Kamu Hastanelerinde Tedarik Sürecinin İncelenmesi: Nitel Bir Çalışma

Year 2025, Volume: 59 Issue: 1, 101 - 114, 22.01.2025

Ugur Ugrak , Şafak Çınar , Fırat Seyhan , Demet Kavak

https://doi.org/10.51551/verimlilik.1495743

Abstract

Amaç: Bu nitel çalışmanın amacı kamu hastanelerindeki sağlık tedarik sürecini çok boyutlu olarak incelemek ve bu süreçteki zayıf ve güçlü yönleri ortaya çıkarmaktır.
Yöntem: Bu nitel çalışma, kamu hastanelerindeki sağlık tedarik süreçlerine ilişkin yeterli bilgi ve deneyime sahip paydaşlar arasında gerçekleştirilmiştir. Bu araştırma kapsamında amaçlı ve kartopu örnekleme yöntemleri kullanılarak belirlenen 14 katılımcıyla yarı yapılandırılmış görüşmeler gerçekleştirilmiştir. Veriler tümevarımsal yorumlayıcı fenomenoloji yaklaşımıyla tematik kodlama yöntemi kullanılarak analiz edilmiştir. Analiz sürecinde Nvivo 2020 yazılımı kullanılmıştır.
Bulgular: Türkiye'de mevcut mevzuatın çeşitli tedarik yöntemlerine izin verdiği görülmüştür. Açık ihale yönteminin ölçek ekonomisi açısından en iyi maliyet avantajına sahip yöntem olduğu belirlenmiştir. Ancak bu yöntem malzeme kalitesinin düşmesine neden olabilmektedir. Bu nedenle, iyi tasarlanmış teknik şartname ve nitelikli insan kaynağının kullanımı tedarik sürecinde önemli bir rol oynamaktadır.
Özgünlük: Bu çalışma, kamu hastanelerindeki tedarik sürecinde maliyet odaklı yaklaşımın kalite üzerindeki olası olumsuz etkilerini ortaya koymaktadır. Ayrıca sağlık hizmetlerinin tedarik sürecinde kaliteli insan kaynağına duyulan ihtiyaç da önemli bir sorun olarak tespit edilmiştir. Tedarikçiler arasında da rekabet ortamını bozabilecek gayrı resmi yapılar ön plana çıkmaktadır.

Keywords

Sağlık Yönetimi, Hastane Lojistiği, Tedarik Süreci

Evaluation of the Supply Process in Public Hospitals: A Qualitative Study

Abstract

Purpose: The purpose of this qualitative study is to examine the healthcare supply process in public hospitals in a multi-dimensional manner and to reveal the weaknesses and strengths in this process.
Method: This qualitative study was conducted among stakeholders with sufficient knowledge and experience about healthcare supply processes in public hospitals. Within this research scope, semi-structured interviews were conducted with 14 participants determined using purposeful and snowball sampling methods. The data was analyzed using the thematic coding method with an inductive interpretive phenomenology approach. Nvivo 2020 software was used during the analysis process.
Findings: The current legislation in Türkiye was observed to allow for various supply methods. The open tender method was determined to be the best cost-advantage one in terms of economy of scale. However, it may cause a decrease in material quality. Therefore, well-designed specifications and qualified human resources play an essential role in the supply process.
Originality: This study reveals the possible negative effects of a cost-oriented approach in the supply process on quality in public hospitals. Additionally, the necessity of quality human resources in the supply process of healthcare was identified as an important problem. Informal structures were also emphasized among suppliers, which may disrupt the competitive environment.

Keywords

Health Management, Hospital Logistics, Supply Chain

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