Assessment of physician performance in health sector

Abstract

Physicians, who are the most important human resources in health sector, act alone most of the time and they undertake the responsibility for health care outcomes. Physicians work in complex environments and they fall into teams and systems increasingly day by day. Physicians involvement in health care system and the increase in their contribution to quality of health care services including patient care in the last ten years has increased the emphasis on the measurement of physician performance. It was seen that physician performance assessment approaches have mainly focused on the measurement of clinical performance. In this study, approaches in physician performance assessment are classified as clinical/ behavioural approaches and objective/ subjective measurement approaches. In this framework, it has been expected that multi dimensional physician performance assessment methods would become more popular in the future.

Keywords

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Sağlık sektöründe hekim performansının değerlendirilmesi

Öz

Sağlık sektöründe en önemli insan kaynaklarından birisi olan hekimler çoğu zaman tek başlarına çalışarak sağlık ile ilgili pek çok sonucun sorumluluğunu üstlenmektedirler. Çalışmalarını son derece karmaşık bir ortamda sürdüren hekimler gün geçtikçe takımlar ve sistemler içerisine daha fazla dahil olmaktadırlar. Son on yıl içerisinde hekimlerin sağlık sistemi ile entegrasyonu ve başta hasta bakımı olmak üzere sağlık hizmetlerinde kalite artışına vermiş oldukları katkının artışı hekim performansının ölçümüne olan ilgiyi artırmıştır. Hekim performansının ölçümü ile ilgili yaklaşımların ağırlıklı olarak klinik performans ölçümüne odaklandıkları görülmektedir. Bu çalışmada hekim performansı ölçümü konusundaki yaklaşımlar; klinik ve davranışlar performans ölçümü yaklaşımları ile objektif ve subjektif performans ölçümü yaklaşımları olmak üzere sınıflandırılarak incelenmiştir. Bu çerçevede gelecekte hekim performansının ölçümü konusunda çok boyutlu yaklaşımların ön plana çıkacağı düşünülmektedir.

Anahtar Kelimeler

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Kaynakça

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