SAĞLIK-HİZMET-HATASI ÖLÇEĞİ: SAĞLIK HİZMET HATALARININ BELİRLENMESİNE YÖNELİK BİR ÖLÇEK GELİŞTİRİLMESİ
Yıl 2022,
Cilt: 25 Sayı: 2, 389 - 408, 30.06.2022
Yusuf Öcel
,
Kahraman Çatı
,
Songül Yorgun
,
Muhammet Fatih Bayraktar
Öz
Bu çalışmanın temel amacı sağlık hizmet hatalarının belirlenmesine yönelik bir ölçeğin geliştirilmesidir. Bu amaç kapsamında literatür incelemesi ve sağlık kurumları yöneticileri ile yapılan görüşmeler sonucunda 57 ifadeden meydana gelen soru havuzu oluşturulmuştur. Pilot uygulama sağlık hizmet yöneticisi ve alanında uzman akademisyenler ile görüşmeler sonucunda yapılmıştır. Madde havuzunda kalan toplam 53 ifade ile 392 kişiden kolayda örnekleme yöntemi ile veriler toplanmıştır. Elden bırakıp-alma yöntemi ile toplanan anketlerin analizinde güvenilirlik ve geçerlilik testleri yapılmıştır. Açımlayıcı faktör analizi sonucunda sekiz boyut ortaya çıkmıştır. Bu boyutlar “fiyatlandırma ile ilgili hatalar”; “hak ihlali ile ilgili hatalar”; “hizmet sunum hataları” “davranışsal hatalar” “fiziksel altyapı ile ilgili hatalar” “e-hizmet hatası” “mahremiyet ile ilgili hatalar” ve “erişilebilirlik ile ilgili hatalardır”. Ayrıca doğrulayıcı faktör analizine ilişkin model uyum değerlerinin belirtilen kriterleri sağladığı belirlenmiştir.
Teşekkür
Bu çalışmanın yapılmasına izin verdiği için Bolu İl Sağlık Müdürlüğüne ve değerli görüşlerini bizlerle paylaştığı için Bolu İzzet Baysal Eğitim ve Araştırma Hastanesi yönetici ve çalışanlarına çok teşekkür ederiz.
Kaynakça
- Akalın, H. E. (2005). Patient safety in ıntensive care units. Journal of Intensive Care, 5(3), 141-146.
- Altunışık, R., Coşkun, R., Bayraktaroğlu, S., & Yıldırım, E. (2010). Research methods in social sciences, applied statistics with SPSS (6th ed.). Sakarya, Sakarya Publications.
- Anderson, K., Allan, D., & Finucane, P. (2001). A 30-month study of patient complaints at a major australian hospital. Journal of Quality in Clinical Practice, 21(4), 109-111.
- Austin, W. G. (1979). Justice, freedom and self-ınterest in intergroup relations. In G. Austin and S. Worchel (Eds.). The social psychology of intergroup relations (pp. 20-37). Belmont, CA: Brooks/Cole.
- Barrett, G. V. (1972). New research models of the future for industrial and organizational psychology. Personnel Psychology, 25,1-I7.
- Bell, C. R., & Zemke, R. E. (1987). Service Breakdown: The road to recovery. Management Review, 76(10), 32-35.
- Bies, R. J., & Shapiro D. L. (1987). Interactional fairness judgments: The influence of causal accounts. Social Justice Research, 1(2), 199-218.
- Bies, R. J. (1986). Interactional justice: Communication criteria of fairness. Research on Negotiation in Organizations, 1, 43-55.
- Bitner, M. J., Booms, B. H., & Tetreault, M. S. (1990). The service encounter: Diagnosing favorable and unfavorable incidents. Journal of Marketing, 54(1), 71-84.
- Bouwman, R., Bomhoff, M., Robben, P., & Friele, R. (2016). Classifying patients’ complaints for regulatory purposes: A pilot study. Journal of Patient Safety, 17(3), 169-176.
- Büyüköztürk, Ş. (2015). Manual of data analysis for social sciences (21nd ed). Ankara, Pegem Publications. Can, İ. Ö., Özkara, E., & Can, M. (2011). Medical malpractice verdicts of high court in Turkey. Journal of Dokuz Eylül University Faculty of Medicine, 25(2), 69-76.
- Cirhinlioğlu, Z. (2001). Sociology of health. Ankara, Nobel Publications. Coşkun, A. (2014). Dehumanization as an ethical issue in the health services sector. Turkish Journal of Business Ethics, 7(2), 9-51.
- Daniel, A. E., Burn, R. J., & Horarik, S. (1999). Patients' complaints about medical practice. The Medical Journal of Australia, 170(12), 598-602.
- Davidow, M. (2000). The bottom line impact of organizational responses to customer complaints. Journal of Hospitality and Tourism, 24(4), 473-490.
- Davis, L. L. (1992). Instrument review: Getting the most from a panel of experts. Applied Nursing Research, 5(4), 194-197.
- Dube-Rioux, L., Schmitt, B. H., & Leclerc, F. (1988). Consumer's reactions to waiting: When delays affect the perception of service quality. Advances in Consumer Research, 16(1), 59-6.
- Filizöz, B., Mesci, G., Aşcı, A., & Bağcıvan, E. (2015). Nurses’ ethical sensitivity: Research on central public hospitals in Sivas Province. Turkish Journal of Business Ethics, 8(1), 47-66.
- Güven, B., & Taşkıran, H. B. (2019). Doctor-patient relationship models in health communication and a research to determine assessment of relationship actors. International E-Journal of Public Relations and Advertising Studies, 2(1), 7-38.
- Hess, Jr, R. L., Ganesan, S., & Klein, N. M. (2003). Service failure and recovery: The impact of relationship factors on customer satisfaction. Journal of the Academy of Marketing Science, 31(2),127-145.
- Hess, Jr, R. L. (2008). The impact of firm reputation and failure severity on customers' responses to service failures. Journal of Services Marketing, 22(5), 385-398.
- Hinkin, T. R. (1995). A review of scale development practices in the study of organizations. Journal of Management, 21(5), 967-988.
- Hoffman, K. D., John, E., & Bateson, G. (1997). Essentials of service. Marketing. Fort Worth, TX: Dryden. Hoşgör, H., & Cengiz, E. (2020). Reasons for complaint and general profile of persons who were complainant from health services: A systematic review with Turkey axis. Hacettepe Journal of Health Administration, 23(1), 191-217.
- Hume, M. (1999). Changing hospital culture and systems reduces drug errors and adverse events. The Quality Letter for Healthcare Leaders, 11(3), 2-9.
- İntepeler, Ş. S., & Dursun, M. (2012). Medication error and medication error reporting systems. Journal of Anatolia Nursing and Health Sciences, 15(2), 129-135.
- Jackson, P. R., Wall, T. D., Martin, R., & Davids, K. (1993). New measures of job control, cognitive demand, and production responsibility. Journal of Applied Psychology, 78(5), 753-762
- Karagöz, Y., & Kösterelioğlu İ. (2008). Developing evaluation scale of communication skills with factor analysis. Dumlupınar University Journal of Social Sciences, 21, 81-97.
- Karakoç, F. Y., & Dönmez L. (2014). Basic principles of scale development. Medical Education World, 13(40), 39-49.
- Keaveney, S. M. (1995). Customer switching behavior in online services: An exploratory study. Journal of Marketing, 29(4), 71-82.
- Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (2000). To err is human: Building a safer health system. Committee on Quality of Health Care in America. Institute of Medicine. National Academy Press.
- Kline, T. J. B., Willness, C., & Ghali, W. A. (2008). Predicting patient complaints in hospital settings. Quality Safety Health Care, 17(5), 346-350.
- Koç, E. (2015). Service marketing and management global and local approach (1st. ed.). Ankara, Seçkin Publications.
- Krishna, A., Dangayacgh, G. S., & Rakesh, J. (2011). Service failure and recovery: Comparison between health care and automobile service station. School of Doctoral Studies (European Union) Journal, 3, 184-190.
- Kroening, H. L., Kerr, B., Bruce, J., & Yardley, I. (2015). Patient complaints as predictors of patient safety incidents. Patient Experience Journal, 2(1), 94-101.
- Lind, A. E., & Tyler T. R. (1988). The social psychology of procedural justice. Plenum Press.
- Mackie, J., & Sommerville, I. (2000). Failures of healthcare systems. Proceedings of the First Dependability IRC Workshop, Edinburgh, United Kingdom.
- Mayo, A. M., & Duncan, D. (2004). Nurse perceptions of medication errors: What we need to know for patient safety. Journal of Nursing Care Quality, 19(3), 209-17.
- McNutt, R. A., Abrams, R., & Aron, D. C. (2002). Patient safety efforts should focus on medical errors. Jama, 287(15), 1997-2001.
- Mete, B. (2021). The effects of service failure recovery strategies on customer satisfaction and repurchase ıntention in health care organizations [Master’s Thesis]. Hacettepe University, Ankara.
- Öcel, Y. (2019). Evaluation of complaints in health services in Turkey. Hacettepe Journal of Health Administration, 23(1), 55-80
- Özata, M., & Özer, K. (2017). Investigation of the attitudes of health care staff about patient privacy. Hacettepe Journal of Health Administration, 20(1), 81-92.
- Palmer, A., Beggs, R., & McMullan, C. K. (2000). Equity and repurchase intention following service failure. Journal of Services Marketing, 14(6), 513-528.
Health-Service-Failure Scale 407
- Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1985). A conceptual model of service quality and its implications for future research. Journal of Marketing, 49(4), 41-50.
- Reader, T. W., Gillespie, A., & Roberts, J. (2014). Patient complaints in healthcare systems: A systematic review and coding taxonomy. BMJ Quality & Safety, 23(8), 678-689.
- Salazar, G. M., Burk, K. S., & Abujudeh, H. (2018). Patient complaints in image-guided interventions: Evaluation of multifactorial issues using a coding taxonomy. American Journal of Roentgenology, 210(6), 1288-1291.
- Schriesheim, C. A., & Hill, K. (1981). Controlling acquiescence response bias by item reversal: The effect on questionnaire validity. Educational and Psychological Measurement, 41(4), 1101-1114.
- Smith, A. K., Bolton, R. N., & Wagner, J. (1999). A model of customer satisfaction with service encounters involving failure and recovery. Journal of Marketing Research, 36(3), 356-372.
- Stone, E. (1978). Research methods in organizational behavior. Glenview, IL: Scott, Foresman.
- Tax, S. S. Brown, W. S., & Chandrashekaran, M. (1998). Customer evaluations of service complaint experience: Implications for relationship marketing. Journal of Marketing, 62, 60-76.
- TR. Ministry of Health (2016, March). Health quality standards (Version-5, Revision-01). Access Date : 12/05/2021. Accessed from: https://shgmkalitedb.saglik.gov.tr/Eklenti/3460/0/skshastanesetiv5r1pdf.pdf
- Tsarenko, Y., & Strizhakova, Y. (2009). Service failures and customer forgiveness in the healthcare sector. Mark Theory Appl, 20, 196-203. Tucker, A. L. (2004). The impact of operational failures on hospital nurses and their patients. Journal of Operations Management, 22(2), 151-169.
- Um, K. H., & Lau, A. K. (2018). Healthcare service failure: How dissatisfied patients respond to poor service quality. International Journal of Operations & Production Management, 38(5), 1245-1270.
- van den Berg, P. F., Yakar, D., Glaudemans, A. W., Dierckx, R. A., & Kwee, T. C. (2019). Patient complaints in radiology: 9-year experience at a European tertiary care center. European Radiology, 29(10), 5395-5402.
- Walton, A., & Hume, M. (2012). Examining public hospital service failure: the influence of service failure type, service expectations, and attribution on consumer response. Journal of Nonprofit & Public Sector Marketing, 24(3), 202-221.
- Wei, H., Ming, Y., Cheng, H., Bian, H., Ming, J., & Wei, T. L. (2018). A mixed method analysis of patients' complaints: Underpinnings of theory-guided strategies to improve quality of care. International Journal of Nursing Sciences, 5(4), 377-382.
- Yağbasan, M., & Çakar, F. (2006). A field study to identify language and behavior-based communicative problems in the doctor-patient relationship. Selçuk University Social Sciences Institute Journal, 15, 609-629.
HEALTH-SERVICE-FAILURE SCALE: DEVELOPING A SCALE TO DETERMINE HEALTH SERVICE FAILURES
Yıl 2022,
Cilt: 25 Sayı: 2, 389 - 408, 30.06.2022
Yusuf Öcel
,
Kahraman Çatı
,
Songül Yorgun
,
Muhammet Fatih Bayraktar
Öz
The main purpose of this study is to develop a scale for determining health service errors. Within the scope of this purpose, as a result of literature review and interviews with health institution managers, a question pool consisting of 57 statements was created. The pilot implementation was conducted as a result of interviews with the health service manager and academicians who are experts in their fields. Data were collected by convenience sampling method from 392 individuals with a total of 53 statements remaining in the item pool. reliability and validity tests were performed in the analysis of the questionnaires collected by hand-away method. Eight dimensions emerged as a result of the exploratory factor analysis. These dimensions include "pricing errors"; "errors related to violation of rights"; "service delivery errors" "behavioral errors" "errors related to physical infrastructure" "e-service error" "privacy related errors" and "accessibility errors". In addition, it was determined that the model fit values for the confirmatory factor analysis met the specified criteria.
Kaynakça
- Akalın, H. E. (2005). Patient safety in ıntensive care units. Journal of Intensive Care, 5(3), 141-146.
- Altunışık, R., Coşkun, R., Bayraktaroğlu, S., & Yıldırım, E. (2010). Research methods in social sciences, applied statistics with SPSS (6th ed.). Sakarya, Sakarya Publications.
- Anderson, K., Allan, D., & Finucane, P. (2001). A 30-month study of patient complaints at a major australian hospital. Journal of Quality in Clinical Practice, 21(4), 109-111.
- Austin, W. G. (1979). Justice, freedom and self-ınterest in intergroup relations. In G. Austin and S. Worchel (Eds.). The social psychology of intergroup relations (pp. 20-37). Belmont, CA: Brooks/Cole.
- Barrett, G. V. (1972). New research models of the future for industrial and organizational psychology. Personnel Psychology, 25,1-I7.
- Bell, C. R., & Zemke, R. E. (1987). Service Breakdown: The road to recovery. Management Review, 76(10), 32-35.
- Bies, R. J., & Shapiro D. L. (1987). Interactional fairness judgments: The influence of causal accounts. Social Justice Research, 1(2), 199-218.
- Bies, R. J. (1986). Interactional justice: Communication criteria of fairness. Research on Negotiation in Organizations, 1, 43-55.
- Bitner, M. J., Booms, B. H., & Tetreault, M. S. (1990). The service encounter: Diagnosing favorable and unfavorable incidents. Journal of Marketing, 54(1), 71-84.
- Bouwman, R., Bomhoff, M., Robben, P., & Friele, R. (2016). Classifying patients’ complaints for regulatory purposes: A pilot study. Journal of Patient Safety, 17(3), 169-176.
- Büyüköztürk, Ş. (2015). Manual of data analysis for social sciences (21nd ed). Ankara, Pegem Publications. Can, İ. Ö., Özkara, E., & Can, M. (2011). Medical malpractice verdicts of high court in Turkey. Journal of Dokuz Eylül University Faculty of Medicine, 25(2), 69-76.
- Cirhinlioğlu, Z. (2001). Sociology of health. Ankara, Nobel Publications. Coşkun, A. (2014). Dehumanization as an ethical issue in the health services sector. Turkish Journal of Business Ethics, 7(2), 9-51.
- Daniel, A. E., Burn, R. J., & Horarik, S. (1999). Patients' complaints about medical practice. The Medical Journal of Australia, 170(12), 598-602.
- Davidow, M. (2000). The bottom line impact of organizational responses to customer complaints. Journal of Hospitality and Tourism, 24(4), 473-490.
- Davis, L. L. (1992). Instrument review: Getting the most from a panel of experts. Applied Nursing Research, 5(4), 194-197.
- Dube-Rioux, L., Schmitt, B. H., & Leclerc, F. (1988). Consumer's reactions to waiting: When delays affect the perception of service quality. Advances in Consumer Research, 16(1), 59-6.
- Filizöz, B., Mesci, G., Aşcı, A., & Bağcıvan, E. (2015). Nurses’ ethical sensitivity: Research on central public hospitals in Sivas Province. Turkish Journal of Business Ethics, 8(1), 47-66.
- Güven, B., & Taşkıran, H. B. (2019). Doctor-patient relationship models in health communication and a research to determine assessment of relationship actors. International E-Journal of Public Relations and Advertising Studies, 2(1), 7-38.
- Hess, Jr, R. L., Ganesan, S., & Klein, N. M. (2003). Service failure and recovery: The impact of relationship factors on customer satisfaction. Journal of the Academy of Marketing Science, 31(2),127-145.
- Hess, Jr, R. L. (2008). The impact of firm reputation and failure severity on customers' responses to service failures. Journal of Services Marketing, 22(5), 385-398.
- Hinkin, T. R. (1995). A review of scale development practices in the study of organizations. Journal of Management, 21(5), 967-988.
- Hoffman, K. D., John, E., & Bateson, G. (1997). Essentials of service. Marketing. Fort Worth, TX: Dryden. Hoşgör, H., & Cengiz, E. (2020). Reasons for complaint and general profile of persons who were complainant from health services: A systematic review with Turkey axis. Hacettepe Journal of Health Administration, 23(1), 191-217.
- Hume, M. (1999). Changing hospital culture and systems reduces drug errors and adverse events. The Quality Letter for Healthcare Leaders, 11(3), 2-9.
- İntepeler, Ş. S., & Dursun, M. (2012). Medication error and medication error reporting systems. Journal of Anatolia Nursing and Health Sciences, 15(2), 129-135.
- Jackson, P. R., Wall, T. D., Martin, R., & Davids, K. (1993). New measures of job control, cognitive demand, and production responsibility. Journal of Applied Psychology, 78(5), 753-762
- Karagöz, Y., & Kösterelioğlu İ. (2008). Developing evaluation scale of communication skills with factor analysis. Dumlupınar University Journal of Social Sciences, 21, 81-97.
- Karakoç, F. Y., & Dönmez L. (2014). Basic principles of scale development. Medical Education World, 13(40), 39-49.
- Keaveney, S. M. (1995). Customer switching behavior in online services: An exploratory study. Journal of Marketing, 29(4), 71-82.
- Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (2000). To err is human: Building a safer health system. Committee on Quality of Health Care in America. Institute of Medicine. National Academy Press.
- Kline, T. J. B., Willness, C., & Ghali, W. A. (2008). Predicting patient complaints in hospital settings. Quality Safety Health Care, 17(5), 346-350.
- Koç, E. (2015). Service marketing and management global and local approach (1st. ed.). Ankara, Seçkin Publications.
- Krishna, A., Dangayacgh, G. S., & Rakesh, J. (2011). Service failure and recovery: Comparison between health care and automobile service station. School of Doctoral Studies (European Union) Journal, 3, 184-190.
- Kroening, H. L., Kerr, B., Bruce, J., & Yardley, I. (2015). Patient complaints as predictors of patient safety incidents. Patient Experience Journal, 2(1), 94-101.
- Lind, A. E., & Tyler T. R. (1988). The social psychology of procedural justice. Plenum Press.
- Mackie, J., & Sommerville, I. (2000). Failures of healthcare systems. Proceedings of the First Dependability IRC Workshop, Edinburgh, United Kingdom.
- Mayo, A. M., & Duncan, D. (2004). Nurse perceptions of medication errors: What we need to know for patient safety. Journal of Nursing Care Quality, 19(3), 209-17.
- McNutt, R. A., Abrams, R., & Aron, D. C. (2002). Patient safety efforts should focus on medical errors. Jama, 287(15), 1997-2001.
- Mete, B. (2021). The effects of service failure recovery strategies on customer satisfaction and repurchase ıntention in health care organizations [Master’s Thesis]. Hacettepe University, Ankara.
- Öcel, Y. (2019). Evaluation of complaints in health services in Turkey. Hacettepe Journal of Health Administration, 23(1), 55-80
- Özata, M., & Özer, K. (2017). Investigation of the attitudes of health care staff about patient privacy. Hacettepe Journal of Health Administration, 20(1), 81-92.
- Palmer, A., Beggs, R., & McMullan, C. K. (2000). Equity and repurchase intention following service failure. Journal of Services Marketing, 14(6), 513-528.
Health-Service-Failure Scale 407
- Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1985). A conceptual model of service quality and its implications for future research. Journal of Marketing, 49(4), 41-50.
- Reader, T. W., Gillespie, A., & Roberts, J. (2014). Patient complaints in healthcare systems: A systematic review and coding taxonomy. BMJ Quality & Safety, 23(8), 678-689.
- Salazar, G. M., Burk, K. S., & Abujudeh, H. (2018). Patient complaints in image-guided interventions: Evaluation of multifactorial issues using a coding taxonomy. American Journal of Roentgenology, 210(6), 1288-1291.
- Schriesheim, C. A., & Hill, K. (1981). Controlling acquiescence response bias by item reversal: The effect on questionnaire validity. Educational and Psychological Measurement, 41(4), 1101-1114.
- Smith, A. K., Bolton, R. N., & Wagner, J. (1999). A model of customer satisfaction with service encounters involving failure and recovery. Journal of Marketing Research, 36(3), 356-372.
- Stone, E. (1978). Research methods in organizational behavior. Glenview, IL: Scott, Foresman.
- Tax, S. S. Brown, W. S., & Chandrashekaran, M. (1998). Customer evaluations of service complaint experience: Implications for relationship marketing. Journal of Marketing, 62, 60-76.
- TR. Ministry of Health (2016, March). Health quality standards (Version-5, Revision-01). Access Date : 12/05/2021. Accessed from: https://shgmkalitedb.saglik.gov.tr/Eklenti/3460/0/skshastanesetiv5r1pdf.pdf
- Tsarenko, Y., & Strizhakova, Y. (2009). Service failures and customer forgiveness in the healthcare sector. Mark Theory Appl, 20, 196-203. Tucker, A. L. (2004). The impact of operational failures on hospital nurses and their patients. Journal of Operations Management, 22(2), 151-169.
- Um, K. H., & Lau, A. K. (2018). Healthcare service failure: How dissatisfied patients respond to poor service quality. International Journal of Operations & Production Management, 38(5), 1245-1270.
- van den Berg, P. F., Yakar, D., Glaudemans, A. W., Dierckx, R. A., & Kwee, T. C. (2019). Patient complaints in radiology: 9-year experience at a European tertiary care center. European Radiology, 29(10), 5395-5402.
- Walton, A., & Hume, M. (2012). Examining public hospital service failure: the influence of service failure type, service expectations, and attribution on consumer response. Journal of Nonprofit & Public Sector Marketing, 24(3), 202-221.
- Wei, H., Ming, Y., Cheng, H., Bian, H., Ming, J., & Wei, T. L. (2018). A mixed method analysis of patients' complaints: Underpinnings of theory-guided strategies to improve quality of care. International Journal of Nursing Sciences, 5(4), 377-382.
- Yağbasan, M., & Çakar, F. (2006). A field study to identify language and behavior-based communicative problems in the doctor-patient relationship. Selçuk University Social Sciences Institute Journal, 15, 609-629.