PHYSICIAN PERCEPTION SCALE OF PERFORMANCE-BASED ADDITIONAL PAYMENT SYSTEM: A SCALE DEVELOPMENT STUDY

Enver Samet Özkal; Belkıs Özkara

Makale detayları

PHYSICIAN PERCEPTION SCALE OF PERFORMANCE-BASED ADDITIONAL PAYMENT SYSTEM: A SCALE DEVELOPMENT STUDY

Yazarlar:

Enver Samet Özkal | Belkıs Özkara

Yayıncı:

Hacettepe University

Ana Başlıklar:

Sağlık Kurumları Yönetimi | Sağlık Yönetimi

Dergi:

Hacettepe Sağlık İdaresi Dergisi Vol.28 Issue 1, pp.15-30

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001344090

pISSN:

2148-9041

Anahtar kelimeler:

Özet:

 As a component of increasing efficiency and quality in health institutions, the performance-based supplementary payment system has been implemented in public hospitals in Turkey since 2003 within the scope of the health transformation program. This study aims to develop a scale with reliability and validity to measure how physicians perceive this system. Based on the literature review, an item pool of 129 statements was developed. Focus group interviews 13 physicians and academicians and expert opinions 20 physicians and academicians were obtained regarding the statements specified in the item pool within the content and content validity framework. The questionnaire form formed as a result of the final evaluations was applied to physicians, and the collected data were analyzed with SPSS and LISREL programs, and explanatory and confirmatory factor analyses were performed. The data for the study were obtained from 301 physicians working in a public and university hospital in Afyonkarahisar between September and December 2021. The response rate achieved in the study is 55. As a result of the explanatory and confirmatory factor analyses, a total of 17 statements were formed under 4 factors; Physician Performance 5 statements, Service Quality 5 statements, Patient Satisfaction 4 statements, Physician Satisfaction 3 statements. The results obtained after confirmatory factor analysis and corrections showed the suitability of the model with 17 statements and 4 factors RMSEA 0.082; NFI 0.95; NNFI 0.95; CFI 0.96; SRMR 0.059; χ2df 3.02. The total explanatory rate of the scale was 73.073 and the internal consistency coefficient was 0.889. In this study, a valid and reliable measurement tool that can be used to evaluate how physicians perceive the performance-based additional payment system was developed.

 As a component of increasing efficiency and quality in health institutions, the performance-based supplementary payment system has been implemented in public hospitals in Turkey since 2003 within the scope of the health transformation program. This study aims to develop a scale with reliability and validity to measure how physicians perceive this system. Based on the literature review, an item pool of 129 statements was developed. Focus group interviews 13 physicians and academicians and expert opinions 20 physicians and academicians were obtained regarding the statements specified in the item pool within the content and content validity framework. The questionnaire form formed as a result of the final evaluations was applied to physicians, and the collected data were analyzed with SPSS and LISREL programs, and explanatory and confirmatory factor analyses were performed. The data for the study were obtained from 301 physicians working in a public and university hospital in Afyonkarahisar between September and December 2021. The response rate achieved in the study is 55. As a result of the explanatory and confirmatory factor analyses, a total of 17 statements were formed under 4 factors; Physician Performance 5 statements, Service Quality 5 statements, Patient Satisfaction 4 statements, Physician Satisfaction 3 statements. The results obtained after confirmatory factor analysis and corrections showed the suitability of the model with 17 statements and 4 factors RMSEA 0.082; NFI 0.95; NNFI 0.95; CFI 0.96; SRMR 0.059; χ2df 3.02. The total explanatory rate of the scale was 73.073 and the internal consistency coefficient was 0.889. In this study, a valid and reliable measurement tool that can be used to evaluate how physicians perceive the performance-based additional payment system was developed.

 As a component of increasing efficiency and quality in health institutions, the performance-based supplementary payment system has been implemented in public hospitals in Turkey since 2003 within the scope of the health transformation program. This study aims to develop a scale with reliability and validity to measure how physicians perceive this system. Based on the literature review, an item pool of 129 statements was developed. Focus group interviews 13 physicians and academicians and expert opinions 20 physicians and academicians were obtained regarding the statements specified in the item pool within the content and content validity framework. The questionnaire form formed as a result of the final evaluations was applied to physicians, and the collected data were analyzed with SPSS and LISREL programs, and explanatory and confirmatory factor analyses were performed. The data for the study were obtained from 301 physicians working in a public and university hospital in Afyonkarahisar between September and December 2021. The response rate achieved in the study is 55. As a result of the explanatory and confirmatory factor analyses, a total of 17 statements were formed under 4 factors; Physician Performance 5 statements, Service Quality 5 statements, Patient Satisfaction 4 statements, Physician Satisfaction 3 statements. The results obtained after confirmatory factor analysis and corrections showed the suitability of the model with 17 statements and 4 factors RMSEA 0.082; NFI 0.95; NNFI 0.95; CFI 0.96; SRMR 0.059; χ2df 3.02. The total explanatory rate of the scale was 73.073 and the internal consistency coefficient was 0.889. In this study, a valid and reliable measurement tool that can be used to evaluate how physicians perceive the performance-based additional payment system was developed.

 Sağlık kurumlarında verimliliği ve kaliteyi artırmanın bir bileşeni olarak ülkemizde performansa dayalı ek ödeme sistemi kamu hastanelerinde sağlıkta dönüşüm programı kapsamında 2003 yılından itibaren uygulanmaktadır. Hekimlerin bu sistemi nasıl algıladıklarını ölçebilecek güvenilirlik ve geçerliliği yapılmış bir ölçek geliştirebilmek bu çalışmanın amacını oluşturmaktadır. Literatür okumalarına dayalı olarak, 129 ifadeden oluşan bir madde havuzu geliştirilmiştir. Madde havuzunda belirtilen ifadeler ile ilgili olarak içerik ve kapsam geçerliliği çerçevesinde odak grup görüşmeleri 13 hekim ve akademisyen yapılmış ve uzman görüşleri 20 hekim ve akademisyen alınmıştır. Nihai değerlendirmeler sonucunda oluşan anket formu hekimlere uygulanmış ve derlenen veriler SPSS ve LISREL programlarıyla analiz edilerek açıklayıcı ve doğrulayıcı faktör analizleri yapılmıştır. Çalışmanın verileri Afyonkarahisardaki bir kamu ve üniversite hastanesinde çalışan 301 hekimden Eylül  Aralık 2021 döneminde elde edilmiştir. Çalışmada ulaşılan cevaplanma oranı 55tir. Açıklayıcı ve doğrulayıcı faktör analizleri sonucunda 4 faktör altında; Hekim Performansı 5 ifade, Hizmet Kalitesi 5 ifade, Hasta Memnuniyeti 4 ifade, Hekim Tatmini 3 ifade olmak üzere toplamda 17 ifadeden oluşmuştur. Doğrulayıcı faktör analizi ve gerçekleştirilen düzeltmeler sonrasında elde edilen sonuçlar, 17 ifade ve 4 faktöre sahip modelin uygunluğunu göstermiştir RMSEA 0.082; NFI 0,95; NNFI 0,95; CFI 0,96; SRMR 0,059; χ2df 3,02. Ölçeğin toplam açıklayıcılık oranının 73,073 ve iç tutarlılık katsayısının 0,889 olduğu tespit edilmiştir. Çalışmada, performansa dayalı ek ödeme sistemini, hekimlerin nasıl algıladıklarının değerlendirmesinde kullanılabilecek geçerli ve güvenilir bir ölçme aracı geliştirilmiştir.

Makale detayları

PHYSICIAN PERCEPTION SCALE OF PERFORMANCE-BASED ADDITIONAL PAYMENT SYSTEM: A SCALE DEVELOPMENT STUDY

Yazarlar:

Enver Samet Özkal | Belkıs Özkara

Yayıncı:

Hacettepe University

Ana Başlıklar:

Sağlık Kurumları Yönetimi | Sağlık Yönetimi

Dergi:

Hacettepe Sağlık İdaresi Dergisi Vol.28 Issue 1, pp.15-30

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001344090

pISSN:

2148-9041

: Performance-Based Additional Payment System

Physician Perception

Scale Development.Performansa Dayalı Ek Ödeme Sistemi

Hekim Algısı

Ölçek Geliştirme.

Sayı

Makale detayları

PHYSICIAN PERCEPTION SCALE OF PERFORMANCE-BASED ADDITIONAL PAYMENT SYSTEM: A SCALE DEVELOPMENT STUDY

Yazarlar: Enver Samet Özkal | Belkıs Özkara

Yayıncı: Hacettepe University

Ana Başlıklar: Sağlık Kurumları Yönetimi | Sağlık Yönetimi

Dergi: Hacettepe Sağlık İdaresi Dergisi Vol.28 Issue 1, pp.15-30

Belge Tipi: Makale

Yayın Tarihi: 3/2025

Belge Dili: Türkçe

Document ID (Org No.): 2001344090

pISSN: 2148-9041

: Performance-Based Additional Payment System

Physician Perception

Scale Development.Performansa Dayalı Ek Ödeme Sistemi

Hekim Algısı

Ölçek Geliştirme.

Sayı

Yazarlar:

Enver Samet Özkal | Belkıs Özkara

Yayıncı:

Hacettepe University

Ana Başlıklar:

Sağlık Kurumları Yönetimi | Sağlık Yönetimi

Dergi:

Hacettepe Sağlık İdaresi Dergisi Vol.28 Issue 1, pp.15-30

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001344090

pISSN:

2148-9041