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NUDGE STRATEGİES FOR RATIONAL DRUG USE: PUBLIC SERVICE ANNOUNCEMENTS AND THEIR EFFECTS ON CONSUMPTION

Yıl 2025, Cilt: 23 Sayı: 4, 63 - 79, 19.12.2025
https://doi.org/10.11611/yead.1801610
https://izlik.org/JA62NX59UN

Öz

The present study examines the nudge strategies implemented to promote rational drug use, with a particular focus on the effects of public service announcements as a nudge strategy. The study employed the video-based interview method, conducting in-depth interviews with 21 participants. Using this method, the participants were shown a public service announcement related to rational drug use and asked questions about the announcement. To determine whether the participants were influenced by the public service announcement, they were met again after a two-month period to determine whether they had used antibiotics during this time and what they had paid attention to. The study concluded that public service announcements were useful in terms of raising awareness but were not sufficient. The participants stated that public service announcements should be more attention-grabbing, longer, and more comprehensive, and it was determined that different Nudge strategies should also be implemented. Furthermore, it was concluded that especially older adults did not pay attention to rational drug use and that announcements targeting older adults needed to be expanded.

Kaynakça

  • Acar, A., & Yeğenoğlu, S. (2005). Akılcı ilaç kullanımı açısından farmakoekonomi ve hastane formülleri. Ankara Eczacılık Fakültesi Dergisi, 34(3), 207–218.
  • Afriyie, D. K., & Tetteh, R. (2014). A description of the pattern of rational drug use in Ghana Police Hospital. International Journal of Pharmacy and Pharmacology, 3(1), 143–148.
  • Altıntaş, K., & Mercan, B. (2019). Kamunun dürtme (nudge) politikaları: Liberteryen paternalizm yaklaşımı. İktisat ve Toplum Dergisi, (107), 43–49
  • Altunöz, U., & Altunöz, H. (2019). Davranışsal Ekonomi (nörofinans) Kavram-teori-Uygulama (4. bs.). Seçkin Yayıncılık.
  • Aydın, B., & Gelal, A. (2012). Akılcı ilaç kullanımı: Yaygınlaştırılması ve tıp eğitiminin rolü. DEU Tıp Dergisi, 26(1), 57–63.
  • Damgaard, M. T., & Nielsen, H. S. (2018). Nudging in education. Economics of Education Review, 64, 313–342. Ekenler, Ş., & Koçoğlu, D. (2016). Bireylerin Akılcı İlaç Kullanımıyla İlgili Bilgi ve Uygulamaları. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 3(3), 44–55.
  • Hogerzeil, H. V., Ross-Degnan, D., Laing, R. O., Ofori-Adjei, D., Santoso, B., Chowdhury, A. A., Das, A. M., Kafle, K. K., Mabadeje, A. F. B., & Massele, A. Y. (1993). Field tests for rational drug use in twelve developing countries. The Lancet, 342(8884), 1408–1410.
  • IEIS (2023). Türkiye İlaç Sektörü 2023 Raporu. https://www.ieis.org.tr/tr/dunya-ve-turkiye-ilac-pazari (02.02.2025).
  • Kılıç, E., & Yenilmez, F. (2019). Türkiye ve AB Ülkelerinde Antibiyotik Kullanımı, Antibiyotik Direnci ve Dış Ticaret Dengesi Üzerine Bir Değerlendirme. ESTÜDAM Halk Sağlığı Dergisi, 4(1), 45–54. Klimik Derneği (2025). Akılcı İlaç Kullanımı. https://www.klimik.org.tr/wp-content /uploads/2017/01/AKILCI-%C4%B0LA%C3%87-KULLANIMI-NUR%C4%B0YE-TA%C5%9EDELEN-FI%C5%9EGIN.pdf (02.02.2025).
  • Kourkouta, L., Tsaloglidou, A., Koukourikos, C., Iliadis, P., Plati, P., & Dimitriadou, A. (2018). History of antibiotics. Sumerian Journal of Medical and Healthcare, 1(2), 51–54.
  • Laing, R. O. (1990). Rational drug use: An unsolved problem. Tropical Doctor, 20(3), 101–103.
  • Grand, A. Le, Hogerzeil, H. V., & Haaijer-Ruskamp, F. M. (1999). Intervention research in rational use of drugs: A review. Health Policy and Planning, 14, 89–102.
  • Madrian, B. C. (2014). Applying insights from behavioral economics to policy design. Annual Review of Economics, 6(1), 663–688.
  • Mohr, K. I. (2016). History of antibiotics research. In M. Stadler & P. Dersch (Eds.), How to overcome the antibiotic crisis, Current Topics in Microbiology and Immunology, Vol. 398, pp. 1–15). Springer.
  • O’Keeffe, M., Traeger, A. C., Hoffmann, T., Ferreira, G. E., Soon, J., & Maher, C. (2019). Can nudge-interventions address health service overuse and underuse? Protocol for a systematic review. BMJ Open, 9(6), e029540.
  • Oktay, Ş. (2015). Türkiye Klinikleri Farmakoloji–Özel Konular. Türkiye Klinikleri Dergileri, 3(1), 11–18.
  • Patel, M., Volpp, K., & Asch, D. (2018). Nudge units to improve the delivery of health care. New England Journal of Medicine, 378(3), 214–216.
  • Sağır, M., & Parlakpınar, H. (2014). Akılcı ilaç kullanımı. Annals of Health Sciences Research, 3(2), 32–35.
  • Şahin, M., & Tülüce, N. S. (2023). Sağlık Hizmetlerini İyileştirmede Alternatif Bir Yaklaşım: Dürtme. Hacettepe Sağlık İdaresi Dergisi, 26(1), 255–278.
  • T.C. Sağlık Bakanlığı. (2006). Hıfzıssıhha Mektebi Müdürlüğü; Akılcı İlaç Kullanımı Çalıştayı Sonuç Raporu. Ankara.
  • T.C. Sosyal Güvenlik Kurumu Başkanlığı. (2013). Topluma Yönelik Akılcı İlaç Kullanımı (SGK Yayın No: 93). SGK. TEPAV (2017). “Türkiye’de Antimikrobiyal Direnç: Ekonomik Değerlendirme ve Öneriler" Raporu. https://tepav.org.tr/tr/haberler/s/4251 (10.02.2025)
  • Ticaret Bakanlığı. (2018). Senin Kararın!(mı?) https://ticaret.gov.tr/kurumsal-haberler/senin-kararin-mi [Erişim tarihi: 01.06.2025]
  • Ticaret Bakanlığı. (2019). 1. Ulusal Davranışsal Kamu Politikaları Konferansı. https://ticaret.gov.tr/haberler/1-ulusal-davranissal-kamu-politikalari-konferansi [Erişim tarihi: 01.10.2025]
  • Toklu, H., & Ayanoğlu Dülger, G. (2014). Akılcı ilaç kullanımı ve eczacının rolü. Marmara Pharmaceutical Journal, 15(3), 89-93. https://doi.org/10.12991/mpj.90583
  • Uskun, E., Uskun, S. B., Öztürk, M., & Kişioğlu, A. N. (2004). Sağlık ocağına başvuru öncesi ilaç kullanımı. TTB Sürekli Tıp Eğitimi Dergisi, 13(12), 451–454.
  • World Health Organization (WHO). (2002). Promoting rational use of medicines: Core components. WHO Policy Perspectives on Medicines No: 5. Geneva: WHO.

Akılcı İlaç Kullanımında Dürtme Stratejileri: Tüketimde Kamu Spotları ve Etkileri

Yıl 2025, Cilt: 23 Sayı: 4, 63 - 79, 19.12.2025
https://doi.org/10.11611/yead.1801610
https://izlik.org/JA62NX59UN

Öz

The present study examines the nudge strategies implemented to promote rational drug use, with a particular focus on the effects of public service announcements as a nudge strategy. The study employed the video-based interview method, conducting in-depth interviews with 21 participants. Using this method, the participants were shown a public service announcement related to rational drug use and asked questions about the announcement. To determine whether the participants were influenced by the public service announcement, they were met again after a two-month period to determine whether they had used antibiotics during this time and what they had paid attention to. The study concluded that public service announcements were useful in terms of raising awareness but were not sufficient. The participants stated that public service announcements should be more attention-grabbing, longer, and more comprehensive, and it was determined that different Nudge strategies should also be implemented. Furthermore, it was concluded that especially older adults did not pay attention to rational drug use and that announcements targeting older adults needed to be expanded.

Kaynakça

  • Acar, A., & Yeğenoğlu, S. (2005). Akılcı ilaç kullanımı açısından farmakoekonomi ve hastane formülleri. Ankara Eczacılık Fakültesi Dergisi, 34(3), 207–218.
  • Afriyie, D. K., & Tetteh, R. (2014). A description of the pattern of rational drug use in Ghana Police Hospital. International Journal of Pharmacy and Pharmacology, 3(1), 143–148.
  • Altıntaş, K., & Mercan, B. (2019). Kamunun dürtme (nudge) politikaları: Liberteryen paternalizm yaklaşımı. İktisat ve Toplum Dergisi, (107), 43–49
  • Altunöz, U., & Altunöz, H. (2019). Davranışsal Ekonomi (nörofinans) Kavram-teori-Uygulama (4. bs.). Seçkin Yayıncılık.
  • Aydın, B., & Gelal, A. (2012). Akılcı ilaç kullanımı: Yaygınlaştırılması ve tıp eğitiminin rolü. DEU Tıp Dergisi, 26(1), 57–63.
  • Damgaard, M. T., & Nielsen, H. S. (2018). Nudging in education. Economics of Education Review, 64, 313–342. Ekenler, Ş., & Koçoğlu, D. (2016). Bireylerin Akılcı İlaç Kullanımıyla İlgili Bilgi ve Uygulamaları. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 3(3), 44–55.
  • Hogerzeil, H. V., Ross-Degnan, D., Laing, R. O., Ofori-Adjei, D., Santoso, B., Chowdhury, A. A., Das, A. M., Kafle, K. K., Mabadeje, A. F. B., & Massele, A. Y. (1993). Field tests for rational drug use in twelve developing countries. The Lancet, 342(8884), 1408–1410.
  • IEIS (2023). Türkiye İlaç Sektörü 2023 Raporu. https://www.ieis.org.tr/tr/dunya-ve-turkiye-ilac-pazari (02.02.2025).
  • Kılıç, E., & Yenilmez, F. (2019). Türkiye ve AB Ülkelerinde Antibiyotik Kullanımı, Antibiyotik Direnci ve Dış Ticaret Dengesi Üzerine Bir Değerlendirme. ESTÜDAM Halk Sağlığı Dergisi, 4(1), 45–54. Klimik Derneği (2025). Akılcı İlaç Kullanımı. https://www.klimik.org.tr/wp-content /uploads/2017/01/AKILCI-%C4%B0LA%C3%87-KULLANIMI-NUR%C4%B0YE-TA%C5%9EDELEN-FI%C5%9EGIN.pdf (02.02.2025).
  • Kourkouta, L., Tsaloglidou, A., Koukourikos, C., Iliadis, P., Plati, P., & Dimitriadou, A. (2018). History of antibiotics. Sumerian Journal of Medical and Healthcare, 1(2), 51–54.
  • Laing, R. O. (1990). Rational drug use: An unsolved problem. Tropical Doctor, 20(3), 101–103.
  • Grand, A. Le, Hogerzeil, H. V., & Haaijer-Ruskamp, F. M. (1999). Intervention research in rational use of drugs: A review. Health Policy and Planning, 14, 89–102.
  • Madrian, B. C. (2014). Applying insights from behavioral economics to policy design. Annual Review of Economics, 6(1), 663–688.
  • Mohr, K. I. (2016). History of antibiotics research. In M. Stadler & P. Dersch (Eds.), How to overcome the antibiotic crisis, Current Topics in Microbiology and Immunology, Vol. 398, pp. 1–15). Springer.
  • O’Keeffe, M., Traeger, A. C., Hoffmann, T., Ferreira, G. E., Soon, J., & Maher, C. (2019). Can nudge-interventions address health service overuse and underuse? Protocol for a systematic review. BMJ Open, 9(6), e029540.
  • Oktay, Ş. (2015). Türkiye Klinikleri Farmakoloji–Özel Konular. Türkiye Klinikleri Dergileri, 3(1), 11–18.
  • Patel, M., Volpp, K., & Asch, D. (2018). Nudge units to improve the delivery of health care. New England Journal of Medicine, 378(3), 214–216.
  • Sağır, M., & Parlakpınar, H. (2014). Akılcı ilaç kullanımı. Annals of Health Sciences Research, 3(2), 32–35.
  • Şahin, M., & Tülüce, N. S. (2023). Sağlık Hizmetlerini İyileştirmede Alternatif Bir Yaklaşım: Dürtme. Hacettepe Sağlık İdaresi Dergisi, 26(1), 255–278.
  • T.C. Sağlık Bakanlığı. (2006). Hıfzıssıhha Mektebi Müdürlüğü; Akılcı İlaç Kullanımı Çalıştayı Sonuç Raporu. Ankara.
  • T.C. Sosyal Güvenlik Kurumu Başkanlığı. (2013). Topluma Yönelik Akılcı İlaç Kullanımı (SGK Yayın No: 93). SGK. TEPAV (2017). “Türkiye’de Antimikrobiyal Direnç: Ekonomik Değerlendirme ve Öneriler" Raporu. https://tepav.org.tr/tr/haberler/s/4251 (10.02.2025)
  • Ticaret Bakanlığı. (2018). Senin Kararın!(mı?) https://ticaret.gov.tr/kurumsal-haberler/senin-kararin-mi [Erişim tarihi: 01.06.2025]
  • Ticaret Bakanlığı. (2019). 1. Ulusal Davranışsal Kamu Politikaları Konferansı. https://ticaret.gov.tr/haberler/1-ulusal-davranissal-kamu-politikalari-konferansi [Erişim tarihi: 01.10.2025]
  • Toklu, H., & Ayanoğlu Dülger, G. (2014). Akılcı ilaç kullanımı ve eczacının rolü. Marmara Pharmaceutical Journal, 15(3), 89-93. https://doi.org/10.12991/mpj.90583
  • Uskun, E., Uskun, S. B., Öztürk, M., & Kişioğlu, A. N. (2004). Sağlık ocağına başvuru öncesi ilaç kullanımı. TTB Sürekli Tıp Eğitimi Dergisi, 13(12), 451–454.
  • World Health Organization (WHO). (2002). Promoting rational use of medicines: Core components. WHO Policy Perspectives on Medicines No: 5. Geneva: WHO.
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Demografi (Diğer)
Bölüm Araştırma Makalesi
Yazarlar

Hilal Mola 0000-0002-2707-5577

Gönderilme Tarihi 11 Ekim 2025
Kabul Tarihi 4 Aralık 2025
Erken Görünüm Tarihi 14 Aralık 2025
Yayımlanma Tarihi 19 Aralık 2025
DOI https://doi.org/10.11611/yead.1801610
IZ https://izlik.org/JA62NX59UN
Yayımlandığı Sayı Yıl 2025 Cilt: 23 Sayı: 4

Kaynak Göster

APA Mola, H. (2025). NUDGE STRATEGİES FOR RATIONAL DRUG USE: PUBLIC SERVICE ANNOUNCEMENTS AND THEIR EFFECTS ON CONSUMPTION. Journal of Management and Economics Research, 23(4), 63-79. https://doi.org/10.11611/yead.1801610
AMA 1.Mola H. NUDGE STRATEGİES FOR RATIONAL DRUG USE: PUBLIC SERVICE ANNOUNCEMENTS AND THEIR EFFECTS ON CONSUMPTION. Journal of Management and Economics Research. 2025;23(4):63-79. doi:10.11611/yead.1801610
Chicago Mola, Hilal. 2025. “NUDGE STRATEGİES FOR RATIONAL DRUG USE: PUBLIC SERVICE ANNOUNCEMENTS AND THEIR EFFECTS ON CONSUMPTION”. Journal of Management and Economics Research 23 (4): 63-79. https://doi.org/10.11611/yead.1801610.
EndNote Mola H (01 Aralık 2025) NUDGE STRATEGİES FOR RATIONAL DRUG USE: PUBLIC SERVICE ANNOUNCEMENTS AND THEIR EFFECTS ON CONSUMPTION. Journal of Management and Economics Research 23 4 63–79.
IEEE [1]H. Mola, “NUDGE STRATEGİES FOR RATIONAL DRUG USE: PUBLIC SERVICE ANNOUNCEMENTS AND THEIR EFFECTS ON CONSUMPTION”, Journal of Management and Economics Research, c. 23, sy 4, ss. 63–79, Ara. 2025, doi: 10.11611/yead.1801610.
ISNAD Mola, Hilal. “NUDGE STRATEGİES FOR RATIONAL DRUG USE: PUBLIC SERVICE ANNOUNCEMENTS AND THEIR EFFECTS ON CONSUMPTION”. Journal of Management and Economics Research 23/4 (01 Aralık 2025): 63-79. https://doi.org/10.11611/yead.1801610.
JAMA 1.Mola H. NUDGE STRATEGİES FOR RATIONAL DRUG USE: PUBLIC SERVICE ANNOUNCEMENTS AND THEIR EFFECTS ON CONSUMPTION. Journal of Management and Economics Research. 2025;23:63–79.
MLA Mola, Hilal. “NUDGE STRATEGİES FOR RATIONAL DRUG USE: PUBLIC SERVICE ANNOUNCEMENTS AND THEIR EFFECTS ON CONSUMPTION”. Journal of Management and Economics Research, c. 23, sy 4, Aralık 2025, ss. 63-79, doi:10.11611/yead.1801610.
Vancouver 1.Hilal Mola. NUDGE STRATEGİES FOR RATIONAL DRUG USE: PUBLIC SERVICE ANNOUNCEMENTS AND THEIR EFFECTS ON CONSUMPTION. Journal of Management and Economics Research. 01 Aralık 2025;23(4):63-79. doi:10.11611/yead.1801610