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Article Citation - WoS: 19Citation - Scopus: 20The consumers' social media use in choosing physicians and hospitals: the case study of the province of Izmir(Wiley, 2017) Tengilimoglu, Dilaver; Sarp, Nilgn; Yar, Cemre Eda; Bektas, Meral; Hidir, Mehmet Nil; Korkmaz, EsinManifested as a reflection of the Internet technology progress, web 2.0 has transformed communication among people to different dimensions while increasing the social use of Internet. Thus, the concept of social media has entered our lives. Blogs, forums, Facebook, Twitter and YouTube applications are but few of the social media platforms with active users exceeding millions. As in many other subjects, these and others are also environments where people share information and their positive or negative experiential views with respect to healthcare issues and services. Hence, the social media communication and exchange of information are deemed influential on the process of receiving health services. In the present study that aims to determine social media use of individuals in their choice of physicians, dentists and hospitals, a survey, as a data collection instrument, has been carried out to 947 residents of the province of Izmir. Individuals participating in the study have stated that they have used social media in choosing a physician (41.9% of the participants), dentist (34.1% of the participants) and hospitals (41.7% of the participants). The study has revealed that individuals are affected by social media in their healthcare choices. Copyright (C) 2015 John Wiley & Sons, Ltd.Article Citation - WoS: 11Citation - Scopus: 14Informal Payments in Health Systems: Purpose and Occurrences in Turkey(Routledge Journals, Taylor & Francis Ltd, 2015) Tengilimoglu, Dilaver; Guzel, Alper; Toygar, Anil; Akinci, Fevzi; Dziegielewski, Sophia F.Informal payments constitute a significant portion of out-of-pocket payments in health systems, especially in developing countries. This study examined the current status of informal payments in Turkey and the opinions, attitudes, and behavior of individuals toward informal payments. To examine this concept, 1,033 residents in Ankara, the capital city of Turkey, were surveyed. The 28-item questionnaire used in data collection was developed based on previous research and expert opinions. The data analysis revealed that approximately 29% of the study participants made informal payments in return for the medical service they received. Three out of 4 people who made informal payments were from a low-income group. Informal payments were made in the form of cash prior to medical procedures and also as gifts following the procedures. Future recommendations for health policymakers include designing a new patient copay mechanism where informal payments can be effectively incorporated into the formal payment system, assistance to low-income individuals, and improvement in current medical staff salaries that would discourage taking such payments.Article Citation - WoS: 10Citation - Scopus: 11Evaluating the Current Situation of Oral and Dental Healthcare Services in Turkey and Recommending Solutions(Elsevier Sci Ltd, 2017) Ekici, Omer; Tengilimoglu, Dilaver; Isik, OguzObjectives: To identify issues with Turkeys oral and dental healthcare services and develop recommendations for their effective resolution. Methods: This study analyzes Turkey's oral and dental healthcare system and its problematic issues and surveys other systems and reform strategies being implemented worldwide. The questionnaire-based field survey asked 560 dentists and 84 managers working in public oral and dental healthcare centers in 12 different regions and 52 central and chamber directors affiliated with the Turkish Dental Association about dental health issues and potential restructuring in dental healthcare in Turkey. The survey comprised four sections that, in addition to gathering participant information, inquired into the current overall condition of the Turkish dental healthcare system, the problems necessitating system restructuring, and recommendations to resolve these problems. Results: Participants agree that there are structural and functional problems in Turkey's dental healthcare system. Although there is an overall consensus in regard to the recommendations for resolving the problems, priorities differ among participant groups. However, participants do agree that preventive services in Turkey are insufficient and require improvement. Conclusions: This study exposed issues in oral and dental healthcare services in Turkey that fall into four categories: management and organization, service delivery, human resources, and financing. Based on the results, we propose a new organization model for oral and dental healthcare in Turkey that is integrated within the healthcare system using a public health approach and that prioritizes preventive healthcare services. (C) 2017 Fellowship of Postgraduate Medicine. Published by Elsevier Ltd. All rights reserved.Editorial Citation - WoS: 1Citation - Scopus: 1Economic Growth and Health Expenditures Relationship Between Oecd Countries(Frontiers Media Sa, 2023) Tengilimoglu, Dilaver[No Abstract Available]Article Citation - WoS: 34Citation - Scopus: 34Effect of Organisational Trust, Job Satisfaction, Individual Variables on the Organisational Commitment in Healthcare Services(Routledge Journals, Taylor & Francis Ltd, 2017) Tekingunduz, Sabahattin; Top, Mehmet; Tengilimoglu, Dilaver; Karabulut, ErdemThe purpose of the study was to investigate the effect of the organisational trust dimensions, job satisfaction dimensions, and several personal characteristics (age, education status, gender, the department that is worked at, duration of work, income, and marital status) on the organisational commitment. In this study, all staff working at a public hospital in Bingol, Turkey, have been taken into consideration. A total of 516 questionnaires were taken into consideration for data analysis in this study. In the study, organisational trust dimensions, job satisfaction dimensions, and personal variables were found to explain affective commitment variable in the proportion of 37.5%; continuance commitment variable in the proportion of 27.2%; and normative commitment variable in the proportion of 39.8%. This study revealed that cognitive trust, managers, communication, the structure of work, gender, and the department worked (laboratory or surgery room) were the significant predictors of affective commitment. Income, cognitive trust, education status, emotional trust, and the structure of work and additional opportunities have been found to have a meaningful effect on continuance commitment. Cognitive trust, promotion, managers, the structure of work, education status, emotional trust, and the structure of work, gender, and emotional trust had a meaningful effect on normative commitment. This study could have potential practical implications in healthcare management.Article Health Beliefs and Attitudes: a Comparison Between Turkey and Palestine(Routledge Journals, Taylor & Francis Ltd, 2018) Menawi, Wafaa Allam; Tengilimoglu, Dilaver; Dziegielewski, Sophia F.The purpose of this study is to identify the beliefs and attitudes that influence health-related behavior while comparing two countries that can have different political and economic structures. This study also gathers both Turkish and Palestinian citizens' beliefs and attitudes towards health determinants. To assess and compare citizens' attitudes toward health care and health determinants a total of 4,100 questionnaires were distributed, whereas 2,600 were distributed in Turkey, and another 1,500 questionnaires in the Palestine. According to the research, the individuals surveyed in Turkey noted that smoking, stress, and getting access to a medical institution were noted as the most influential determinants which affect their health; whereas, the people of Palestine thought that income status, and educational levels were the most influential factors in health. In addition, it was found that there were some statistically significant differences between participants' responses in Turkey and Palestine; however, what both samples shared was that economic factors were an important factor affecting health beliefs and attitudes, regardless of where a participant lived. Finally, comparisons and future recommendations are made to improve health-related beliefs, attitudes and behaviors in both countries.Article Factors Affecting Dentists' Intention To Adopt Artificial Intelligence: An Extension of the Unified Theory of Acceptance and Use of Technology (UTAUT) Model(Emerald Group Publishing Ltd, 2025) Alqaifi, Faten; Tengilimoglu, DilaverPurposeAdvancements in science and technology have integrated artificial intelligence (AI) into dentistry, improving treatment processes, operational efficiency, and clinical outcomes. However, AI adoption among dentists remains underexplored, hindering progress in oral healthcare. This study aims to identify key barriers to AI adoption and examine factors influencing dentists' intention to use AI.Design/methodology/approachA quantitative cross-sectional approach was employed, utilizing self-administered questionnaires distributed online and across various dental clinics and hospitals in Ankara, Turkey. A total of 440 dentists participated in the study. Data analysis was conducted using SPSS and SmartPLS.FindingsThe study found that AI-anxiety negatively affects the intention to adopt AI in dentistry, showing a medium (almost large) effect that is stronger than other UTAUT factors such as performance expectancy, effort expectancy, and social influence, which demonstrated only small effects. Dentists with higher anxiety about learning and sociotechnical blindness are less likely to adopt AI, while concerns about job replacement and AI-configuration have less but still significant impact.Research limitations/implicationsThese results contribute to the growing body of knowledge on technology adoption in oral healthcare and provide practical implications for technology developers, policymakers, and other stakeholders seeking to facilitate AI integration in dentistry.Originality/valueThis study provides novel insights into AI adoption in dentistry, offering guidance for future development and integration, and addressing a critical research gap in a growing field-particularly in Turkey, where implementation is still in its early stages.Article Citation - WoS: 10Citation - Scopus: 10Convergence of Economic Growth and Health Expenditures in Oecd Countries: Evidence From Non-Linear Unit Root Tests(Frontiers Media Sa, 2023) Celik, Esref Ugur; Omay, Tolga; Tengilimoglu, DilaverIntroductionThe relationship between human capital, health spending, and economic growth is frequently neglected in the literature. However, one of the main determinants of human capital is health expenditures, where human capital is one of the driving forces of growth. Consequently, health expenditures affect growth through this link. MethodsIn the study, these findings have been attempted to be empirically tested. Along this axis, health expenditure per qualified worker was chosen as an indicator of health expenditure, and output per qualified worker was chosen as an indicator of economic growth. The variables were treated with the convergence hypothesis. Due to the non-linear nature of the variables, the convergence hypothesis was carried out with non-linear unit root tests. ResultsThe analysis of 22 OECD countries from 1976 to 2020 showed that health expenditure converged for all countries, and there was a significant degree of growth convergence (except for two countries). These findings show that health expenditure convergence has significantly contributed to growth convergence. DiscussionPolicymakers should consider the inclusiveness and effectiveness of health policies while making their economic policies, as health expenditure convergence can significantly impact growth convergence. Further research is needed to understand the mechanisms behind this relationship and identify specific health policies most effective in promoting economic growth.Review Citation - WoS: 2Citation - Scopus: 2Artificial intelligence's impact on oral healthcare in terms of clinical outcomes: a bibliometric analysis(Emerald Group Publishing Ltd, 2024) AlQaifi, Faten; Tengilimoglu, Dilaver; Aras, Ilknur ArslanPurpose - This study provides a comprehensive overview of the impact of artificial intelligence (AI) applications on oral healthcare, focusing on clinical outcomes. Design/methodology/approach - A systematic approach was used to gather articles from databases such as Scopus, ScienceDirect, PubMed, Web of Science and Google Scholar from 2010 to 2024. The selection criteria included articles published in English, focusing solely on clinical applications of AI in dentistry. Articles such as conference proceedings, editorial material and personal opinions were excluded. The articles were analyzed and visualized using Rayyan software, Microsoft Excel and VOSviewer. Findings - Results indicate that 120 publications were authored by 58 scholars from 92 institutions across 29 countries, with a notable surge since 2018. This analysis showed the significant emphasis on the use of deep learning, demonstrating its high accuracy and performance in oral healthcare, often exceeding that of dentists. It also proved that even though AI is sometimes seen as an auxiliary tool, many studies revealed that AI has a performance near dental professionals' levels. Findings concluded that the majority of studies indicate that AI is generating better clinical outcomes in oral healthcare. Practical implications - This study provides dental professionals with insights on integrating AI for better diagnosis and treatment. Policymakers and healthcare institutions can use these findings to inform AI adoption and training strategies. Originality/value - It presents novel and valuable findings that can benefit various stakeholders by shedding light on the present scenario and potential future paths of AI integration in oral healthcare, contributing to its overall advancement.Article Citation - WoS: 40Citation - Scopus: 54Impacts of Covid-19 Pandemic Period on Depression, Anxiety and Stress Levels of the Healthcare Employees in Turkey(Elsevier Ireland Ltd, 2021) Tengilimoglu, Dilaver; Zekioglu, Aysu; Tosun, Nurperihan; Isik, Oguz; Tengilimoglu, OnurThe COVID-19 pandemic has turned into a public health issue since December 2019 and has risen in all countries in the world. The healthcare employees taking part in the pandemic will eventually be affected by the process. The aim of the study is to determine the levels of the anxiety, depression, and stress of the healthcare employees during the COVID-19 pandemic in Turkey. As the data collection tool, an e-survey was used. In the first section, Depression, Anxiety and Stress Scale (DASS-21) was used. In the second section of the survey, the problems experienced by the healthcare employees during the pandemic and their working media were aimed to be defined. In the last section, the socio-demographic features of the employees were investigated. 2076 healthcare employees participated in the study. The results showed that the major cause of the anxiety or stress among healthcare employees comes from the fear to contaminate the COVID-19 virus to their families (86.9%). It was observed that the levels of depression, anxiety and stress of female employees are higher than that of male employees (p < 0.003). The highest depression, anxiety and stress levels of healthcare employees come from the pandemic, emergency, and internal services (p < 0.001). Health managers and policymakers need to make a move immediately to find solutions for the physical and psychological needs of the health employees. On the other hand, in order to minimize the risk, preparation of the work power plans beforehand and inclusion of obligatory referral chain into health services can be suggested.
