An evaluation of palliative care service effect in patients with cancer diagnosis: Comparison in terms of the symptom level and care satisfaction

WOS: 000527257800001PubMed: 32297968Objectives: The aim of this study was to evaluate the effect of palliative care on the symptom level assessment and satisfaction of patients diagnosed with cancer. Methods: The study was carried out with 60 cancer patients who received service at a palliative care center (PCC) and 59 cancer patients who received general care services at a public hospital. The effect of the services provided at the 2 hospitals was evaluated using the Edmonton Symptom Assessment System and the European Organisation for Research and Treatment of Cancer In-patient Satisfaction with Care Questionnaire. The data were analyzed to determine number and percentage distributions, the significance of differences between 2 peers, and 2-way analysis of variance in repetitive measurements. Results: It was determined that the symptom severity of the PCC patients was greater. In a 1 week interval, greater improvement was observed in all of the symptoms of the patients who received general care, and the evaluation revealed a statistically significant difference between the hospitals in terms of fatigue, nausea, and dyspnea (p<0.05). However, the mean satisfaction of the patients who received services at the PCC was higher, and the difference in the general satisfaction level between hospitals was statistically significant (p<0.05). Conclusion: The palliative care provided to cancer patients at the PCC was less effective in reducing symptom levels compared with the results from patients of general care at a public hospital, but provided greater patient satisfaction

Determining Breast Cancer Treatment Costs Using the Top Down Cost Approach

WOS: 000488785600007PubMed: 31620683Objective: Breast cancer is the most common type of cancer among women in Turkey, with approximately 15.000 breast cancer diagnoses each year. In this study, our goal was to determine annual direct medical costs of all breast cancer patients in Turkey with top down cost approach. Materials and Methods: Data regarding patients who have been diagnosed with breast cancer and received health services from any hospital in Turkey in 2014 were used for the purpose of the study. Data were obtained from the MEDULA System for a total of 126.664 patient. Treatment of costs of patients were calculated based on types of patient admissions (inpatient/outpatient/intensive care) and costs of drugs and medical equipment. Indirect costs and out of pocket costs were not included. Results: Total medical costs of 126,664 patients was calculated as $116.792.107,9, with an average treatment cost per patient of$922,1. Based on types of patient admission, intensive care treatment had the highest average cost with $2.916.5. In metastatic breast cancer patients, average annual treatment cost per patient is$2.326,6, which is 2.8 times higher compared to non-metastatic breast cancer patients. Conclusion: In order to ensure effective resource allocation at micro and macro level, healthcare administrators have to learn costs of diseases with high incidence such as breast cancer. Results obtained from studies on disease costs calculated using the top down cost approach provide data on actual health services use and therefore are seen as important tools for healthcare administrators in terms of effective resource allocation

Effect of Organizational justice on Work Engagement in Healthcare Sector of Turkey

WOS: 000447088800005Work engagement is a concept that reflects a positive way of thinking that relates to commitment and involvement to one's organization, his/her enthusiasm and energy. In relevant literature there is a wide range of studies focusing on the relation between work engagement and a set of variables. Thus this study was executed to analyze the effect of organizational justice on work engagement. Implementation stage of the research was conducted on healthcare personnel working in a state hospital in Turkey and data were collected from 414 healthcare employees. Conducted analyses revealed that the correlations between subdimensions of organizational justice and work engagement were positive and in medium level. In the regression analysis which was implemented to measure the effect of subdimensions of organizational justice on work engagement it was identified that subdimensions of organizational justice perception in tandem explained 33 per cent of total variance. It can thus be claimed that climbing organizational justice perception increases in turn in a statistically significant way the work engagement level of the personnel. As regards work engagement, the most significant effect was created by procedural justice subsequently followed by distributive and interactional justice

Quality of Work Life and Burnout in Healthcare Workers in Turkey

WOS:000557483500001Quality of work life (QWL) is important to healthcare organisations that aim to increase patient and employee satisfaction and produce quality healthcare services. The literature lacks research investigating the relationship between QWL and burnout among in healthcare professionals. The purpose of this study is to determine healthcare workers' QWL and burnout levels and to investigate whether there is a correlation them. The research population consisted of all healthcare workers serving in a public hospital in Ankara. The study did not make a sample selection but tried to access the entire population; a total of 328 usable surveys were obtained. 'Quality of Work Life Scale' and 'Maslach Burnout Inventory' scales were used for this research. A correlation analysis was performed to determine the correlation between healthcare workers' QWL and burnout levels. The analysis results showed that healthcare workers had 'good' perceived QWL and 'moderate' level of burnout. Additionally, there was a statistically significant but weak correlation between healthcare workers' levels of QWL and burnout (rho = 0.184; p = 0.0008). Results can be used by healthcare managers to implement appropriate initiatives to improve QWL and reduce burnout of healthcare workers

The impact of work alienation on organizational health: A field study in health sector

WOS: 000469870000002This study aims to examine the impact of work alienation on organizational health. The implementation of the research is conducted on the nurses and physicians working in a public hospital and the data collected from 388 people are evaluated. As a result of the analyses carried out, work alienation's subdimensions and correlations with organizational health are moderate in the negative direction and the subdimensions of perception of work alienation explain the 21.5% of total variance on organizational health. When the test results of regression coefficient significance in the regression model are analyzed, increasing levels of powerlessness and self-estrangement of the participants decrease the perception of organizational health statistics. Order of relative importance predictor variables on the organizational health level is such as powerlessness, self-estrangement, and meaninglessness

Evaluation of intensive care performance in hospitals

WOS: 000435647500032Aim: The purpose of this study is to evaluate and compare the performances of intensive care units in public hospitals located in Kocaeli province (its central district and other districts). Material and Method: To this end, the intensive care data of nine hospitals from the year 2016 were evaluated through grey relational analysis method. Results: At end of the analysis, Hospital A was found to have the intensive care with the highest grey relational degree (0.77): the lowest intensive care mortality rate, the biggest number of; patient dependent on each ventilator, days with a patient dependent on each ventilator, days with a patient hospitalized per intensive care bed, patients discharged per intensive care bed, patients discharged from intensive care per nurse, and the highest occupancy rate. Discussion: It was revealed that grey analysis method applied in the present study can be used for comparing the intensive care units of different hospitals as well