Research Article
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The Scale Development on Health Professionals’ Perceptions About Health Sector Privatization in Turkey

Year 2018, Volume: 3 Issue: 2, 46 - 55, 19.03.2018

Abstract

The world has witnessed remarkable changes in healthcare since neoliberal policies came into force. Like European countries, Turkey also has implemented the liberal policies, the health transformation program launched in 2003 and paved the way to privatization activities in healthcare sector. The structure of hospitals and health services delivery will start to change with Public Private Partnership Model. This study was aimed at developing a scale on health professionals’ perceptions about health sector privatization in Turkey. Based on previous studies and professional findings, twenty-five sample statements were used to evaluate the perception of health staff on privatization in the Turkish health services. Research sample consists of 325 health workers who actually work in family healthcare centers and secondary public hospitals (physicians, nurses and allied health professionals) in Edirne Province and in its’ districts. The surveys were analyzed by IBM SPSS Statistic 20.0 and IBM SPSS Amos 23.0 programs via reliability, validity and factor analysis. The content validity of the scale was found as relevant for the study (CVI=>0.87). Moreover, face validity score reflected that statements could be clearly understood (90%). The Keiser- Meyer-Olkin Measure of Sampling Adequacy indicated that sample is useful and suitable for factor analysis process (0,879). Again, the Cronbach’s Alpha of the F1 is 0,848 and F2 is 0,703. According to the split half method, the scale is highly reliable. CFA results show that the model does fit data adequately. (Chi Square: 168,041, CMIN/DF: 2,241, GFI: 0,927, AGFI: 0,898, CFI: 0,930, RMSEA: 0,063, PCLOSE: 0,049). To sum up, reliability and validity analysis of the privatization scale conducted by authors indicated that privatization scale could be used as a valid and reliable tool to measure the privatization perception of health staff in the health sector.

References

  • Privatization Endevaor in Turkey http://unpan1.un.org/intradoc/groups/public/documents/apcity/unpan018681.pdf. Accessed 09.11.22016 Albreht T. (2009). ‘Privatization Processes in Health Care in Europe—A Move in The Right Direction, A ‘Trendy’ Option, or A Step Back?’, European Journal of Public Health; 19; 448–451. Saltman R.(2003) ‘Melting Public-Private Boundaries in European Health Systems’, European Journal of Public Health;13; 24–29. Podgorsak E. (2009) ‘Privatization is Not An Answer To Health Care Access Problems, Increased Public Funding is’, Current Oncology.; 16; 2-3 Watson P. (2005) ‘Hospital Privatisation in Poland’, EuroHealth; 15; 28-31 Villa S. & Kane N. (2013) ‘Assessing the Impact of Privatizing Public Hospitals in Three American States: Implications for Universal Health Coverage’, Value in Health ; 16; 24-33 Angell, M. (2008) ‘Privatizing health care is not the answer: Lessons from the United States’, Canadian Medical Association Journal ; 179;9. Himmelstein D., & Woolhandler S. (2008) ‘Privatization in a Publicly Funded Health Care System: The U.S. Experience’, International Journal of Health Services ; 38407-419 Chernichovsky D. (2013) ‘Reforms Are Needed To Increase Public Funding And Curb Demand For Private Care In Israel’s Health System’, Health Affairs ; 32:724-733. Munoz, J. A. (2002) What is the Quality of Care in a Developing County ; https://www.rand.org/content/dam/rand/pubs/rgs_dissertations/RGSD155/RGSD155.ch2.pdf . Accessed 09.11.2016 Harmanci, A. K., & Yildirim, A. (2012) Hemşirelerin Özelleştirmelere İlişkin Algı Ölçeğinin Geliştirilmesi. Turkish Journal of Research & Development in Nursing ; 14(2). Allen, I.E., & Seaman, C.A. (2007) Likert Scales and Data Analyses, Ouality progress ;40; 64. Carole, L. K., & Winterstein, A.G. (2008) Validity and Reliability of Measurement Instruments Used in Research. American Society of Health- System Pharmacists ; 2276-2284. Lynn, M.R. (1996) Determination and Quantification of Content Validity. Nursing Research ;35; 382-385. Field, A. (2009) Discovering statistics using SPSS. 3rd Edition, California: SAGE Publications. Çokluk, Ö., Şekercioğlu, G., & Büyüköztürk, Ş. (2010) Sosyal bilimler için çok değişkenli istatistik: SPSS ve LISREL uygulamaları. Pegem Akademi. Schermelleh-Engel, K., Moosbrugger, H., & Müller, H. (2003) Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of psychological research online. ;8; 23-74. Waltz, C. F., Strickland, O. L., & Lenz, E. R. (2010). Measurement in nursing and health research. Springer Publishing Company.
Year 2018, Volume: 3 Issue: 2, 46 - 55, 19.03.2018

Abstract

References

  • Privatization Endevaor in Turkey http://unpan1.un.org/intradoc/groups/public/documents/apcity/unpan018681.pdf. Accessed 09.11.22016 Albreht T. (2009). ‘Privatization Processes in Health Care in Europe—A Move in The Right Direction, A ‘Trendy’ Option, or A Step Back?’, European Journal of Public Health; 19; 448–451. Saltman R.(2003) ‘Melting Public-Private Boundaries in European Health Systems’, European Journal of Public Health;13; 24–29. Podgorsak E. (2009) ‘Privatization is Not An Answer To Health Care Access Problems, Increased Public Funding is’, Current Oncology.; 16; 2-3 Watson P. (2005) ‘Hospital Privatisation in Poland’, EuroHealth; 15; 28-31 Villa S. & Kane N. (2013) ‘Assessing the Impact of Privatizing Public Hospitals in Three American States: Implications for Universal Health Coverage’, Value in Health ; 16; 24-33 Angell, M. (2008) ‘Privatizing health care is not the answer: Lessons from the United States’, Canadian Medical Association Journal ; 179;9. Himmelstein D., & Woolhandler S. (2008) ‘Privatization in a Publicly Funded Health Care System: The U.S. Experience’, International Journal of Health Services ; 38407-419 Chernichovsky D. (2013) ‘Reforms Are Needed To Increase Public Funding And Curb Demand For Private Care In Israel’s Health System’, Health Affairs ; 32:724-733. Munoz, J. A. (2002) What is the Quality of Care in a Developing County ; https://www.rand.org/content/dam/rand/pubs/rgs_dissertations/RGSD155/RGSD155.ch2.pdf . Accessed 09.11.2016 Harmanci, A. K., & Yildirim, A. (2012) Hemşirelerin Özelleştirmelere İlişkin Algı Ölçeğinin Geliştirilmesi. Turkish Journal of Research & Development in Nursing ; 14(2). Allen, I.E., & Seaman, C.A. (2007) Likert Scales and Data Analyses, Ouality progress ;40; 64. Carole, L. K., & Winterstein, A.G. (2008) Validity and Reliability of Measurement Instruments Used in Research. American Society of Health- System Pharmacists ; 2276-2284. Lynn, M.R. (1996) Determination and Quantification of Content Validity. Nursing Research ;35; 382-385. Field, A. (2009) Discovering statistics using SPSS. 3rd Edition, California: SAGE Publications. Çokluk, Ö., Şekercioğlu, G., & Büyüköztürk, Ş. (2010) Sosyal bilimler için çok değişkenli istatistik: SPSS ve LISREL uygulamaları. Pegem Akademi. Schermelleh-Engel, K., Moosbrugger, H., & Müller, H. (2003) Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of psychological research online. ;8; 23-74. Waltz, C. F., Strickland, O. L., & Lenz, E. R. (2010). Measurement in nursing and health research. Springer Publishing Company.
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Details

Primary Language English
Journal Section Research Article
Authors

Aysu Zekioğlu This is me

Ayşegül Kaptanoğlu

Doğancan Çavmak This is me

Sait Söyler

Publication Date March 19, 2018
Published in Issue Year 2018 Volume: 3 Issue: 2

Cite

APA Zekioğlu, A., Kaptanoğlu, A., Çavmak, D., Söyler, S. (2018). The Scale Development on Health Professionals’ Perceptions About Health Sector Privatization in Turkey. International Journal of Health Administration and Education Congress (Sanitas Magisterium), 3(2), 46-55.
AMA Zekioğlu A, Kaptanoğlu A, Çavmak D, Söyler S. The Scale Development on Health Professionals’ Perceptions About Health Sector Privatization in Turkey. Sanitas magisterium. March 2018;3(2):46-55.
Chicago Zekioğlu, Aysu, Ayşegül Kaptanoğlu, Doğancan Çavmak, and Sait Söyler. “The Scale Development on Health Professionals’ Perceptions About Health Sector Privatization in Turkey”. International Journal of Health Administration and Education Congress (Sanitas Magisterium) 3, no. 2 (March 2018): 46-55.
EndNote Zekioğlu A, Kaptanoğlu A, Çavmak D, Söyler S (March 1, 2018) The Scale Development on Health Professionals’ Perceptions About Health Sector Privatization in Turkey. International Journal of Health Administration and Education Congress (Sanitas Magisterium) 3 2 46–55.
IEEE A. Zekioğlu, A. Kaptanoğlu, D. Çavmak, and S. Söyler, “The Scale Development on Health Professionals’ Perceptions About Health Sector Privatization in Turkey”, Sanitas magisterium, vol. 3, no. 2, pp. 46–55, 2018.
ISNAD Zekioğlu, Aysu et al. “The Scale Development on Health Professionals’ Perceptions About Health Sector Privatization in Turkey”. International Journal of Health Administration and Education Congress (Sanitas Magisterium) 3/2 (March 2018), 46-55.
JAMA Zekioğlu A, Kaptanoğlu A, Çavmak D, Söyler S. The Scale Development on Health Professionals’ Perceptions About Health Sector Privatization in Turkey. Sanitas magisterium. 2018;3:46–55.
MLA Zekioğlu, Aysu et al. “The Scale Development on Health Professionals’ Perceptions About Health Sector Privatization in Turkey”. International Journal of Health Administration and Education Congress (Sanitas Magisterium), vol. 3, no. 2, 2018, pp. 46-55.
Vancouver Zekioğlu A, Kaptanoğlu A, Çavmak D, Söyler S. The Scale Development on Health Professionals’ Perceptions About Health Sector Privatization in Turkey. Sanitas magisterium. 2018;3(2):46-55.

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