EVALUATION OF THE PUBLIC HOSPITALS ASSOCIATION'S STRUCTURE ON THE PROCESS OF HEALTH SERVICES DELIVERY IN TERMS OF MANAGERS AND EMPLOYEES

In this study, the effect of the structuring with the Decree Law No. 663 on healthcare delivery processes and service delivery stakeholders in public hospitals was investigated. Within the scope of a scientific research project, it has been tried to determine how health administrators and workers evaluate the change in hospital service processes. The purpose of this study is to measure the impact of public hospital union structure starting in 2011 and ending in August 2017 on the direction and the effect of the change in the presentation process of public hospital services. In the next three sections of the study, the structure of public hospital association was discussed within the scope of the transformation of health project. Then the studies related to the subject were reviewed. The fourth section was designated to the methodology. In the fifth section, the opinions of the health administrators and workers were collected, the findings were analysed and compared across this two groups. In the sixth and last section, a discussion of the findings, conclusions and suggestions were provided The quantitative research method was undertaken in this study. A four-point Likert-type survey was used to collect the data. The questionnaire, which was developed by Bostan et al. (2012) to measure the effect of the transformation of health services, was adapted to this study accordingly. Then participants were asked to fill out this questionnaire. The questionnaire forms were distributed to the administrators and workers in the hospital. A total of 370 surveys were received. After the unusable surveys due to missing values and random responses were sorted out, 325 usable questionnaires including 80 from health administrators and 245 from health workers were used for the analysis. Factor analysis was used to ensure the validity of the structure of items. Kaiser-Meyer-Olkin (KMO) test was performed to determine whether the number of samples was sufficient, and it was found as 0.916. Also, Barlett's sphericity test results were examined to determine whether the correlation between the items was significant and it was found significant at the level of 0.001 (Approx. Chi-Square: 7933.483/ df: 820/ sig: 0.000). To dimension the items,” Direct Oblimin “rotation was applied by the ”principal components” method. The explained variance constitutes 56% of the total. For the reliability analysis of the scale, Cronbach's Alpha coefficient was examined, and this value was found as 0.945. After the reliability and validity test, the data were analyzed by the frequency analysis and