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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 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 Citation - WoS: 34Citation - Scopus: 33Effect 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.
