KAMU VE ÖZEL SEKTÖR SAĞLIK HİZMETLERİNDE GÖREV YAPAN KLİNİSYEN HEKİMLERİN VE DOYUMLARI ARASINDAKİ FARKLILIKLARIN BELİRLENMESİ ÜZERİNE BĠR ARAŞTIRMA

Abstract

Sağlık hizmetleri gibi çok yüksek maliyetlere katlanılarak gerçekleştirilen hizmetlerde hekimlerin iş doyumu; sağlık hizmetlerinin kalitesi, devamlılığı, maliyetleri ve sağlık hizmetlerinin çıktıları üzerinde etkili olacağından, üzerinde önemle durulması gereken bir konu olarak karşımıza çıkmaktadır. Bununla birlikte işinden tatmin olmayan çalışanların, aynı zamanda tatmin olmamış müşteriler yaratacağı gözönüne alındığında, özellikle sağlık hizmetleri gibi hayati öneme sahip bir sektörde konunun önemi daha da artmaktadır. Yapılan çalışmada ise kamu hastanesinde görev yapan klinisyen hekimlerin iş doyumları, özel hastanede görev yapan klinisyen hekimlerden daha düşük olarak ortaya çıkmış ve bu durumun nedenleri belirlenmeye çalışılmıştır

Keywords

• Hekimlerde iş doyumu

A STUDY TOWARDS IDENDIFYING THE DIFFERENCES IN JOB SATISFACTION BETWEEN PUBLIC SECTOR AND PRIVATE SECTOR CLINICIAN PHYSICIANS

Abstract

In sectors like health services where costs of service provision is considerably higher, physicians’ job satisfaction appears to be a significant issue for careful study because it will substantially effect the quality, continuity, cost and output of health services. When, on the other hand, we take into account the fact that unsatisfied employees often always result in unsatisfied customers, the importance of job satisfaction especially in crucial sectors like health services becomes more obvious. Having first identified that clinician physicians’ job satisfaction in public health services is much lower than their counterparts in private health services, this research attempts to determine the reasons behind such lower levels of job satisfaction in public health services

Keywords

• Physicians’ Job Satisfaction

References

1. Bhote K. R. , (1996), Beyond Customer Satisfaction To Customer Loyalty, AHA Publishing, NewYork, U. S. A.
2. Bovier P. A. , Perneger T. V. , (2003), “Predictors of Work Satisfaction Among Physicians”, European Journal of Public Health, Vol, 13, ss, 299-305
3. Bukh P. N. , H. T. Larsen, J. Mouritsen, (2001), “Constructing Intellectual Capital Statement”, Skandinavian Journal of Management, Vol, 17, ss, 87-108
4. Capella M. E. , J. D. Andrew, (2004), “The Relationship Between Counselor Job Satisfaction and Consumer Satisfaction in Vocational Rehabilitation”, Rehabilitation Counseling Bulletin, Vol, 47 (4), ss, 205-214
5. Çekmecelioğlu H. G. , (2005), “Örgüt İkliminin İş tatmini ve İşten Ayrılma Niyeti Üzerindeki Etkisi:Bir Araştırma”, Cumhuriyet Üniversitesi, İ. İ. B. F. Dergisi Cilt 6, Sayı, 2 (www.cumhuriyet.edu.tr/edergi/makale/1220.pdf), 12 Şubat 2006 tarihli kayıttan
6. Eisenberg B. , (1997), “Customer Service in Health Care: A New Era”, Hospital and Health Service Administration, Vol, 42 (1), Spring, ss, 20-27
7. Grembowski D. , C. M. Ulrich, D. Paschane, P. Diehr, W. Katon, D. Martin, D. L. Patrick, C. Velicer, (2003), “Managed Care and Primary Physician Satisfaction”, Journal of the American Board of Family Practice, Vol, 16 (5), ss, 383-393
8. Groopman J. , (2007), Doktorlar Nasıl Düşünür?, Çev. S. Ataman, Mikado Yayınları, 2. Baskı, İstanbul, Ekim

9. Hampton G. M. , D. L. Hampton, (2004), “Relationship of Professionalism, Rewards, Market Orientation and Job Satisfaction Among Medical Professionals The Case of Certified Nurse-Midwives” Journal of Business Research Vol, 57, ss, 1042-1053
10. Handy C. , S. Covey, M. Porter, C. K. Prahalad, G. Hamel, M. Hammer, E. Goldratt, P. Senge, W. Bennis, J. Kotter, J. Naisbitt, L. Thurow, K. Kelly, (1996), Geleceği Yeniden Düşünmek: İş Yönetimi, Rekabet, Kontrol, Liderlik, Pazarlar ve Dünya, Türkçesi; S. Gül, Sabah Yayınları 46, Çağdaş Bakışlar Dizisi, 15, İstanbul
11. Heslin A. P. , (2005), “Experiencing Career Success”, Organizational Dynamics, Vol, 34 (4), ss, 376-390
12. James D. , (2000), “Don’t Forget Staff in Marketing Plan”, Marketing News, Vol, 34 (6), March, ss, 9-16
13. Kahn L. R. , M. D. Wolfe, P. R. Quinn, J. D. Snoek, (1964), Organizational Stress:Studies in Role Conflict and Ambiguity, John Willey and Sons Inc. NewYork, London, Sydney
14. Kellet J. , (2004), “A Physician Charter on Medical Professionalism-Who Wants It and Who Needs It ?” European Journal of Internal Medicine Vol, 15, ss, 3-4
15. Kirsten J. L. , R. Alvero, S. B. Teal, (2004), “Resident Job Satisfaction:Will 80 Hours Make A Difference?”, American Journal of Obstetrics and Gynecology, Vol, 191, ss, 1805-1815
16. Lawrence G. S. , (2005), “Medical Professionalism and the Generation Gap”, Association of Professors of Medicine, APM Perspectives, ss, 439-442
17. Hillier S. , (2001), “Tıbbi Bilginin Sınırları”, Çev:Aylin Nazlı, Ege Üniversitesi Edebiyat Fakültesi Dergisi, Sayı, 8-9, ss, 151-159
18. Marchal B. , G. Kegels, (2003), “Health Workforce Imbalances in Times of Globalization:Brain Drain or Professional Mobility?”, International Journal of Health Planning and Management, Vol, 18, ss, 89-101
19. Nakip M. , (2006), Pazarlama Araştırmaları Teknikler ve SPSS Destekli Uygulamalar, Seçkin Yayıncılık, Ankara
20. Naktiyok A. , (2002), “Motivasyonel Değerler ve İş Tatmini:Yöneticiler Üzerinde Bir Uygulama”, Atatürk Üniversitesi İ. İ. B. F. Dergisi, Cilt, 16, Sayı, 3-4
21. Özvarış Ş. B. , İ. Sayek, (2005), “Tıp Eğitiminde Değişim”, Hacettepe Tıp Dergisi, Cilt, 36, Sayı, 2, ss, 65-74
22. Panagopoulou E. , A. Montgomery, A. Benos, (2006), “Burnout in Internal Medicine Physicians:Differences Between Residents and Specialists”, European Journal of Internal Medicine, Vol, 17, ss, 195-200
23. Roth S. F. , G. Heo, C. Varnhagen, K. E. Glover, P. W. Major, (2003), “Job Satisfaction Among Canadian Orthodontists”, American Journal of Orthodontics and Dentofacial Orthopedics, June 2003, ss, 695-700
24. Shugars D. A. , R. D. Hays, M. R. DiMatteo, S. Cretin, (1991), “Development Of An Instrument to Measure Job Satisfaction Among Dentists”, Med Care, Vol, 29, pp, 728-44, aktaran, Roth S. F. , G. Heo, C. Varnhagen, K. E. Glover, P. W. Major, (2003), “Job Satisfaction Among Canadian Orthodontists”, American Journal of Orthodontics and Dentofacial Orthopedics, June 2003, s, 695
25. Southon G. , J. Braithwaite, (1998), “The End Of Professionalism”, Social Science Medicine, Vol, 46 (1), ss, 23-28
26. Sur H. , B. Eren, (2004), “Hastanelerde Hekimlerle İlişkiler”, SB Diyalog, T. C. Sağlık Bakanlığı Yayın Organı, Mayıs, Sayı:2
27. Wells A. , P. A. Winter, (1999), “Influence of Practice and Personal Characteristics on Dental Job Satisfaction”, Journal of Dent Education, Vol, 63, ss, 805-12, aktaran, Roth S. F. , G. Heo, C. Varnhagen, K. E. Glover, P. W. Major, (2003), “Job Satisfaction Among Canadian Orthodontists”, American Journal of Orthodontics and Dentofacial Orthopedics, June 2003, s, 695
28. Whittington R. , R. Whipp, (1992), “Professional Ideology and Marketing Implementation”, European Journal of Marketing, Vol, 26, ss, 52-63
29. Williams E. S. , T. R. Konrad, M. Linzer, J. McMurray, D. E. Pathman, M. Gerrity, M. D. Schwartz, W. E. Sheckler, J. Van Kirk, E. Rhodes, J. Douglas, (1999), “Refining the Measurement of Physician Job Satisfaction:Results From The Physician Worklife Survey”, Medical Care, Vol, 37 (11), ss, 1140-1154
30. Williams P. A. , J. Barnsley, E. Vayda, J. Kaczorowski, T. Ǿstbye, E. Wenghofer, (2002), “Comparing the Characteristics and attitudes of Physicians in Different Primary Care Settings:The Ontario Walk-İn Clinic Study, Family Practice Vol, 19 (6), ss, 647-657