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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: 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.Article Citation - WoS: 5Citation - Scopus: 7The Problems Experienced by Employees With Chronic Disease During the Covid-19 Pandemic(Mdpi, 2022) Tengilimoglu, Dilaver; Tengilimoğlu, Dilaver; Goenuellue, Ugur; Isik, Oguz; Tosun, Nurperihan; Zekioglu, Aysu; Tengilimoglu, Onur; Younis, Mustafa; Tengilimoğlu, Dilaver; Business; BusinessChronic diseases served as a silent global epidemic before the pandemic, and individuals living with chronic disease now form one of the groups most affected by COVID-19. This study aims to determine the problems that employees with chronic disease face during the COVID-19 pandemic. As part of the study, data were collected from 952 individuals who live with chronic disease in Turkey. Of these, 76.6% of respondents worked for the public sector, a large majority of whom (67.7%) have worked full time during the COVID-19 pandemic. It was found that the COVID-19 fear level of employees living with chronic disease was higher than moderate (21.061 +/- 7.607). When the variables affecting the COVID-19 fear level are listed in order of relative significance, eating problems, residing in the Mediterranean region, having asthma, and working as a female employee made the greatest impact, respectively. Necessary conditions of work should be provided to those living with chronic disease who could adapt themselves to working flexibly or working from home, so that they would not feel isolated from business life. This group should be provided with essential protective equipment, their working conditions must be reviewed and vaccination priority could be given to them.Article Citation - WoS: 8Citation - Scopus: 8Evaluating the Factors (stress, Anxiety and Depression) Affecting the Mental Health Condition of Nurses During the Covid-19 Pandemic(Sage Publications inc, 2022) Isik, Oguz; Tengilimoglu, Dilaver; Tosun, Nurperihan; Zekioglu, Aysu; Tengilimoglu, OnurThis study aimed to determine the depression, anxiety and stress levels that have negatively impacted nurses' mental health during the COVID-19 pandemic. A sample group of 826 nurses working in Turkey were asked to fill in an online questionnaire in order to evaluate their psychological responses and the related factors that have adversely affected their mental health during the COVID-19 pandemic. In total, 696 nurses (84.3%) showed symptoms of depression, 644 (78%) reported anxiety and 543 (65.74%) reported stress. This study also highlighted that the most concerning factor for the nurses was the risk of transmitting the COVID-19 infection to their household members (89.2%). The most important problems faced by the nurses during COVID-19 included equipment shortages (50.7%), administrative problems (38.5%) and issues such as accommodation and nutrition (27.4%). These were found to have a statistically significant correlation with the nurses' levels of depression, anxiety and stress. The fear of losing a household member, the inability to their household's social needs and the fear of death were among the factors that concerned nurses during the COVID-19 pandemic, significantly affecting their levels of depression, anxiety and stress. Taking the necessary measures to deal with the aforementioned problems and fears is important to protect the health, productivity and efficiency of nurses during the pandemic period.
