Vatandaş Gözünden E-Sağlık Hizmetlerinin Değerlendirilmesi: Farkındalık, Kullanım ve Memnuniyet Düzeyleri

Çalışma, e-Devletin önemli ayaklarından biri olan e-sağlık hizmetlerinin kullanıcılar açısından incelenmesi amacıyla yapılmıştır. Katılımcıların e-sağlık hizmetleri farkındalık, kullanım ve memnuniyet düzeyleri ölçülmüştür. Memnuniyet düzeyleri ile sosyo-ekonomik ve demografik yapı arasında anlamlı ve pozitif bir ilişki olup olmadığı incelenmiştir. Yöntem olarak alan araştırması tekniği, veri toplama aracı olarak ise online ve yüz yüze anket tekniği kullanılmıştır. Araştırma sonucunda eğitim düzeyi ile e-sağlık hizmetleri memnuniyet düzeyi arasında anlamlı bir sonuç ortaya çıkmıştır. E-sağlık hizmetlerinin çalışma hızından memnuniyetin, talep edilen hizmetlerin taleplerini randevu beklemeden karşılama düzeyinin yüksek olduğu gözlemlendi. Katılımcıların çoklu ifadelerinin değerlendirildiği e-nabız kullanım sonuçlarına göre en çok kullanılan hizmetin ‘Test Sonucu Öğrenme’ hizmeti olduğu anlaşıldı. Katılımcıların en sık kullandıkları e-sağlık hizmetleri arasında “Hayat Eve Sığar Mobil uygulaması” birinci, “MHRS Mobil uygulaması” ikinci sırada yer aldı. En az kullanılan mobil uygulamalar arasında yerel bir uygulama olan Konya Şehir Hastanesi Mobil uygulaması yer aldı. Çalışma bulgularının kamu politika yapıcılarına e-sağlık hizmetlerinin geliştirilmesinde kullanabilecekleri önemli bilgiler sağlayacağı değerlendirilmektedir

Extension of e-Government in the health sector in the contextof the new public administration paradigm e-Health: The case of Konya

Yüksek Lisans TeziÇalışmada, kamu yönetiminin gelişim aşamaları, sağlık politikalarının serencamı ve zaman içinde bilgi iletişim teknolojisiyleeşgüdümü sonucu geldiği noktalara değinilmiştir. e-Devlet kavramının ortaya çıkışı, e-sağlık uzantısı kapsamı hakkında dünya ve Türkiye ölçeğinde bilgiler verilmiştir.Bu çalışma aracılığıyla e Devlet ve e-sağlık hizmetleri arasındaki eşgüdümü ve vatandaşların bunu ne seviyede farkında olduğu, kullandığı ve memnuniyet seviyeleri öğrenilmek istenmiştir. Uygulama kısmında yöntem olarak saha araştırması, veri toplama aracı olarak ise online ve yüz yüze anket tekniğinden yararlanılmıştır. Anket çalışması sonucunda eğitim düzeyi ile memnuniyet arasında pozitif ve anlamlı bir sonuç ortaya çıkmıştır. Katılımcılarınbirden çok ifadelerinin değerlendirildiği e-nabız kullanım sonuçlarına göre en çok kullanılan hizmetin ‘Tahlil Sonucu Öğrenme’ olduğu ortaya çıkmıştır. E-Devletin kullanım sıklığı en çok ayda bir 196 kişi tarafından kullanılmış, bu rakam yüksek gibi görünse de hem sağlık hizmetleri hem de diğer elektronik kamu hizmetleri açısından oldukça düşüktür. Bunun artırılması için daha iyi politikalar geliştirilmelidir. Katılımcıların mobil olarak en çok kullandıkları e-sağlık hizmetlerine yönelik belirtikleri sonuçlar arasında Covid-19 salgınından kaynaklı olarak birinci sırada HES Mobil uygulaması ikinci sırada ise MHRS Mobil uygulaması yer almaktadır. En az kullanılan mobil uygulamalar arasında ise yerel bir uygulama olan Konya Şehir Hastanesi Mobil uygulaması da yer almaktadır.In the study, the stages of development of public administration, the proces of health policies and the points at which they came as a result of coordination with information communication technology over time were touched upon. information about the emergence of the concept of e-Government and the scope of e-health extension has been provided on a global and Turkish scale. Through this study, it was desıred to learn the coordination between e-Government and e-health services and the level of awareness, use and satisfaction of citizens at this level. In the application part, field research was used as a method and online and face-to-face survey techniques were used as a data collection tool. As a result of the survey Dec, a positive and significant result was found between the level of education and satisfaction. According to the results of e-pulse usage, in which multiple expressions of the participants were evaluated, it was revealed that the most used service was ‘Learning as a Result of Analysis’. The frequency of use of the e-Government was used by 196 people most often once a month, although this figure seems to be high, but it is quite low both in terms of health services and other electronic utilities. Better policies should be developed to increase this. Among the results that participants Deciphered for the most used e-health services on mobile, the HES Mobile application is in the first place due to the Covid-19 pandemic, and the MHRS Mobile application is in the second place. Among the least used mobile applications, Konya City Hospital Mobile application, which is a local application, is also among the least used mobile applications Dec Through

Synthesis of novel tetra (4-tritylphenoxy) substituted metallophthalocyanines and investigation of their aggregation, photovoltaic, solar cell properties

4-(4-tritylphenoxy) phthalonitrile was synthesized and characterized. Copper, zinc and cobalt phthalocyanines were obtained by reaction of 4-(4-tritylphenoxy)phthalonitrile with CuCl2, ZnCl2, CoCl2 metal salts. New compounds were characterized by using electronic absorption, nuclear magnetic resonance spectroscopy, infrared. The aggregation investigation for phthalocyanine complexes carried out in different concentrations tetrahydrofuran. Copper, cobalt and zinc phthalocyanines were used as sensitizers in dye-sensitized solar cell structures (DSSC) by growing on TiO2 coated on FTO (Fluorine doped Tin Oxide) conductive glass substrates. Current density (J) versus voltage (V) measurements were applied to investigate the photovoltaic properties of the synthesized complexes. The calculated power conversion efficiencies (g%) of the complexes using the obtained current density (J) versus voltage (V) curves show that these devices can be used as promising sensitizers in solar cell applications

Plasma viscosity, an early cardiovascular risk factor in women with subclinical hypothyroidism

Objective: It is controversial, if subclinical hypothyroidism increases cardiovascular risk. Plasma viscosity is a hemorheological parameter, which is accepted as an early cardiovascular risk factor. We investigated the alterations in plasma viscosity in women with subclinical hypothyroidism. Design: 40 female patients with subclinical hypothyroidism and 31 age- and weight-matched healthy women were included. Free thyroxine (FT4), thyroid stimulating hormone (TSH), lipid parameters, fibrinogen, C-reactive protein (CRP) levels, hematocrit and plasma viscosity were measured in all subjects. Main outcome: Plasma viscosity, total cholesterol and low density lipoprotein were significantly increased and high density lipoprotein was significantly decreased in patients with subclinical hypothyroidism. No significant correlation was found among the parameters. Conclusion: Increased plasma viscosity in patients' group suggests that cardiovascular risk might be increased in patients with subclinical hypothyroidism. As far as we could reach, this is the first study concerning plasma viscosity in subclinical hypothyroidism

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research