Necmettin Cihangiroğlu

Psychological contract

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How to Control Physicians' Overutilization of Resources to Reduce the Health Services Costs?

TAF Preventive Medicine Bulletin (2013)

The increasing cost of health services and the limited financial resources available force countries to find approaches to reduce cost and to improve the quality of health services. Variations in physicians practice patterns have important implications for quality and cost. Because of their central role in health care, the hospital administrators should establish some control systems that can modify the current application models of physicians. Therefore, many countries are trying to control overutilization through different strategies. Common areas of overutilization include hospitalization, hospital inpatient days, emergency center visits, diagnostic laboratory and radiology tests, and prescription drugs.

10.5455/pmb.1-1340179752

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The evaluation of transportation services for personnel provided as an outsourced way at a military hospital

New Trends and Issues Proceedings on Humanities and Social Sciences (2016)

Necmettin Cihangiroğlu Bilal Bakır

OBJECTIVE: In this study it was aimed to examine the quality of outsourcing transportation services provided for personnel at a military hospital in Turkey by using SERVQUAL method. MATERIAL AND METHOD: This study was conducted as a cross-sectional study from 7 to 29 August 2014 at a military hospital in Ankara.Â One thousand questionnaires were distributed, 730 were received back, but 176 were excluded from analysis due to missing or false responses.Â Â The rest of 554 questionnaires were analyzed by usingÂ Â SPSS for Windows 18.0 package program. The SERVQUAL scale which was developed by Parasuraman et al. (1988) was the main scale in the study. The scale highlights the main components of high quality service as five factors - reliability, assurance, tangibles, empathy and responsiveness - that create the acronym RATER. RESULTS: The majority of participants were women (56.4%), between 31-40 old years (47.2 %), and, up to 77.3% of them used transportation services every work day. It was found that the SERVQUAL instrument had a very high reliability. The Cronbach Alpha coefficient was found between 0.86 and 0.91 for expected quality and between 0.74 and 0.91 for perceived quality. The expectations regarding empathy dimension was at the highest level and expectations regarding other dimensions were also at very high level and very close each other. It was determined also that empathy factor was the highest in negative direction among perceived quality mean scores. When the absolute differences between expected and perceived mean scores for the dimension ofÂ tangiblesÂ of the scale were compared for all age groups,Â a significant result was found (p=0,021), and the difference for the age group of 51 and more was significantly lower than others. When the mean scores of perceived service quality of groups based on personnelâ€™ status were compared, the significant results were obtained for three dimensions as tangibles, empathy, responsiveness and also total perceived service quality (<0.05). CONCLUSION: The absolute difference between expected and perceived mean scores regarding outsourcing personnel transportation services was found as negative (-). That means that the quality of service was perceived insufficient.Â Keywords: Outsorcing, Transportation services, hospital

SERVQUAL

10.18844/gjhss.v2i2.419

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Analysis of Relationship between Chronic Diseases and Health Care Usage Tendencies

Abant Medical Journal (2016)

Uğur Uğrak Yasin Uzuntarla Necmettin Cihangiroğlu Selahattin Akyüz

INTRODUCTION: This descriptive study aimed at analyzing relationship between chronic diseases and health care usage tendencies.METHODS: 702 outpatient was reached within this study.Questionnaire method was used as a data collection tool.Questionnaire composed by researcher included questions related to sociodemographic characteristics, chronic disease status and health care usage tendencies.RESULTS: 42% of participants was found to have a chronic disease.Significant statistical relationship were found between chronic disease and healthcare center choice, rate of consulting a doctor, rate of applying emergency healthcare center, rate of check-up, thought of need for inpatient treatment and health care center choice for risky interventions.DISCUSSION AND CONCLUSION: Chronic diseases affect patients' healthcare usage tendencies.In order to use limited resources more effectively and efficiently, it is important that diagnosed chronic diseases must be cured and followed firstly by primary healthcare institutions.

10.5505/abantmedj.2016.82653

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NARSİSTİK KİŞİLİK ÖZELLİKLERİ KURUMSAL BAĞLILIĞI ETKİLER Mİ

Cumhuriyet Üniversitesi İktisadi ve İdari Bilimler Dergisi (2014)

Necmettin Cihangiroğlu Abdulkadir Teke Yasin Uzuntarla Uğur Uğrak

Bu calismada; narsistik kisilik ozellikleri ile kurumsal baglilik arasinda bir iliski olup olmadiginin incelenmesi amaclanmistir. Bu amacla yapilan calismada GATA Hemsirelik Yuksek Okulu’nda ogrenim goren ogrenciler secilmistir. Toplam 335 ogrenci degerlendirme kapsamina alinmistir. Ogrencilerin narsistik puanlari, 16 tam puan uzerinden degerlendirildiginde; en yuksek narsistik kisilik puanina (7.64) 2’ci sinif ogrencilerinin sahip oldugu, kurumsal baglilik duzeylerinin 3’ncu sinif ogrencilerinde en yuksek (3.65) duzeyde oldugu, 1’nci sinif ogrencilerinin toplam narsizm puani ile kurumsal baglilik puanlari arasinda istatistiksel olarak negatif yonlu korelasyon varken (r = -0.245, p= 0.016), 2-3 ve 4’ncu sinif ogrencilerinin iki olcek puani arasinda istatistiksel olarak anlamli bir iliski bulunmadigi gorulmustur. Bu bulgulardan hareketle; gelecekte saglik hizmetlerinin vazgecilmez unsurlarindan biri olacak olan “hemsire” adaylarinin, kurumsal bagliliklarini artirmak icin narsistik kisilik ozelliklerinin bilinmesi ve olumlu yonde gelistirilebilmesi icin gerekli onlemlerin ogrencilik doneminden itibaren, egitimin bir parcasi olarak alinmasi onerilmektedir.

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Is There any Relationship between Narcissistic Personality and Organizational Commitment?

TAF Preventive Medicine Bulletin (2012)

Necmettin Cihangiroğlu

ABSTRACT OBJECTIVE: This study aimed at investigating whether there is a correlation between organizational commitment and narcissistic personalty traits. METHOD: In order to measure the GATA Occupation High School of Health Subordinate Officiers’ narcissistic personality traits Narcissistic Personality �nventory (NPI) scala was used. In order to measure students’ organizational commitment Organizational Commitment Questionnaire was used. 229 questionnaire forms were distributed to the Occupation High School of Health Subordinate Officiers’ students, and 220 (%96) of them were returned. Totally 220 students were evaluated. FINDINGS: When students’ narcissistic scores were evaluated out of 16, it was found out that the highest narcissistic personality score (8,98) was taken by second year students, the highest score for organizational commitment (3,70) was taken by first year students, “exploitativeness” which is one of the sub-levels of narcissisim was observed at the highest level with an average of 0,73 out 1 full score, “entitlement” sub level was observed at the lowest level (0,29), “affective commitment” one of the sub-levels of commitment, had the highest average (3,84), “normative commitment” had the second highest average (3,71) and finally “continuance commitment” was observed at the lowest level (3,55). Statistically, there is no significant relationship found between narcissistic personality and organizational commitment. However, there is a significant relationship found between narcissistic personality and continuity commitment. There is a significant and opposite relationship found between organizational commitment and continuity commitment with superiority. There is similar relationship found between exploitation and continuity commitment. CONCLUSION: With respect to these findings, it is suggested that “Health Technicians” candidates’, who will be one of the indispensable constituents of health services in the future, narcissistic personality traits should be known to improve their organizational commitment and necessary precautions should be taken as a part of their education in order to develop their narcissistic personality.

10.5455/pmb.1-1326878683

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Investigating The Factors Affecting The Organizational Commitment of Military Physicians in Turkey Through Structural Equation Modelling

Gulhane Medical Journal (2015)

Necmettin Cihangiroğlu Bayram Şahi̇n Atilhan NAKITYOK

10.5455/gulhane.157577

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Mesleki bağlılık ile örgütsel bağlılık arasındaki ilişkinin analizi

Gulhane Medical Journal (2015)

Necmettin Cihangiroğlu Abdülkadir Teke Musa Özata Özay Çelen

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Askeri doktorların örgütsel adalet algıları ile örgütsel bağlılıkları arasındaki ilişkinin analizi

Gulhane Medical Journal (2011)

Necmettin Cihangiroğlu

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The evaluation of transportation services for personnel provided as an outsourced way at a military hospital

New Trends and Issues Proceedings on Humanities and Social Sciences (2016)

Necmettin Cihangiroğlu Bilal Bakır

OBJECTIVE: In this study it was aimed to examine the quality of outsourcing transportation services provided for personnel at a military hospital in Turkey by using SERVQUAL method. MATERIAL AND METHOD: This study was conducted as a cross-sectional study from 7 to 29 August 2014 at a military hospital in Ankara.Â One thousand questionnaires were distributed, 730 were received back, but 176 were excluded from analysis due to missing or false responses.Â Â The rest of 554 questionnaires were analyzed by usingÂ Â SPSS for Windows 18.0 package program. The SERVQUAL scale which was developed by Parasuraman et al. (1988) was the main scale in the study. The scale highlights the main components of high quality service as five factors - reliability, assurance, tangibles, empathy and responsiveness - that create the acronym RATER. RESULTS: The majority of participants were women (56.4%), between 31-40 old years (47.2 %), and, up to 77.3% of them used transportation services every work day. It was found that the SERVQUAL instrument had a very high reliability. The Cronbach Alpha coefficient was found between 0.86 and 0.91 for expected quality and between 0.74 and 0.91 for perceived quality. The expectations regarding empathy dimension was at the highest level and expectations regarding other dimensions were also at very high level and very close each other. It was determined also that empathy factor was the highest in negative direction among perceived quality mean scores. When the absolute differences between expected and perceived mean scores for the dimension ofÂ tangiblesÂ of the scale were compared for all age groups,Â a significant result was found (p=0,021), and the difference for the age group of 51 and more was significantly lower than others. When the mean scores of perceived service quality of groups based on personnelâ€™ status were compared, the significant results were obtained for three dimensions as tangibles, empathy, responsiveness and also total perceived service quality (<0.05). CONCLUSION: The absolute difference between expected and perceived mean scores regarding outsourcing personnel transportation services was found as negative (-). That means that the quality of service was perceived insufficient.Â Keywords: Outsorcing, Transportation services, hospital

SERVQUAL

10.18844/prosoc.v2i2.419

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Necmettin Cihangiroğlu

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