Turkish public institutions perceiving of the performance based budgeting implementation and determination of the issue areas: The example of Eskişehir province

Dünyada kamu mali yönetiminde yaşanan gelişmelere paralel olarak Türkiye’de de 10/12/2003 yılında 5018 sayılı Kamu Mali Yönetimi ve Kontrol Kanunu kabul edilmiştir. Bu Kanun kapsamında kamu mali yönetiminde hesap verebilirlik, mali saydamlık ve mali disiplin hedeflenerek performans esaslı bütçelemeye geçilmiştir. Bu çalışmasının temel amacı; performans esaslı bütçeleme sisteminin süreçte yer alan aktörler tarafından nasıl algılandığını, süreçte yer alan aktörlerin konuyla ilgili tutum ve davranışlarının ne olduğunu ve uygulamada ne gibi problemlerin yaşandığını ortaya koymaktır. Bu amaçla Eskişehir ili kapsamında bir anket çalışması düzenlenmiştir. Araştırma sonucunda; sistemle ilgili olarak uygulamada çeşitli sorunların yaşandığı ortaya çıkmıştır. PEB sisteminin başarılı bir şekilde uygulanabilmesi için üst yönetici desteğinin sağlanması, nitelikli personel ihtiyacının karşılanması, sistemle ilgili teknolojik alt yapının oluşturulması, kurum içi eğitimler ile çalışanların sistemi yeterince tanıma ve anlamalarının sağlanması gerekmektedir.In line with the worldwide developments in public financial management, Law on Public Financial Management and Control numbered 5018 is adopted in Turkey on the date of December 10, 2003. The scope of this law enabled migration to performance based budgeting with an objective of accountability in public financial management, fiscal transparency, and financial discipline. The primary objective of the present study is to reveal how the performance based budgeting system is perceived by the actors included in the process, the attitudes and behaviors of the actors included in the process with respect to the subject, and what kinds of issues are encountered in the implementation. For this purpose, a survey study is conducted in Eskişehir province. The study revealed that there are certain issues encountered in the implementation of the system. In order to successfully implement the PBB system; senior director support shall be ensured, qualified personnel requirement shall be met, the technological infrastructure for the system shall be established, and adequate employee recognition and understanding of the system shall be ensured with in-house trainings

The Relationship between COVID-19 Severity and Bacillus Calmette-Guerin (BCG)/ Mycobacterium tuberculosis exposure history in healthcare workers: a multi-center study

The COVID-19 pandemic has brought countries' health services into sharp focus. It was drawn to our group's attention that healthcare workers (HCWs) had a lower mortality rate against higher COVID-19 incidence compared to the general population in Turkey. Since risk of exposure to tuberculosis bacillus among healthcare workers are higher than the population, we aimed to investigate if there is a relationship between BCG and Mycobacterium tuberculosis exposure history with COVID-19 severity in infected HCWs. This study was conducted with 465 infected HCWs from thirty-three hospitals to assess the relationship between COVID-19 severity (according to their hospitalization status and the presence of radiological pneumonia) and BCG and Mycobacterium tuberculosis exposure history. HCWs who required hospital admission had significantly higher rates of chronic diseases, radiological pneumonia, and longer working hours in the clinics. Higher rates of history of contact and care to tuberculosis patients, history of tuberculosis, and BCG vaccine were observed in hospitalized HCWs. HCWs who had radiological pneumonia had a significantly increased ratio of history of care to tuberculosis patients and a higher family history of tuberculosis. The findings from our study suggest that the lower mortality rate despite the more severe disease course seen in infected HCWs might be due to frequent exposure to tuberculosis bacillus and the mortality-reducing effects of the BCG vaccine

TÜRKIYE’DE YOĞUN BAKIM ÜNITELERINDE VENTILATÖR ILIŞKILI PNÖMONIYI ÖNLEMEK IÇIN ALINAN GÜNCEL ÖNLEMLER: TÜRK TORAKS DERNEĞI SOLUNUM YETMEZLIĞI VE YOĞUN BAKIM ÇALIŞMA GRUBU NOKTA PREVALANS ÇALIŞMASI

Objectives: The inadequate quality and nature of sleep is a commonly reported problem among hospitalized patients. The purpose of this study is to examine the effects of progressive muscle relaxation training program on sleep quality, sleep state, pain and life quality of patients who underwent pulmonary resection