Çukurova bölgesinde hastane işletmeciliğinin istatistiksel analizi ve istatistiksel model geliştirme
Statistical analysis of hospital administration in Çukurova region and development of a ststistical model
- Tez No: 48120
- Danışmanlar: DOÇ.DR. VİLDAN SÜMBÜLOĞLU
- Tez Türü: Doktora
- Konular: Tıbbi Biyoloji, Medical Biology
- Anahtar Kelimeler: Belirtilmemiş.
- Yıl: 1996
- Dil: Türkçe
- Üniversite: Hacettepe Üniversitesi
- Enstitü: Sağlık Bilimleri Enstitüsü
- Ana Bilim Dalı: Belirtilmemiş.
- Bilim Dalı: Belirtilmemiş.
- Sayfa Sayısı: 117
Özet
116 Instead of the mechanic form in the hospital data collection system, hospital individual base information system based on computer network is recommended as an open system.
Özet (Çeviri)
115 SUMMARY The aim of this research work is to produce a project in Adana province by doing the statistical analysis of the hospitals in Çukurova region from the point of the country's health system and improving a system which niinimizes the defecits and meets the demands of population connected with the running and registration systems. The data of the study was taken from the different records and reports of the health institutions in Çukurova region, which belong to the year 1993. The ratio of the pohclinic/inhabitants is 42 % in the region health centers, 45 % in Adana, 43 % in Hatay, 37 % in İçel. The average ratio of the referral from the health centers is to the hospital 8.28 % in Çukurova, 6.48 % in Adana, 5. 12 % in Hatay, 14.62 % in İçel and Turkey average is 10 %. The ratio of the inhabitants directly going to the hospital policlinics is 83 % in Adana. And the ratio of the people coming from out of region and has a treatment in the hospital in Adana is 18.9 %. 49 of the 55 hospitals with the capacity of 5 371 beds are working with 6 196 existing beds, 95 % use of bed capacity and 37 % bed occupancy rate. The turnover interval is 23 days. Clinics are opened and closed depending on the appointment of the specialist, not suitable to the requirements of the socieity. Some of the clinics are devided up to 14 subclinics. The ratio of the total expenditures of the Ministry of Health is 70.7 %. This ratio resarches to the 88.6 % by the addition of the services. There are 1 1 clinics beds and 4 nurses per a specialist. A specialist examines 3 344 patients, 5.6 % of the patients and cures 215 clinic patient in a year. A patient average length of stay 6.7 days in the hospitals which are in the province center and 2.5 days in the administrative districs and 36 % of them have an operations. In this study, bed design model recomended in terms of the health system and family medicine system, taking in consideration the accessible patients, a design of hospital kinds and beds was made in the hierarchical structure any differents between two systems was determined. The model wich depends on the analysis of the work load (WISN) for the human resources which is an important variable of the cost component in the hospitals has been calculated for the nurses by taking the statistics of the Adana State Hospital as a basis. Health centers with bed and family planning centers with bed are recommended in the districs where there is no possibility to establish hospitals. In case of the application of family medicine system, it is recommended that the public health centers. Which are established in the administrative districs, would have 2-5 beds. Clinics which don't have a standart number of beds, specialist who are distributed or joined depanding on their appointments cause the existing number of beds to be calculated in a wrong way. It was identified that the indicators of the number of the existing beds in the subclinics are nontrustable.116 Instead of the mechanic form in the hospital data collection system, hospital individual base information system based on computer network is recommended as an open system.
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