Journal of Health Systems and Policies

Research Article

1. Causes of Obstruction in the Outpatient Department of National Hospital, Sri Lanka: A Qualitative Study

Samantha Ranasinghe , Dlirukshi Deerasinghe , Ranga Sabhapathige

Page: 122-136

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Research Article

2. Regional Health Disparities in the Aftermath of Health System Reforms in Turkey

Zeynep Ugur , Abdullah Tirgil

Page: 137-169

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Research Article

3. How Healthy is Health Sector?

Harun Türker Kara , Sümeyra Kara

Page: 170-184

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Aim & Scope

Journal of Health Systems and Policies (JHESP) is an international, open access, peer-review journal. It aims to publish researches, review and implementations of health systems, health policies, and medical sciences.

The journal is published 3 times a year (April, August, December). Original research results, applications, implementations, scientific reviews, and short communication notes on health care systems, health policies, and medical sciences are considered for publication.

We assure 45 days of the peer review process, accepted papers are immediately published online first and published on the regular issue. All process of publishing is free of charge.

The publication rights of the manuscripts sent to the JHESP are transferred to the journal. These manuscripts may not be published, reproduced, or used in any other publication without permission from the journal management.

The journal is the publication organ of İstanbul Medipol University Health Systems and Policies Application and Research Center.

Author Guidelines

Preparing the Manuscript

General Considerations

Manuscripts do not have page limitations but should be kept to a minimum length. Authors should write in clear, concise English, employing an editing service if necessary.

All text (including the title page, abstract, all sections of the body of the paper, figure captions, scheme or chart titles, and footnotes and references) and tables should be in one file. Graphics may be included with the text or uploaded as separate files.

The submission file is in Microsoft Word, RTF, or WordPerfect document file format with use page size A4. 2.5 cm margins should be left at the edges of the page and the page numbers should be placed in the upper right corner of the page. The text is double-spaced; uses a 12-point font. It is best to use the fonts “Times New Roman”. This applies to figures, schemes, and tables as well as text.

Article Title: Times New Roman 16 point, Bold font, 2 nk

Author Information: Times New Roman 12 point, Bold font, 2 nk

Text Font Size: Times New Roman 12 point, 2 nk

Footnote Font Size: Times New Roman 12 point, 1 nk

Table and Figure font size: Times New Roman 12 point

Table and Figure Naming: Times New Roman 10 point

The responsibility for all aspects of manuscript preparation rests with the authors. Extensive changes or rewriting of the manuscript will not be undertaken by the Editors.

Manuscripts that do not adhere to the guidelines may be returned to authors for correction.

The manuscript has not been previously published, or still should not be sent to another journal for consideration.

Manuscript Organization

Title Page: The title of the manuscript should reflect the purposes and findings of the work in order to provide maximum information in a computerized title search.

Authors' Names and Affiliations: The authors' full first names, middle initials, last names, and affiliations with addresses at the time of work completion should be listed.

Abstract and keywords. Articles of all types must have an abstract. The maximum length of the Abstract should be 400 words, organized in a the findings-oriented format in which the most important results and conclusions are summarized.

After the abstract, a section of Keywords has to be given. Keywords should be at least 3, maximum 5.

Main text

Original Research articles should include the following:

Introduction
Methodology
Results
Discussion and Conclusions
Ancillary Information. (If necessary)

o Include pertinent information in the order listed immediately before the references.

o Corresponding Author Information: Provide telephone numbers and email addresses for each of the designated corresponding authors.

o Present/Current Author Addresses: Provide information for authors whose affiliations or addresses have changed.

o Author Contributions: Include statements such as "These authors contributed equally."

o Acknowledgment: Authors may acknowledge the conflict of interest, people, organizations, financial supporters in this section.

References and Notes

The accuracy of the references is the responsibility of the author(s). List all authors; do not use et al. Provide inclusive page numbers. The last version of APA style should be used consistently throughout the references. For more details, please follow the link below. References should be 10 fonts. (https://www.apastyle.org/)

Article: Anderson, R., Grigsby, A., Freedland, K., De Groot, M., McGill, J.B., Clouse, R.E., Lustman, P.J. (2002). Anxiety and poor glycemic control: A meta-analytic review of the literature. The International Journal of Psychiatry in Medicine, 32,235-247.

Website: Mitchell, J.A. (2017, May 21). How and when to reference. https://www.howandwhentoreference.com.

Non-Authorized Website: Unspecified (2017, May 21). How and when to reference. https://www.howandwhentoreference.com.

Official Newspaper: Seventh Five-Year Development Plan 1996-2000. (1995). T.C. Official Gazette (25 July 1995).

Book: Clegg, S. (1990). Modern organizations: Organization studies in the postmodern world. London: Sage Publications.

Book section: Onan, K., Sennaroğlu, B. (2009). Comparative study of production control systems through simulation. N. Mastorakis, J. Sakellaris (Ed.), Advances in Numerical Methods (67-78. ss.). New York; London: Springer.

Translation Book: Piaget, J. (1954). The construction of reality in the child. (M. Cook, Trans.). New York, NY: Basic Books.(Original work published 1950)

Papers in the printed conference book: Game, A. (2001). Creative ways of being. J. R. Morss, N. Stephenson ve J. F. H. V. Rappard (Ed.), In Theoretical issues in psychology: Proceedings of the International Society for Theoretical Psychology 1999 Conference (pp: 3-12). Sydney: Springer.

Paper in a published conference book: No editor: Doğdaş, T., Akyokuş, S. (2013). Document clustering using GIS visualizing and EM clustering method. 2013 IEEE International Symposium on Innovations in Intelligent Systems and Applications (INISTA) (1-4. ss.).

Unpublished conference paper: Santhanam, E., Martin, K., Goody, A., Hicks, O. (2001). Bottom-up steps towards closing the loop in feedback on teaching: A CUTSD project. Paper presented at Teaching and Learning Forum – Expanding horizons in teaching and learning, Perth, Australia, 7-9 February 2001.

Thesis: Yiğit, P. (2015). Examination of TIG (Diagnosis Related Groups) Data in Public Hospitals with Health Analytics Approach. Istanbul University, Institute of Social Sciences, Istanbul.

Reports and technical articles: Gencel Bek, M. (1998). Medscape Turkey 2000 (Report No. 2). Ankara: BAYAUM.

Data references: This journal encourages you to specify the underlying or discussable data discussions in your article by specifying your choice in your text and adding a data reference to your Reference List. Add [veriset] just before the reference, we can accurately identify it as the reference of the data.

Citing in the Text. For citations in the text, use the last name of the author(s) and the year of publication (e.g. for a single author (Aydin, 2018) / for two authors (Aydin and Ozen, 2018) / for three or more authors (Aydin et al., 2018)

References: The reference list should be included at the end of the main text. A paper which has been accepted for publication but which has not appeared may be cited in the reference list with the abbreviated name of the journal followed by the words "in press". See Reference Style below.

Citation in text: Please ensure that every reference cited in the text is also present in the reference list (and vice versa). Any references cited in the abstract must be given in full. Unpublished results and personal communications are not recommended in the reference list but may be mentioned in the text. If these references are included in the reference list they should follow the standard reference style of the journal and should include a substitution of the publication date with either 'Unpublished results' or 'Personal communication'. Citation of a reference as 'in press' implies that the item has been accepted for publication.

Personal Communications may be used only when written authorization from the communicator is submitted with the original manuscript; they may be mentioned only in the text and in the following form: (G.H. Orwell, Department of Psychiatry, University of Washington, personal communication). Unpublished or submitted experiments by one of the authors may be mentioned only in the text, not in the References. Initials, as well as surnames, must be given for authors whose unpublished experiments are quoted: (M.L. King, unpublished observations).

Reference management software: Articles to be sent to our journal must be prepared in the reference software program (Mendeley, EndNote). Mendeley Desktop users can easily download this magazine's reference style by clicking the link below: https://csl.mendeley.com/styles/546013121/JHESP manuscript is being prepared, then it will be possible to select this style using Mendeley plugins for Microsoft Word.

Reference style: In the text, references should be quoted as the name of the first author and year in chronological order. Multiple authors are indicated by "et al.", except when there are only two authors, in which case both names are written. For example, The pattern of the pathology instead represents a synaptically connected network of neurons (Braak and Brain, 1991; Morris, 1997). This hypothesis was recently proposed by Nagy et al. (1997).

Tables: Tables must be concise and as simple as possible. The title of each table should clearly indicate the nature of the contents and should be placed above the table.

Figures: All figures should be clear, easily legible. Legends should contain sufficient detail to permit figure interpretation without reference to the text. The title should be placed under the figure.

Tables and Figures should be included in the main text and written in parentheses with the number at the end of the relevant sentence in the text. For example .... (Table 1:) or ... (Figure 1:) If an abbreviation and/or symbol is used on the figure and table, it should be explained with 10 font size under the table or figure.

For review articles, these sections are not required: Methodology, Results, Discussion, and Conclusions.

Commentaries: Present the author’s viewpoint on the interpretation, analysis, or methods used in a particular study. The related article should be clearly stated. Text format is free, abstract is not required. The maximum word count is 1000 with a maximum of 5 references. Contact details of the responsible author should be provided.

Submission Checklist

Please check the accuracy of the steps below before submitting your article, and submit it once you are sure.
(+) The article should be prepared in accordance with the magazine template and rules.
(+) The article file must be uploaded in word format.
(+) Ethics committee document should be uploaded. (If you think that the ethics committee document is not required for your work, fill in a document stating this.)
(+) The copyright file must be uploaded.
(+) Conflict of interest document must be uploaded.
(+) Article author information should be written completely (should be written without title information).
(+) ORCID information of the authors should be written.
(+) Referee recommendation should be made.

Submitting the Manuscript

Communication and log in to Author’s Module All submissions to JHESP should be made by using Online Article Acceptance and Evaluation system on the journal web page.

Registration to System It is required to register into the Online Article Acceptance and Evaluation system (Journal Park) for the first time while entering by clicking “Create Account” button on the registration screen and the fill the opening form with real information. Some of the information required in the form is absolutely necessary and the registration will not work if these fields are not completely filled.

The authors are expected to return to the entry screen and log on with their username and password for the submission. Please use only English characters while determining your username and password.

If you already registered into the journal park system and forget your password, you should click on the “Forgot My Password” button, and your username and password will be mailed to your e-mail in a short while.

Adding Article This process consists of several different steps beginning with the loading of the article into the system. Browse button is used to reach the article file, under the Upload tab. After finding the article you may click to Choose File and the file will be attached.

Evaluation process

Submitted works are subject to a preliminary examination by the journal editors in terms of form and content. Studies deemed appropriate for publication in the journal in terms of form and content after preliminary examination are sent to at least two referees. The journal has a blind review system. The names of the referees evaluating the article are not communicated to the authors and the author information is not shared with the referees. If one of the referees gives a positive opinion and a negative opinion, the study is sent to a third referee. Studies deemed appropriate by at least two referees are published in the journal.

Articles that are positive as a result of the referee evaluation are taken into the "English Language Control" process. In the language check, some arrangements may be requested from the author.

You may use the Microsoft Word template to prepare your manuscript.

Ethical Principles and Publication Policy

Journal of Health Systems and Policies-JHESP is a peer-reviewed journal published by the ethical principles and rules stated below to publish legal and interdisciplinary scientific works related to health care systems, health policies, and medical sciences.

All submissions should be original, not have been published in another journal, and should not be in the evaluation process in another journal. Each work is evaluated by one of the editors and at least two blind peer-reviewers. Situations such as plagiarism, duplication, fraudulent authorship / denied authorship, research/data fabrication, article slicing, slicing publishing, copyright infringement, and concealment of conflict of interest are considered unethical behaviors.

JHESP pursues the principles and standards of the publication ethics determined by COPE (Committee on Publication Ethics) and ICMJE (International Committee of Medical Journal Editors).

Editors, reviewers, and authors are expected to adhere to internationally accepted criteria for scientific publishing.

Authors who submit a work to the Journal of Health Systems and Policies-JHESP must comply with the stated ethical responsibilities;

· The author should not send any work or works published elsewhere or submitted for publication to the Journal of Health Systems and Policies-JHESP.

· The authors are liable for the compliance of the works with scientific and ethical rules. By sending his work to the journal; It is deemed to have committed that the work is original, has not been published elsewhere, and is not under consideration for publication elsewhere, in any other language.

· Contributing authors and sources should be used appropriately and cited in references. All individuals who do not meet the sufficient criteria for authorship but contributed to the study should be listed in the “acknowledgments/information” section. Examples of these are people who only provide technical support, assist with writing, provide only general support, or provide financial and material support.

· Changing author responsibilities (such as adding authors, changing the order of authors, removing authors) for a study whose evaluation process has started should not be offered.

· All authors should have a direct academic and scientific contribution to the submitted works. Name order of the authors should be a joint decision.

· The author should correctly cite the sources they use during the writing of the work in line with ethical principles.

· JHESP may request information or raw data from the authors within the framework of the evaluation processes, in such a case, the author should be ready to present the data and information requested from him/her.

· When the author realizes an error about the work in the evaluation and early viewing stage or the work published in electronic form, he/she should contact the editorial board to inform, correct, or withdraw.

Editorial Board of Journal of Health Systems and Policies-JHESP undertakes to comply with the following ethical values;

· The Editorial Board is obliged to make an effort to increase the quality of the journal and to contribute to its development.

· Editorial Board needs to support authors' freedom of expression.

· The Editorial Board should take measures to prevent scientific and unethical behaviors such as plagiarism and citation fraud.

· The Editorial Board has the final say in the publication of an academic study submitted to the journal. In determining the studies to be published, the quality, up-to-dateness, originality, and contribution to the field should be taken into consideration.

· The Editorial Board is responsible for the proper execution of the publication process of all works submitted for publication in the journal. In this context, the Editorial Board should decide independently and by taking public interest into account.

· The Editorial Board guarantees that all information regarding the submitted works will remain confidential until the work is published.

· The Editorial Board is obliged to protect the intellectual property rights of all published works and to defend the rights of the journal and authors in possible violations. The Editorial Board is obliged to take the necessary measures to ensure that all published works do not violate the intellectual property rights of other publications and to perform an authenticity check within this scope.

· While making any decision regarding the works, the Editorial Board should take into account the original value of the works, their contribution to the field, the validity and reliability of the research method, the clarity of the expression, and the purpose and scope of the journal. The Editorial Board cannot take into account the race, ethnic origin, gender, thoughts, and beliefs of the authors for any reason.

· Editorial Board should evaluate the articles submitted for publication in the review in terms of grammatical rules.

· Editorial Board should provide descriptive and informative notification and feedback to the authors.

· The Editorial Board ensures that journal policies such as publication, blind peer-review, evaluation process, ethical principles are determined and implemented.

· The Editorial Board should ensure that the peer-review process is carried out with two blind peer-reviewers and should not disclose the peer-reviewers to the authors and the authors to the peer-reviewers.

· The Editorial Board should ask the peer-reviewers to evaluate the works that are suitable for their knowledge and expertise. Thus, it should be ensured that the articles are appropriately evaluated by experts in their field of study. Care should be taken to keep the identity of the referees anonymous during this process.

Peer-reviewers of Journal of Health Systems and Policies-JHESP undertake to abide by the ethical values stated below;

· Peer-reviewers should only agree to evaluate works related to their field of expertise. If a peer-reviewer does not feel qualified about the subject of the work or if it does not seem possible to provide timely feedback, he should inform the Editorial Board of this situation as soon as possible.

· The peer-reviewers contribute to the decisions to be taken by the Board with their opinions regarding the academic studies submitted for their evaluation and, if deemed necessary, communicate with the author through the Board for the development of the study. In this process, it is essential to keep the peer-reviewers identities confidential.

· Peer-reviewers are obliged to evaluate the works in impartiality and confidentiality. Within this framework, they cannot share or use the information in the work with others before they are published, without the express consent of the author.

· The peer-reviewers should inform the Editorial Board as soon as possible if they notice any copyright infringement or plagiarism regarding the work submitted for evaluation, or if they notice any similarity with any previously published work or information.

· At the end of the evaluation process, the referees should submit their opinions by scientific criteria via the "Peer-review Form". When the "Peer-review Form" that does not comply with these conditions is detected, the editorial board can contact the peer-reviewer for review and correction.

· Peer-reviewers are required to complete their evaluations within the time allotted to them.

Publication Policy

Journal of Health Systems and Policies-JHESP is published by Istanbul Medipol University. The publisher provides open, electronic, and free access to the journal on the web page of the journal. However, it protects the property and copyright of every article published in the journal and undertakes the obligation to keep the records of every published copy.

All content of the Journal of Health Systems and Policies-JHESP is presented free of charge in an environment that everyone can read and download following the open access policy.

All manuscripts submitted to the Journal of Health Systems and Policies-JHESP are evaluated through a double-blind review process. In this context, reviewers and evaluations are made only on the manuscript, regardless of the personal characteristics of the author such as identity, nationality, religious belief, and political opinion.

All expenses of the journal are covered by Istanbul Medipol University. JHESP; does not charge for submission, processing, publishing, or any other process.

The opinions expressed in the manuscripts published in the journal belong to the author. Istanbul Medipol University and JHESP do not accept any responsibility in this regard.

Regarding the Manuscripts Evaluation Process;

After the manuscripts are submitted to the journal, the manuscript evaluation process takes place in the form of a preliminary examination, reviewer evaluation, language control and, if necessary, a correction phase.

It may be possible before the manuscript is published for the authors to withdraw from the publication of a manuscript that has been submitted to the journal and has been peer-reviewed.

Price Policy

All expenses of the journal are covered by Istanbul Medipol University. JHESP; does not charge for submission, processing, publishing, or any other process. All process of publishing is free of charge.

Indexes

Other Indexes

	Scientific Indexing Services (SIS)
	Google Scholar
	BASE
	CrossRef
	Eurasian Scientific Journal Index (ESJI)
	EuroPub

Journal Boards

EDITOR

Prof. Dr. Sabahattin AYDIN ISTANBUL MEDIPOL UNIVERSITY

DEPUTY EDITOR

Prof. Dr. Hakan TOZAN AMERICAN UNIVERSITY OF THE MIDDLE EAST (AUM)

SENIOR EXECUTIVE EDITORS

Assoc. Prof. İlker KÖSE İSTANBUL TİCARET ÜNİVERSİTESİ

Computing Applications in Health, Data Mining and Knowledge Discovery, Artificial Intelligence, Health Informatics and Information Systems

Asst. Prof. Dr. Mahmut TOKAÇ ISTANBUL MEDIPOL UNIVERSITY, SCHOOL OF MEDICINE

Medical Ethics, Health Sciences, Turkish Cultural History, Political and Civilization History of Islam, Ottoman Institutions and Civilization

Prof. Dr. Yeter USLU İSTANBUL MEDİPOL ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, SAĞLIK YÖNETİMİ BÖLÜMÜ

Health Sciences, Health Management, Human Resources Management, Strategy

Prof. Dr. Fulya İlçin GÖNENÇ ANKARA MEDİPOL UNIVERSITY, FACULTY OF LAW

Law and Legal Studies

Assoc. Prof. Dr. Melis Almula KARADAYI ISTANBUL MEDIPOL UNIVERSITY

Decision Support and Group Support Systems, Fuzzy Computation, Planning and Decision Making, Multiple Criteria Decision Making, Health Sciences, Health Systems, Health Management

Instructor Şeyma GÜNER ISTANBUL MEDIPOL UNIVERSITY

Health Management, Innovation Management, Strategy

Assoc. Prof. Dr. M. Fevzi ESEN Sağlık Bilimleri Üniversitesi

Information Systems Organisation and Management, Management Information Systems, Data Mining and Knowledge Discovery, Statistical Analysis, Quantitative Decision Methods , Health Informatics and Information Systems

Prof. Dr. Osman HAYRAN İstanbul Medipol University

Epidemiological Methods, Public Health, Social Determinants of Health, Health Management

SENIOR EXECUTIVE EDITOR (HEALTH LAW)

Prof. Dr. Fulya İlçin GÖNENÇ ANKARA MEDİPOL UNIVERSITY, FACULTY OF LAW

SENIOR EXECUTIVE EDITORS (HEALTH INFORMATICS)

Asst. Prof. Dr. İlker KÖSE İSTANBUL TİCARET ÜNİVERSİTESİ

Assoc. Prof. Dr. M. Fevzi ESEN Sağlık Bilimleri Üniversitesi

SENIOR EXECUTIVE EDITOR (PUBLIC HEALTH)

Prof. Dr. Osman HAYRAN İstanbul Medipol University

SENIOR EXECUTIVE EDITOR (MEDICAL ETHICS)

Asst. Prof. Dr. Mahmut TOKAÇ ISTANBUL MEDIPOL UNIVERSITY, SCHOOL OF MEDICINE

SENIOR EXECUTIVE EDITORS (HEALTH MANAGEMENT)

Prof. Dr. Yeter USLU İSTANBUL MEDİPOL ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, SAĞLIK YÖNETİMİ BÖLÜMÜ

SENIOR EXECUTIVE EDITOR (HEALTH SYSTEMS ENGINEERING)

Assoc. Prof. Dr. Melis Almula KARADAYI ISTANBUL MEDIPOL UNIVERSITY

SENIOR EXECUTIVE EDITOR (HEALTH ECONOMICS)

Prof. Dr. Yusuf CELİK ACIBADEM UNIVERSITY

Health Economy

MANAGEMENT TEAM

Asst. Prof. Dr. Olcay ÖZEN ISTANBUL MEDIPOL UNIVERSITY

Asst. Prof. Dr. Ömer ATAÇ MARMARA ÜNİVERSİTESİ

BIOSTATISTICS EDITOR

Asst. Prof. Dr. Pakize YIGIT İSTANBUL MEDİPOL ÜNİVERSİTESİ