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DİJİTAL HASTANE ORTAMINDA ÇALIŞAN SAĞLIK PROFESYONELLERİNİN DENEYİMLERİ; AVANTAJLAR, KOLAYLIKLAR VE GÜÇLÜKLER

Year 2022, Issue: 36, 223 - 236, 07.08.2022
https://doi.org/10.18092/ulikidince.943761

Abstract

Bu çalışma sağlık sektöründe Dijital Hastane uygulamalarının Türkiye‘deki yeri ve önemini belirlemek, dijital hastane özelliği taşıyan bir sağlık kurumunda dijitalleşme yolunda yaşanan avantajları, kolaylıkları ve güçlükleri ortaya koymak amacıyla yapılmıştır. Çalışmada nitel araştırma yöntemlerinden fenomenolojik desen kullanılmıştır. Araştırmanın çalışma grubu, amaçsal örneklem yöntemiyle Ankara Gazi Mustafa Kemal Devlet Hastanesinde çalışan personel olarak belirlenmiştir. Veriler yüz yüze yarı-yapılandırılmış görüşmeler neticesinde toplanmıştır. Niteliksel verilerin analizinde ise içerik analiz yöntemi kullanılmıştır. Yapılan görüşmelerde katılımcıların dijital hastane sisteminin teknoloji ve bilgi çağı olan günümüzde uygulanmasının kaçınılmaz olarak bulmuşlardır. Ayrıca katılımcılar dijital hastane sisteminin avantaj ve kolaylıkların olduğu kadar uygulanmasında bir takım güçlüklerinde olduğunu ifade etmişlerdir. Bu bağlamda görüşmeler sonucunda beş ana, altı alt tema oluşturulmuştur. Dijital Hastane Uygulamalarının Türkiye‘de gelişmesi için öncelikle mevcut durumun ortaya konulması ile bunların kullanımına ilişkin stratejiler hazırlanması, hem Sağlık Bakanlığının ilgili yetkililerin hem bu hizmeti sunan personelin hem de HBYS firmalarının bu konuda eğitilmesi ve devletin bu konuda teşvikleri ile denetimlerin sağlaması önemlidir.

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References

  • Kaynakça Abbasi Moghadam, M.A., Fayaz Bakhsh, A.(2014). Hospital Information System Utilization In Iran: A Qualitative Study. Acta Med Iran, 52(11):855-9.
  • Ahmadian, L., Dorosti, N., Khajouei, R., and Gohari, S. H. (2017). Challenges Of Using Hospital Information Systems By Nurses: Comparing Academic And Non-Academic Hospitals. Electronic Physician, 9(6), 4625.
  • Ahmadian, L., Khajouei, R., Nejad, S. S., Ebrahimzadeh, M., and Nikkar, S. E. (2014). Prioritizing Barriers To Successful Implementation Of Hospital Information Systems. Journal Of Medical Systems, 38(12), 151.
  • Al-Shorbaji, N. (2001). Health And Medical Informatics. Technical Paper. World Health Organization, RA/HIS, Regional Office For The Eastern Mediterranean.
  • Alanazi, A. (2017). Incorporating Pharmacogenomics Into Health Information Technology, Electronic Health Record And Decision Support System: An Overview. Journal Of Medical Systems, 41(2), 19.
  • Amatayakul, M. (2005). EHR? Assess Readiness First. Healthcare Financial Management : Journal Of The Healthcare Financial Management Association, 59(5), 112-113.
  • Anderson, J. G. (2007). Social, Ethical And Legal Barriers To E-Health. International Journal Of Medical Informatics, 76(5-6), 480-483.
  • Ayatollahi, H., Langarizadeh, M., and Chenani, H. (2016). Confirmation Of Expectations And Satisfaction With Hospital Information Systems: A Nursing Perspective. Healthcare Informatics Research, 22(4), 326-332.
  • Aygın, D., ve Cengiz, H. (2011). İlaç Uygulama Hataları Ve Hemşirenin Sorumluluğu. Şişli Etfal Hastanesi Tıp Bülteni, 45(3), 110-114.
  • Banner, L., and Olney, C. M. (2007). A Step In The Right Direction: Electronic Clinical Documentation Improves Nurse Charting, Efficiency, And Satisfaction. CIN: Computers, Informatics, Nursing, 25(5), 312, Doi:10.1097/01.NCN.0000289181.01767.Bb.
  • Bayer, E., Kuyrukçu, A. N., ve Akbaş, S. (2019). Dijital Hastane Uygulamalarinin Hastane Çalişanlarinin Ve Yöneticilerinin Perspektifinden Değerlendirilmesi: Bir Devlet Hastanesi Örneği. Akademik Araştırmalar Ve Çalışmalar Dergisi (AKAD), 11(21), 335-360.
  • Conroy, S., Sweis, D., Planner, C., Yeung, V., Collier, J., Haines, L., et al. (2007). Interventions To Reduce Dosing Errors In Children. Drug Safety, 30(12), 1111-1125.
  • Creswell J.W. (2014). Research Desing: Qualitative Quantitative and Mixed Methods Approaches Thousand Oaks. California, SAGE.
  • Darvish A, and M, S. (2010). A Review On Information Technology Development And The Necessity Of Nursing Informatics Specialty. 23.12.2019.
  • Darvish, A., Bahramnezhad, F., Keyhanian, S., and Navidhamidi, M. (2014). The Role Of Nursing Informatics On Promoting Quality Of Health Care And The Need For Appropriate Education. Global Journal Of Health Science, 6(6), 11.
  • Dwivedi, Y. K., Wastell, D., Laumer, S., Henriksen, H. Z., Myers, M. D., Bunker, D., et al. (2015). Research On Information Systems Failures And Successes: Status Update And Future Directions. Information Systems Frontiers, 17(1), 143-157.
  • Farzandipur, M. (2016). Factors Affecting Successful Implementation Of Hospital Information Systems. Acta Informatica Medica, 24(1), 51.
  • Gartee, R. (2007). Electronic Health Records: Understanding And Using Computerized Medical Records. Electronic Health Records: Pearson Prentice Hall.
  • Häyrinen, K., Saranto, K., and Nykänen, P. (2008). Definition, Structure, Content, Use And Impacts Of Electronic Health Records: A Review Of The Research Literature. International Journal Of Medical Informatics, 77(5), 291-304, Doi:10.1016/J.Ijmedinf.2007.09.001.
  • Hier, D. B., Rothschild, A., Lemaistre, A., and Keeler, J. (2005). Differing Faculty And Housestaff Acceptance Of An Electronic Health Record. International Journal Of Medical Informatics, 74(7-8), 657-662.
  • Holbrook, A., Xu, S., and Banting, J. (2003). What Factors Determine The Success Of Clinical Decision Support Systems? AMIA ... Annual Symposium Proceedings. AMIA Symposium, 2003, 862-862.
  • Holmgren, A. J., and Adler-Milstein, J. (2017). Health Information Exchange In US Hospitals: The Current Landscape And A Path To Improved Information Sharing. Journal Of Hospital Medicine, 12(3), 193-198.
  • Jani, Y. H., Barber, N., and Wong, I. C. K. (2010). Paediatric Dosing Errors Before And After Electronic Prescribing. BMJ Quality & Safety, 19(4), 337-340.
  • Kadmon, G., Bron-Harlev, E., Nahum, E., Schiller, O., Haski, G., and Shonfeld, T. (2009). Computerized Order Entry With Limited Decision Support To Prevent Prescription Errors In A PICU. Pediatrics, 124(3), 935-940.
  • Karaağaç, M. (2019). Dijital Hastane Sistemlerinin Hemşirelerin Zihinsel İş Yükü Ve Tıbbi Hataya Eğilimlerine Etkisi. Gaziantep Üniversitesi, Gaziantep.
  • Kardan A, D. A. (2007). A Review On Internet Based Health Services In Iran, VI International Congress On Health Informatics, In Havana, Virtual Presentation.
  • Khajouei, R., Wierenga, P., Hasman, A., and Jaspers, M. W. (2011). Clinicians Satisfaction With CPOE Ease Of Use And Effect On Clinicians’ Workflow, Efficiency And Medication Safety. International Journal Of Medical Informatics, 80(5), 297-309.
  • Kılıç, T. (2016). Digital Hospital; An Example Of Best Practice. International Journal Of Health Services Research And Policy, 1(2), 52-58.
  • Kılıç, T. (2017). E-Sağlık, İyi Uygulama Örneği; Hollanda. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 6(3), 203-217.
  • King, L. A., Fisher, J., Jacquin, L., and Zeltwanger, P. (2003). The Digital Hospital: Opportunities And Challenges. Journal Of Healthcare Information Management: JHIM, 17(1), 37-45.
  • Koca, M., Gulhan, Y., and Yilmaz, S. (2017). In Terms Of Hospital Management, Employee Perception Of Hospital Automation System. Pressacademia Procedia, 3(1), 770-782.
  • Koivunen, M. (2009). Acceptance And Use Of Information Technology Among Nurses In Psychiatric Hospitals. Turun Yliopisto, Turku, Finland.
  • Lapinsky, S. E., Holt, D., Hallett, D., Abdolell, M., and Adhikari, N. K. J. (2008). Survey Of Information Technology In Intensive Care Units In Ontario, Canada. BMC Medical Informatics And Decision Making, 8, 5-5, Doi:10.1186/1472-6947-8-5.
  • Mcginn, C. A., Grenier, S., Duplantie, J., Shaw, N., Sicotte, C., Mathieu, L., et al. (2011). Comparison Of User Groups' Perspectives Of Barriers And Facilitators To Implementing Electronic Health Records: A Systematic Review. BMC Medicine, 9, 46-46, Doi:10.1186/1741-7015-9-46.
  • Moody, L. E., Slocumb, E., Berg, B., and Jackson, D. (2004). Electronic Health Records Documentation In Nursing: Nurses' Perceptions, Attitudes, And Preferences. CIN: Computers, Informatics, Nursing, 22(6), 337-344.
  • NACNEP (2009). Seventh Annual Report. Challengesg Facing The Nurse Workforce In A Changing Environment. 23.12.2019.
  • Onbay, T. U., ve Kantarcı, A. Hastaneler Arası Dağıtık PACS Ağı. In EFMI STC VI. Ulusal Tıp Bilişimi Kongresi, Antalya, 2009 .
  • Or C, Dohan M and Tan J. (2014).Understanding Critical Barriers To Implementing A Clinical Information System In A Nursing Home Through The Lens Of A Socio-Technical Perspective. J Med Syst, Sep;38(9):99.
  • Riazi, H., and Bitaraf, A. (2008). EHR System In IRAN. Internet]. Tehran: Ministry Of Health And Medical Educaon.
  • Rogers, M. L., Sockolow, P. S., Bowles, K. H., Hand, K. E., and George, J. (2013). Use Of A Human Factors Approach To Uncover Informatics Needs Of Nurses In Documentation Of Care. International Journal Of Medical Informatics, 82(11), 1068-1074.
  • Romero, G., Garrido, J., and García-Arpa, M. (2008). Telemedicine And Teledermatology (I): Concepts And Applications. Actas Dermo-Sifiliográficas (English Edition), 99(7), 506-522.
  • Sadoughi, F., Delgoshaei, B., Foozonkhah, S., Tofighi, S., and Khalesi, N. (2006). Designing An Object-Oriented Model For Some Key Messages To Support The Electronic Health Record. Journal Of Health Administration, 9(25), 21-30.
  • Salehinajad S, Ahmaidn L, Khajouei R. (2014). Effects of Health Information Systems in Iran: a Systematic Review. Journal Of Health Information Management, 11(2):270–84.
  • Tabibi, J., Nasiripour, A. A., Kazemzadeh, R. B., Farhangi, A. A., and Ebrahimi, P. (2011). Effective Factors On Hospital Information System Acceptance: A Confirmatory Study In Iranian Hospitals. Middle-East Journal Of Scientific Research, 9(1), 95-101.
  • Terlemez, B., Şahin, D., ve Dilek, F. Namık Kemal Üniversitesi Sağlık Uygulama Ve Araştırma Merkezindeki Tibbi Sekreterler Ve İdari Personelin Bilgi Ve Arşiv Sistemleri Hakkındaki Düşünceleri. Electronic Journal Of Vocational Colleges, 4(3).
  • Thakkar, M., and Davis, D. C. (2006). Risks, Barriers, And Benefits Of EHR Systems: A Comparative Study Based On Size Of Hospital. Perspectives In Health Information Management, 3, 5-5.
  • Tüfekçi, N., Yorulmaz, R., ve Cansever, İ. H. (2017). Digital Hospital. Journal Of Current Researches On Health Sector, 7(2), 144-156.
  • Ünalan, N. (2016). Bir Eğitim Hastanesi’nde Hastane Bilgi Sistemleri Değişim Yönetimi İncelenmesi Ve İyileştirme Önerileri. Ankara.
  • Zheng, K. (2006). Design, Implementation, User Acceptance, And Evaluation Of A Clinical Decision Support System For Evidence-Based Medicine Practice. H. John Heinz III School Of Public Policy And Management.
Year 2022, Issue: 36, 223 - 236, 07.08.2022
https://doi.org/10.18092/ulikidince.943761

Abstract

Project Number

yok

References

  • Kaynakça Abbasi Moghadam, M.A., Fayaz Bakhsh, A.(2014). Hospital Information System Utilization In Iran: A Qualitative Study. Acta Med Iran, 52(11):855-9.
  • Ahmadian, L., Dorosti, N., Khajouei, R., and Gohari, S. H. (2017). Challenges Of Using Hospital Information Systems By Nurses: Comparing Academic And Non-Academic Hospitals. Electronic Physician, 9(6), 4625.
  • Ahmadian, L., Khajouei, R., Nejad, S. S., Ebrahimzadeh, M., and Nikkar, S. E. (2014). Prioritizing Barriers To Successful Implementation Of Hospital Information Systems. Journal Of Medical Systems, 38(12), 151.
  • Al-Shorbaji, N. (2001). Health And Medical Informatics. Technical Paper. World Health Organization, RA/HIS, Regional Office For The Eastern Mediterranean.
  • Alanazi, A. (2017). Incorporating Pharmacogenomics Into Health Information Technology, Electronic Health Record And Decision Support System: An Overview. Journal Of Medical Systems, 41(2), 19.
  • Amatayakul, M. (2005). EHR? Assess Readiness First. Healthcare Financial Management : Journal Of The Healthcare Financial Management Association, 59(5), 112-113.
  • Anderson, J. G. (2007). Social, Ethical And Legal Barriers To E-Health. International Journal Of Medical Informatics, 76(5-6), 480-483.
  • Ayatollahi, H., Langarizadeh, M., and Chenani, H. (2016). Confirmation Of Expectations And Satisfaction With Hospital Information Systems: A Nursing Perspective. Healthcare Informatics Research, 22(4), 326-332.
  • Aygın, D., ve Cengiz, H. (2011). İlaç Uygulama Hataları Ve Hemşirenin Sorumluluğu. Şişli Etfal Hastanesi Tıp Bülteni, 45(3), 110-114.
  • Banner, L., and Olney, C. M. (2007). A Step In The Right Direction: Electronic Clinical Documentation Improves Nurse Charting, Efficiency, And Satisfaction. CIN: Computers, Informatics, Nursing, 25(5), 312, Doi:10.1097/01.NCN.0000289181.01767.Bb.
  • Bayer, E., Kuyrukçu, A. N., ve Akbaş, S. (2019). Dijital Hastane Uygulamalarinin Hastane Çalişanlarinin Ve Yöneticilerinin Perspektifinden Değerlendirilmesi: Bir Devlet Hastanesi Örneği. Akademik Araştırmalar Ve Çalışmalar Dergisi (AKAD), 11(21), 335-360.
  • Conroy, S., Sweis, D., Planner, C., Yeung, V., Collier, J., Haines, L., et al. (2007). Interventions To Reduce Dosing Errors In Children. Drug Safety, 30(12), 1111-1125.
  • Creswell J.W. (2014). Research Desing: Qualitative Quantitative and Mixed Methods Approaches Thousand Oaks. California, SAGE.
  • Darvish A, and M, S. (2010). A Review On Information Technology Development And The Necessity Of Nursing Informatics Specialty. 23.12.2019.
  • Darvish, A., Bahramnezhad, F., Keyhanian, S., and Navidhamidi, M. (2014). The Role Of Nursing Informatics On Promoting Quality Of Health Care And The Need For Appropriate Education. Global Journal Of Health Science, 6(6), 11.
  • Dwivedi, Y. K., Wastell, D., Laumer, S., Henriksen, H. Z., Myers, M. D., Bunker, D., et al. (2015). Research On Information Systems Failures And Successes: Status Update And Future Directions. Information Systems Frontiers, 17(1), 143-157.
  • Farzandipur, M. (2016). Factors Affecting Successful Implementation Of Hospital Information Systems. Acta Informatica Medica, 24(1), 51.
  • Gartee, R. (2007). Electronic Health Records: Understanding And Using Computerized Medical Records. Electronic Health Records: Pearson Prentice Hall.
  • Häyrinen, K., Saranto, K., and Nykänen, P. (2008). Definition, Structure, Content, Use And Impacts Of Electronic Health Records: A Review Of The Research Literature. International Journal Of Medical Informatics, 77(5), 291-304, Doi:10.1016/J.Ijmedinf.2007.09.001.
  • Hier, D. B., Rothschild, A., Lemaistre, A., and Keeler, J. (2005). Differing Faculty And Housestaff Acceptance Of An Electronic Health Record. International Journal Of Medical Informatics, 74(7-8), 657-662.
  • Holbrook, A., Xu, S., and Banting, J. (2003). What Factors Determine The Success Of Clinical Decision Support Systems? AMIA ... Annual Symposium Proceedings. AMIA Symposium, 2003, 862-862.
  • Holmgren, A. J., and Adler-Milstein, J. (2017). Health Information Exchange In US Hospitals: The Current Landscape And A Path To Improved Information Sharing. Journal Of Hospital Medicine, 12(3), 193-198.
  • Jani, Y. H., Barber, N., and Wong, I. C. K. (2010). Paediatric Dosing Errors Before And After Electronic Prescribing. BMJ Quality & Safety, 19(4), 337-340.
  • Kadmon, G., Bron-Harlev, E., Nahum, E., Schiller, O., Haski, G., and Shonfeld, T. (2009). Computerized Order Entry With Limited Decision Support To Prevent Prescription Errors In A PICU. Pediatrics, 124(3), 935-940.
  • Karaağaç, M. (2019). Dijital Hastane Sistemlerinin Hemşirelerin Zihinsel İş Yükü Ve Tıbbi Hataya Eğilimlerine Etkisi. Gaziantep Üniversitesi, Gaziantep.
  • Kardan A, D. A. (2007). A Review On Internet Based Health Services In Iran, VI International Congress On Health Informatics, In Havana, Virtual Presentation.
  • Khajouei, R., Wierenga, P., Hasman, A., and Jaspers, M. W. (2011). Clinicians Satisfaction With CPOE Ease Of Use And Effect On Clinicians’ Workflow, Efficiency And Medication Safety. International Journal Of Medical Informatics, 80(5), 297-309.
  • Kılıç, T. (2016). Digital Hospital; An Example Of Best Practice. International Journal Of Health Services Research And Policy, 1(2), 52-58.
  • Kılıç, T. (2017). E-Sağlık, İyi Uygulama Örneği; Hollanda. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 6(3), 203-217.
  • King, L. A., Fisher, J., Jacquin, L., and Zeltwanger, P. (2003). The Digital Hospital: Opportunities And Challenges. Journal Of Healthcare Information Management: JHIM, 17(1), 37-45.
  • Koca, M., Gulhan, Y., and Yilmaz, S. (2017). In Terms Of Hospital Management, Employee Perception Of Hospital Automation System. Pressacademia Procedia, 3(1), 770-782.
  • Koivunen, M. (2009). Acceptance And Use Of Information Technology Among Nurses In Psychiatric Hospitals. Turun Yliopisto, Turku, Finland.
  • Lapinsky, S. E., Holt, D., Hallett, D., Abdolell, M., and Adhikari, N. K. J. (2008). Survey Of Information Technology In Intensive Care Units In Ontario, Canada. BMC Medical Informatics And Decision Making, 8, 5-5, Doi:10.1186/1472-6947-8-5.
  • Mcginn, C. A., Grenier, S., Duplantie, J., Shaw, N., Sicotte, C., Mathieu, L., et al. (2011). Comparison Of User Groups' Perspectives Of Barriers And Facilitators To Implementing Electronic Health Records: A Systematic Review. BMC Medicine, 9, 46-46, Doi:10.1186/1741-7015-9-46.
  • Moody, L. E., Slocumb, E., Berg, B., and Jackson, D. (2004). Electronic Health Records Documentation In Nursing: Nurses' Perceptions, Attitudes, And Preferences. CIN: Computers, Informatics, Nursing, 22(6), 337-344.
  • NACNEP (2009). Seventh Annual Report. Challengesg Facing The Nurse Workforce In A Changing Environment. 23.12.2019.
  • Onbay, T. U., ve Kantarcı, A. Hastaneler Arası Dağıtık PACS Ağı. In EFMI STC VI. Ulusal Tıp Bilişimi Kongresi, Antalya, 2009 .
  • Or C, Dohan M and Tan J. (2014).Understanding Critical Barriers To Implementing A Clinical Information System In A Nursing Home Through The Lens Of A Socio-Technical Perspective. J Med Syst, Sep;38(9):99.
  • Riazi, H., and Bitaraf, A. (2008). EHR System In IRAN. Internet]. Tehran: Ministry Of Health And Medical Educaon.
  • Rogers, M. L., Sockolow, P. S., Bowles, K. H., Hand, K. E., and George, J. (2013). Use Of A Human Factors Approach To Uncover Informatics Needs Of Nurses In Documentation Of Care. International Journal Of Medical Informatics, 82(11), 1068-1074.
  • Romero, G., Garrido, J., and García-Arpa, M. (2008). Telemedicine And Teledermatology (I): Concepts And Applications. Actas Dermo-Sifiliográficas (English Edition), 99(7), 506-522.
  • Sadoughi, F., Delgoshaei, B., Foozonkhah, S., Tofighi, S., and Khalesi, N. (2006). Designing An Object-Oriented Model For Some Key Messages To Support The Electronic Health Record. Journal Of Health Administration, 9(25), 21-30.
  • Salehinajad S, Ahmaidn L, Khajouei R. (2014). Effects of Health Information Systems in Iran: a Systematic Review. Journal Of Health Information Management, 11(2):270–84.
  • Tabibi, J., Nasiripour, A. A., Kazemzadeh, R. B., Farhangi, A. A., and Ebrahimi, P. (2011). Effective Factors On Hospital Information System Acceptance: A Confirmatory Study In Iranian Hospitals. Middle-East Journal Of Scientific Research, 9(1), 95-101.
  • Terlemez, B., Şahin, D., ve Dilek, F. Namık Kemal Üniversitesi Sağlık Uygulama Ve Araştırma Merkezindeki Tibbi Sekreterler Ve İdari Personelin Bilgi Ve Arşiv Sistemleri Hakkındaki Düşünceleri. Electronic Journal Of Vocational Colleges, 4(3).
  • Thakkar, M., and Davis, D. C. (2006). Risks, Barriers, And Benefits Of EHR Systems: A Comparative Study Based On Size Of Hospital. Perspectives In Health Information Management, 3, 5-5.
  • Tüfekçi, N., Yorulmaz, R., ve Cansever, İ. H. (2017). Digital Hospital. Journal Of Current Researches On Health Sector, 7(2), 144-156.
  • Ünalan, N. (2016). Bir Eğitim Hastanesi’nde Hastane Bilgi Sistemleri Değişim Yönetimi İncelenmesi Ve İyileştirme Önerileri. Ankara.
  • Zheng, K. (2006). Design, Implementation, User Acceptance, And Evaluation Of A Clinical Decision Support System For Evidence-Based Medicine Practice. H. John Heinz III School Of Public Policy And Management.
There are 49 citations in total.

Details

Primary Language Turkish
Subjects Economics
Journal Section Articles
Authors

Asuman Alkan Demir 0000-0003-4871-1891

Nazan Torun 0000-0003-1793-3248

Project Number yok
Publication Date August 7, 2022
Published in Issue Year 2022 Issue: 36

Cite

APA Alkan Demir, A., & Torun, N. (2022). DİJİTAL HASTANE ORTAMINDA ÇALIŞAN SAĞLIK PROFESYONELLERİNİN DENEYİMLERİ; AVANTAJLAR, KOLAYLIKLAR VE GÜÇLÜKLER. Uluslararası İktisadi Ve İdari İncelemeler Dergisi(36), 223-236. https://doi.org/10.18092/ulikidince.943761

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