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Article Citation - WoS: 5Citation - Scopus: 9The mediating role of FoMO and the moderating role of narcissism in the impact of social exclusion on compulsive buying: a cross-cultural study(Springer int Publ Ag, 2023) Mert, Merve; Tengilimoglu, DilaverBackground There is an interrelationship between the concepts of social exclusion, compulsive buying behavior, fear of missing out (FoMO), and narcissism. Nevertheless, the extent to which these concepts mediate or moderate their relationships with each other has not been efficiently investigated. Objective This research aims to investigate how FoMO mediates and narcissism moderates the correlation between social exclusion and compulsive buying behavior. In addition, the research aims to test a conceptual model and highlight the differences that may occur in the conceptual model proposed in two different countries. Methods This model was analyzed among 1007 university students (Turkey = 506, Denmark = 501). The study used scales to measure social exclusion, compulsive buying behavior, FoMO, and narcissism. The study employed PROCESS Model 4 to analyze direct and indirect (mediation) effects and PROCESS Model 59 to assess conditional (moderation) effects. Furthermore, the Johnson-Neyman technique was utilized to investigate interaction terms. Results The findings indicate that those who face social exclusion tend to participate more in compulsive buying, and this connection is partly explained by FoMO. This suggests that individuals who encounter social exclusion may have an increased likelihood of experiencing FoMO, which may subsequently contribute to compulsive buying behavior. Furthermore, the moderating effect of narcissism differed between the Turkey and Danish samples. Specifically, in the Turkey sample, narcissism only modified the connection between social exclusion and FoMO, while in the Danish sample, it impacted both the connection between social exclusion and FoMO and the connection between FoMO and compulsive buying. Conclusion The obtained results show that the regulating role of narcissism is different in Turkey and Denmark within the conceptual model we studied.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: 9Citation - Scopus: 10Evaluating 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.Article Citation - WoS: 8Citation - Scopus: 9Refugees' Opinions About Healthcare Services: a Case of Turkey(Mdpi, 2021) Tengilimoglu, Dilaver; Zekioglu, Aysu; Budak, Fatih; Eris, Hilseyin; Younis, MustafaBackground: Migration is one of the most important social events in human history. In recent years, Turkey hosted a high number of asylum seekers and refugees, primarily because of continuing wars and radical social changes in the Middle East. Methods: Using a random sampling method, Syrian refugees aged 18 and over, who can communicate in Turkish, were reached via personal contact and a total of 714 refugees participated in the study voluntarily. Results: Turkey has mounted with some success and to point out that even though participating refugees in both provinces are young and healthy, almost 50% have bad or worse health status, 61% have chronic diseases, and 55% need regular medication. Participating refugees living in Sanliurfa stated that 'Hospitals are very clean and tidy.' (3.80 +/- 0.80). The answers given to the following statements had the highest mean for the participating refugees living in Kilis; 'Hospitals are clean and tidy.' (3.22 +/- 1.25). Conclusion: Due to financial and human resource deficiencies, there are problems in providing preventive and therapeutic health services, especially to refugees living outside the refugee camps in bad conditions. It is important that refugees are encouraged to apply to family health and community health centers in this context.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 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 Evaluating the Financial Performances of the Publicly Held Healthcare Companies in Crisis Periods in Türkiye(Mdpi, 2023) Tengilimoglu, Dilaver; Tumer, Tolga; Bennett, Russell L.; Younis, Mustafa Z.The purpose of this study was to evaluate the financial performances of the publicly held healthcare companies in crisis periods in Turkiye. The 2018 economic crisis and the COVID-19 pandemic crisis were included in the study as the crisis periods. We collected the financial data of the publicly held healthcare companies and calculated three liquidity, three turnover, three leverage and three profitability ratios through ratio analysis to use as financial performance indicators. We then conducted Wilcoxon signed-rank tests and we performed separate analyses for the 2018 economic crisis and the COVID-19 pandemic crisis. The results of the analyses showed that there were no statistically significant differences between the publicly held healthcare companies' liquidity, turnover, leverage, profitability ratios and thus their financial performances before the crises and after the crises. While the results are reassuring and give valuable insights to managers and policy makers to determine the areas that needs to be strengthened to be better prepared for possible future crises, our sample was limited. Therefore, this study presents an exploratory foundation for future studies which are needed to make a case for financial stability for the publicly held healthcare companies before and after the crisis periods.Article Citation - WoS: 12Citation - Scopus: 12Analysis of Publications on Health Information Management Using the Science Mapping Method: a Holistic Perspective(Mdpi, 2024) Tengilimoglu, Dilaver; Orhan, Fatih; Tekin, Perihan Senel; Younis, MustafaObjective: In the age of digital transformation, there is a need for a sustainable information management vision in health. Understanding the accumulation of health information management (HIM) knowledge from the past to the present and building a new vision to meet this need reveals the importance of understanding the available scientific knowledge. With this research, it is aimed to examine the scientific documents of the last 40 years of HIM literature with a holistic approach using science mapping techniques and to guide future research. Methods: This study used a bibliometric analysis method for science mapping. Co-citation and co-occurrence document analyses were performed on 630 academic publications selected from the Web of Science core collection (WoSCC) database using the keyword "Health Information Management" and inclusion criteria. The analyses were performed using the R-based software Bibliometrix (Version 4.0; K-Synth Srl), Python (Version 3.12.1; The Python Software Foundation), and Microsoft (R) Excel (R) 2016. Results: Co-occurrence analyses revealed the themes of personal health records, clinical coding and data quality, and health information management. The HIM theme consisted of five subthemes: "electronic records", "medical informatics", "e-health and telemedicine", "health education and awareness", and "health information systems (HISs)". As a result of the co-citation analysis, the prominent themes were technology acceptance, standardized clinical coding, the success of HISs, types of electronic records, people with HIM, health informatics used by consumers, e-health, e-mobile health technologies, and countries' frameworks and standards for HISs. Conclusions: This comprehensive bibliometric study shows that structured information can be helpful in understanding research trends in HIM. This study identified critical issues in HIM, identified meaningful themes, and explained the topic from a holistic perspective for all health system actors and stakeholders who want to work in the field of HIM.
