Suchergebnisse

Success in healthcare services can be achieved with the creation of an organizational culture, which can provide and sustain healthcare personnel, who have a high organizational commitment, and who internalize organizational citizenship behavior. Personnel, who have high organizational commitment, adopt the aims and values of the organization, of which they are a member. They put a lot of effort into the organization and have a greater desire to remain part of it. Organizational commitment can be defined as identifying oneself with the organization and its aims, and having the desire to remain part of it. Organizational citizenship behavior is the behavior of the personnel with regard to cooperation, sharing and their willingness to cooperate, in order to provide and maintain personnel and group and organizational composure. Organizational commitment and organizational citizenship concepts are closely related and precessor to each other. According to research, it is noted that emotional commitment has a strong positive relation with organizational citizenship behavior. Individuals with a high emotional commitment have better skills in coping with problems at their institutions; they internalize the problems of their institutions as personal matters and volunteer to create a solution. Contrary to this attachment, personnel, who do not feel an emotional commitment to their institutions, but maintain continuity secondary to different reasons, avoid facing problems and do not feel responsible for creating solutions. The vital importance of the service provided by healthcare personnel requires a high emotional commitment, as voluntary and loyalty emotions are at the forefront of emotional commitment. Lately, the cases of violence against healthcare personnel have greatly increased, and patient-physician relations are at a worse state than ever before. The need for personnel, who have an emotional commitment, who internalize the behavior of organizational citizenship and who contribute to their institutions, is higher than ever. Though, the healthcare personnel cannot expose this act secondary to the the deteriorating working conditions conditions and occurring adverse events. These conditions bring adverse results in the delivery of healthcare services. This research aims to draw attention to this problem, which is gradually worsening each day.Keywords: Organizational Commitment, Organizational Citizenship, Extra Role Behavior, Healthcare Personnel

Dünya Bankası Beşeri Sermaye Endeksi'ne göre beşeri sermaye, "eğitim ve sağlık" bileşenlerinden oluşmaktadır. Sağlık statüsü, bir toplumda bireylerin normal gündelik aktivitelerini sürdürebilmesini sağlayabilecek fiziksel ve mental performansıdır. Sağlık statüsünün en önemli belirleyicilerinden biri ise sağlık harcamalarıdır. Bu çalışmada; Grossman Modeli'ne dayanan bir Sağlık Üretim Fonksiyonu aracılığıyla, 32 OECD ekonomisinin 2000-2018 dönemi dengesiz panel veri seti ve 24 OECD ekonomisinin 2000-2015 dönemi dengeli panel veri seti kullanılarak; sağlık harcamalarının beşeri sermayenin bir girdisi ve aynı zamanda proxy'si olan sağlık statüsüne etkisi tahmin edilmiştir. Çalışmada bağımlı değişken olarak kullanılan sağlık statüsü ölçütleri şunlardır: Doğuştan Yaşam Beklentisi (LEBIRTH), Bir Yaş Altı Bebek Ölüm Oranları (IMR), Kaybedilen Potansiyel Yaşam Yılları'dır (PYLL). Bağımsız değişkenler ise Toplam Sağlık Harcamalarının GSYİH'ya Oranı, Kişibaşı Kamusal Sağlık Harcamaları, Kişibaşı Özel Sağlık Harcamaları ve Kişibaşı İlaç Harcamalarıdır. Analizlerde Hausman Testi sonuçlarına göre Sabit Etkiler ve Rassal Etkiler modelleri kullanılmıştır. Bulgular; sağlık harcamalarının sağlık statüsünü, dolayısıyla da beşeri sermaye ve ekonomik büyümeyi anlamlı ve beklenen yönde etkilediğini göstermektedir.