, in order to discover factors impacting their desire to work in these areas, and to show the actual geographic distribution of physicians in Turkey. This provides the basis for discussing future policies. Methods: This study was conducted in Turkey from September to November 2009. All physicians (N=4753) who graduated in 2009 were included in the study via online questionnaires. The response rate was 78%. Variables potentially related to physicians' decisions to work in underdeveloped areas were analyzed using the χ2 test. To discover the imbalance in geographic distribution of physicians, data collected by the Turkish Ministry of Health (MoH) were re-analyzed. Physician density was calculated for the six zones determined by the MoH according to socioeconomic development. Results: Of the physicians who participated, 52.5% were male and 13.5% expressed a desire to work in underdeveloped areas. Male physicians were more likely to work in underdeveloped areas (17.5% and 9.1%, respectively; p<0.05). There was a significant relationship between desire to work in underdeveloped areas, regions of longest stay and birthplace (p<0.05). Physicians who had lived for a significant period in areas with a high number of underdeveloped cities (Southeastern and Eastern Turkey) and those who were born in underdeveloped cities were more likely to wish to work in these areas. The most influential factor for working in these areas was higher salaries.
TAF Preventive Medicine Bulletin, 2016
Objectives: The objectives of this study are to propound the relationship between job satisfactio... more Objectives: The objectives of this study are to propound the relationship between job satisfaction levels, motivation and organizational commitment of health care professionals who work in the public sector in Turkey and to specify the effect of their job satisfaction levels and motivation on organizational commitment. Method: This study was carried out as a part of Healthcare Employee Satisfaction Survey conducted in Turkey where the research sample consisted of 4,396 health care professionals from all around the country. The questionnaire which was used in the survey included, in addition to demographic features of the participants, 22 statements for job satisfaction, 26 statements for motivation and 16 statements for commitment. Regression and correlation analysis, t-test and ANOVA test were employed in addition to descriptive statistics in the analyses. The error level was set at α=0.05. Findings: It was observed that job satisfaction of health care professionals showed statistically significant difference with respect to gender and marital status variables, their motivation showed statistically significant difference with respect to age, profession and service region variables whereas their organizational commitment showed statistically significant difference with respect to age, profession and service region (p<0.05). It was found that a strong positive correlation among all variables was statistically significant at p<0.01 level. The effect of motivation (0.673) on organizational commitment was found to be higher than the effect of job satisfaction (0.654) on the latter. Conclusion: When the inadequacy of health care manpower in Turkey is taken into consideration, it is seen to be rather important for employees to get job satisfaction and for organizations to develop applications that will boost their employees' motivation so that organizations are able to keep hold of their employees.
Medical Journal of Islamic World Academy of Sciences, 2014
Brain drain and physician migration The "brain drain" could be described as migration of the qual... more Brain drain and physician migration The "brain drain" could be described as migration of the qualified and educated people for purposes such as better living conditions, better jobs, higher wages, high quality education, access to advanced technology and career development to any place in the world (1-2). The brain drain in the field of health especially the physician migration has become an important issue because of the reasons such as the deficits in the health labor of the rich countries and globalization (3). The literature shows that the U.S., U.K., Canada, and Australia (4) are the largest migrant receiving countries, supplementing their need of physicians with those from countries with weaker economies (5). These migrations in the medical area bring results especially against the healthcare services of the underdeveloped and developing countries, as well as serious unbalanced distribution problems. Docquier and Bhargava (6) remark that 12 out of 30 countries that were affected the most by the physician migration are the Sub-Saharan African countries, where the number of physician is very small. In addition to this, the
Cahiers de sociologie et de démographie médicales
This study aims to make an assessment of the current status of human resources for health in Turk... more This study aims to make an assessment of the current status of human resources for health in Turkey and to bring a new perspective to key issues in the development of human resources for health within the framework of a macro approach. Although a number of issues are covered in human resources for health (HRH) studies which need to be handled carefully, this study focuses on the number of health personnel, health personnel efficiency, geographic distribution, education and financing of health personnel, and migration.
Giris ve Amac: Saglik hizmetleri alaninda da insan kaynaklari yonetiminin amaci; dogru zaman ve y... more Giris ve Amac: Saglik hizmetleri alaninda da insan kaynaklari yonetiminin amaci; dogru zaman ve yerde, gerekli ozelliklere sahip personel istihdaminin saglanmasidir. Istihdam yapilirken yeterli sayida insanin, uygun is alaninda ve tatmin edici ucretle calistirilmasi esas alinmalidir. Bu sekilde ancak dogru calisma ciktilarina ulasilabilir. Saglik insan gucu planlamasi, stratejik bir yaklasim icerisinde toplumun saglikla ilgili gereksinimleri ve basvurulari goz onune alinarak, saglik kurumlarinin amaclari, hedefleri ve olanaklari cercevesinde, saglik alaninda calisanlarin yeterli nicelik, yuksek nitelik, duzgun bir dagilim, dogru bir zamanlama ve tam olarak istihdami amaciyla yapilan planlamadir. Bu calisma “Is yukune Dayali Personel Ihtiyaci Belirleme Yontemi” ile aile hekimi ihtiyacinin belirlenmesi amaciyla yapilmistir. Gerec ve Yontem: Calismada, Turkiye’nin farkli bolgelerinden secilmis 10 ilde calisan 3.507 aile hekiminden mevzuatta belirtilen gorevleri kapsaminda urettikleri h...
Turkiye Klinikleri Journal of Medical Sciences, 2012
The aim of the study is to evaluate the coverage rates for routine childhood vaccines at the prov... more The aim of the study is to evaluate the coverage rates for routine childhood vaccines at the provincial-level and to identify the districts with "unacceptably low" coverage rates. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : A Lot Quality Technique-based cross-sectional study was conducted in four selected provinces, on a representative sample of residents aged 12-23 months in order to evaluate coverage for routine childhood vaccines [Bacille Calmette-Guérin (BCG), diphtheria, tetanus, pertussis, polio & Haemophilus influenzae type b (DTaPHibIPV3), oral polio vaccine (OPV), Hepatitis B3 and measles, mumps & rubella (MMR)], to identify the districts with coverage rates below 75%, and to investigate reasons for non-vaccination. R Re es su ul lt ts s: : A total of 1640 children were included in the survey. Based on self-reports, the percentage of fully immunized children ranged between 88.6% and 98.1% in the four provinces. The percentage of timely vaccinations varied from 71.5 to 78.4, according to the type of the vaccine and overall coverage rates were below 75% in four lots. Potential associations between children's "fully and timely vaccination" status and some socio-demographic characteristics were examined with logistic regression modeling. The results have shown that the estimated risk of improper/inadequate vaccination is affected positively by having an employed mother, a primary school graduate or less educated mother and mother's age but is negatively affected by the child's age. C Co on nc cl lu us si io on n: : This study identified vaccine coverage for ten routine vaccines that should be completed before the age of 24 months and the areas that need a special attention in vaccination services. K Ke ey y W Wo or rd ds s: : Vaccination; lot quality assurance sampling; immunization schedule; child Ö ÖZ ZE ET T A Am ma aç ç: : Çalışmanın amacı il düzeyinde rutin çocukluk çağı aşılarının kapsayıcılığını değerlendirmek ve kabul edilemeyecek düzeyde düşük aşı kapsayıcılığının olduğu bölgeleri belirlemektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Oniki-23 ay arasındaki çocuklarda rutin çocukluk çağı aşılarının [Bacille Calmette-Guérin (BCG), difteri, tetanoz, boğmaca, polio & Haemophilus influenzae tip b(DTaPHibIPV3), oral polio aşısı (OPA), Hepatit B3 and kızamık, kabakulak ve kızamıkçık (KKK] yapılma oranlarını değerlendirmek, aşılama oranları %75'in altındaki bölgeleri belirlemek ve aşılamamanın nedenlerini araştırmak için Lot Kalite Tekniğine dayalı kesitsel çalışma seçilmiş dört ilde gerçekleştirildi. B Bu ul lg gu ul la ar r: : Toplam 1640 çocuk çalışmaya alınmıştır. Katılımcılardan alınan bilgilere göre, dört ilde tam olarak aşılanmış çocukların oranları %88,6 ile %98,1 arasında değişmekteydi. Zamanında aşılama yüzdesi aşının tipine göre %71,5 ile %78,4 arasında değişmekte olup, genel aşılanma kapsayıcılığı dört lotta %75'in altında olarak saptanmıştır. Çocukların tam ve zamanında aşılanma durumları ile bazı sosyodemografik özellikler arasındaki potansiyel ilişkiler lojistik regresyon modeli ile incelenmiştir. Sonuçlar, uygunsuz/yetersiz aşılanma için tahmin edilen riskin annenin çalışması, ilkokul mezunu veya daha düşük eğitimli olması ve annenin yaşından olumlu olarak etkilenmekte olduğunu fakat çocuğun yaşından olumsuz olarak etkilenmekte olduğunu göstermiştir. S So on nu uç ç: : Bu çalışma 24 aydan önce tamamlanması gereken on rutin aşının kapsayıcılığını ve aşılama hizmetlerinde özel dikkat gerektiren bölgeleri ortaya koymuştur. A An na ah ht ta ar r K Ke el li im me el le er r: : Aşılama; öbek kalite güvence örneklemesi; aşı program; çocuk T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J M Me ed d S Sc ci i 2 20 01 12 2; ;3 32 2((4 4