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Hekimlerin Tanı Koymasını Zorlaştıran Faktörlerin AHP ile Tespit Edilmesine Yönelik Bir Araştırma

Year 2023, , 458 - 473, 25.05.2023
https://doi.org/10.21076/vizyoner.1144343

Abstract

Doğru tanı koymak hem hekimlik mesleği hem de hastanın sağlığı açısından oldukça önemlidir. Bu kapsamda tanı koyma sürecinde hekim hastada rahatsızlığa sebep olan şikayetlerinin sebebini ortaya koyabilmek için hastadan bir dizi tetkik istemektedir. Hastalık öyküsünün tam anlamıyla aktarılamaması ve gereksiz tetkik gibi durumlar hem zaman hem de ekonomik kayıp anlamına gelmektedir. Hasta ile hekim arasında yaşanabilecek iletişim sorunları tanı koymada problem yaşanmasına sebep olabilmektedir. Bu çerçevede çalışmanın amacı hekimlerin, hastaya tanı koyma sürecinde yaşadıkları zorlukların tespit ve önceliklendirilmesinin yapılmasıdır. Bu amaçla çalışmada sistematik derleme yapılarak sekiz ana kriter oluşturulmuş bu kriterler, çok kriterli karar verme yöntemlerinden biri olan Analitik Hiyerarşi Süreci yöntemi ile önceliklendirilmiştir. Bu kapsamda AHP anketi oluşturularak, beşi deneme grubu, beşi Gaziantep ve 10’u İstanbul’da görev yapan toplamda 20 hekime uygulanmıştır. Anket bulguları dikkate alındığında Gaziantep ve İstanbul’da görev yapan hekimlerin öncelik sıralaması arasında farklılıklar olduğu görülmüştür.

References

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A Research on Determining Factors That Make Diagnosis Difficult for Physicians with AHP

Year 2023, , 458 - 473, 25.05.2023
https://doi.org/10.21076/vizyoner.1144343

Abstract

A correct diagnosis is very important both for the medical profession and for the patient's health. In this regard, during the diagnostic process, the doctor demands a series of examinations from the patient in order to find out the cause of the complaints that the patient has. Situations such as the inability to provide a complete medical history and unnecessary examinations mean both a loss of time and an economic loss. Communication problems between patient and physician can lead to problems in diagnosis. With this in mind, the aim of the study is to identify and prioritize the difficulties physicians face in diagnosing patients. To this end, the study establishes eight main criteria by systematic compilation and prioritized these criteria using the Analytical Hierarchy Process (AHP) method, which is one of the multi-criteria decision-making methods. In this context, the AHP questionnaire is created and applied to a total of 20 physicians, five of whom are part of the experimental group, five of whom worked in Gaziantep and 10 of whom work in Istanbul. The results of the survey show that there are differences in the priority order of physicians working in Gaziantep and Istanbul.

References

  • Abudayyeh, O., Asce, M., Zidan, S. J., Yehia, S. ve Randolph, D. (2007). Contracting model using AHP. Journal of Management, 23(2), 88–96. https://doi.org/10.1061/(ASCE)0742-597X(2007)23:2(88)
  • Ağar, A. (2020). Yaşlılarda ortaya çıkan psikolojik değişiklikler. Geriatrik Bilimler Dergisi, 3(2), 75–80. https://doi.org/10.47141/geriatrik.744968
  • Akbolat, M. ve Ünğan M. C. (2019). Sağlık iletişimi. M. Akbolat ve M. C. Ünğan (Ed.), Prof. Dr. Gültekin Yıldız anı kitabı (s. 1-20), Sakarya Üniversitesi Basımevi.
  • Atlı T. ve Atmış V., (2019). Yaşlı hastada anamnez ve fizik muayene. (3), 43–54.
  • Aydin, N. (2013). Determination of accuracy of nursing diagnoses used by nursing students in their nursing care plans. International Journal of Caring Sciences, 6(2), 252–257.
  • Azık, F. M., Gümüş, D., Ergen, S. ve Çayır, A. (2009). Hemofagositik lenfohistiyositozis tanısında zorluklar: Olgu sunumu. Dicle Tıp Dergisi, 36(3), 213–215.
  • Berner, E. S. ve Graber, M. L. (2008). Overconfidence as a cause of diagnostic error in medicine. American Journal of Medicine, 121(5). https://doi.org/10.1016/j.amjmed.2008.01.001
  • Bhushan, N. ve Rai, K. (2013). Applying the analytic hierarchy process. journal of chemical ınformation and modeling. R. Roy (Ed.), Strategic decision making içinde (s. 3-24). Springer.
  • Boztaş, M. H. ve Arısoy, Ö. (2010). Tıbbi hastalıklarda depresyon: tanısal sorunlar. Psikiyatride Güncel Yaklaşımlar, 2(3), 318–332.
  • Bükecik, E., Şahin, S., Abay, H., Kaplan, S. ve Düzgün, A. A. (2019). Mülteci kadınlar ve üreme sağlığı: sağlık hizmetlerine ulaşmalarını etkileyen faktörler, engeller ve çözüm önerileri. SDÜ Sağlık Bilimleri Dergisi, 10(4), 460–464. https://doi.org/10.22312/sdusbed.531868
  • Bürgy, M. (2017). Die wahnhafte depression: Diagnostik, phänomenologie und therapie. Nervenarzt, 88(5), 529–537. https://doi.org/10.1007/s00115-016-0149-2
  • Cheng, E. W. L. ve Li, H. (2002). Construction partnering process and associated critical success factors: quantitative investigation. Journal of Management in Engineering, 18(4), 194–202. https://doi.org/10.1061/(ASCE)0742-597X(2002)18:4(194)
  • Çakmak, Z. (2017). Rehberlik ve araştırma merkezi personelinin öğrenme güçlüğü olan bireylerin değerlendirilme süreçlerine ilişkin görüşleri. [Yüksek Lisans Tezi]. Anadolu Üniversitesi.
  • Çaman, Ö. K. ve Özvarış, Ş. B. (2010). Uluslararası göç ve kadın sağlığı. Sağlık ve Toplum, 4, 1–12.
  • De Haan, J., Vandecaveye, V., Han, S. N., Van De Vijver, K. K. ve Amant, F. (2016). Difficulties with diagnosis of malignancies in pregnancy. Best Practice and Research: Clinical Obstetrics and Gynaecology, 33(2016), 19–32. http://dx.doi.org/10.1016/j.bpobgyn.2015.10.005
  • Demir, F. (2014). Tanı ve tarama test sonuçlarının klinik karar verme sürecinde kullanılması. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 5(2), 91–95.
  • Demirbaş, F., Ağayev, A. E., Çaltepe, G. ve Kalaycı A. G. (2020). Erken çocukluk çağında Wilson hastaların tanısal zorlukları. Güncel Pediatri Dergisi, 18(1), 41-52. https://doi.org/10.4274/jcp.2020.0004
  • Dias, A. ve Ioannou, P. G. (1996). Company and project evaluation model for privately promoted ınfrastructure projects. Journal of Construction Engineering and Management, 122(1), 71–82. https://doi.org/10.1061/(ASCE)0733-9364(1996)122:1(71)
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There are 75 citations in total.

Details

Primary Language Turkish
Subjects Health Policy
Journal Section Research Articles
Authors

Betül Akalın 0000-0003-0402-2461

Mehmet Beşir Demirbaş 0000-0002-5137-0496

Early Pub Date May 22, 2023
Publication Date May 25, 2023
Submission Date July 16, 2022
Published in Issue Year 2023

Cite

APA Akalın, B., & Demirbaş, M. B. (2023). Hekimlerin Tanı Koymasını Zorlaştıran Faktörlerin AHP ile Tespit Edilmesine Yönelik Bir Araştırma. Süleyman Demirel Üniversitesi Vizyoner Dergisi, 14(38), 458-473. https://doi.org/10.21076/vizyoner.1144343

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