Sağlık yöneticilerinin sivil toplum kuruluşlarına yönelik algılarının belirlenmesi
Determination of healthcare managers’ perceptions on non-governmental organizations
Yazar: Özmutaf, M. Nezih; Aydin, İpek
Dergi: International Journal of Social Sciences and Education Research, Vol. 4 No. 1, 2018
Anahtar kelimeler: Health Management,Non-Governmental Organizations,Health Manager ; Sivil Toplum Kuruluşu,Sağlık Yönetimi,Sağlık Yöneticisi

Sivil Toplum Kuruluşları (STK), toplumsal hizmetlerin sunumuna yön veren,kanun koyma, uygulama ve denetleme süreçlerinde etkili rol oynayabilentoplumsal örgütlenmelerdir. STK’ların planlama, uygulama ve denetlemesüreçlerindeki etkililiğinin değerlendirilmesi bu çalışmanın temel amacınıoluşturmaktadır. Çalışmanın evrenini İzmir ilinde görev yapan sağlıkyöneticileri oluşturmaktadır. Toplam 105 sağlık yöneticisi çalışmaya dahilolmuştur. Veri toplama yöntemi olarak alan araştırması ve anket tekniği uygulanmıştır.Çalışma kapsamında sağlık yöneticilerinin cinsiyet, görev ve üyesi olduklarıSTK türüne göre verdikleri yanıtlar arasında anlamlı bir farklılık tespitedilmemiştir. STK faaliyetlerinin etkililiği boyutları arasında pozitif yöndeyüksek düzeyde anlamlı ilişki tespit edilmiştir. Gerçekleştirilen regresyonanalizine göre STK faaliyetlerinin yeterliliğini, STK faaliyetlerinin etkinliğiboyutlarından sadece temel işlevlerin etkililiği boyutunun etkilediği tespitedilmiştir. Sonuç olarak, STK’lar demokratik toplumların temel göstergelerindenbiri olan STK’ların yeterli ve etkili bir şekilde çalışmaları gerekmektedir.

Backround: Non-governmental organizations (NGO) aresocial organizations that guide the presentation of social services and play aneffective role on legislative, implementation and controlling processes. Thereare NGOs related to health services such as professional rights andsustainability, quality of service delivery, follow-up and feasibility oftechnological developments. There are different practices in the scope of theeffects of NGOs to the social structure among countries. Additionally, thereare differences between developed and developing countries. These differences maybe from the value that governments give to NGOs and their place in society There are a numberof NGOs developed for different purposes in Turkey as well. However, NGOs arecarrying out activities, which are beneficial for society; it is possible tosay that there are aspects that need improvement in Turkey. Many NGOs haveaimed to provide services for the benefit of society. It is very important thatNGOs evaluate the effectiveness of the services that they are offering. Theevaluation of these activities can also provide realistic results by obtainingthe views of healthcare managers. Because healthcare managers can be directlyaffect to the decisions taken by the administrations in planning,implementation and supervision stages. The main aim of this study is evaluationof the effectiveness of NGOs in planning, implementation and controllingprocesses. Methods: The present study aimed to assess the perceptionsof healthcare managers on adequacy of NGOs. The universe of the study iscomposed of the health managers working in İzmir province. 105 health managerswere involved in the study.  Questionnaire was developed to collect dataand conducted on the internet. Data was obtained by administrating a structured-questionnaireconsisting two parts.  The main part ofthe survey was developed to assess the perceptions of healthcare managers on adequacyof NGOs. The items were rated on a five-point scale (5= strongly agree; 4=agree;3=neither; 2=disagree; 1=strongly disagree). The last part inquired demographicquestions. Afterscanning process, questionnaires which are eligible to be included in theanalysis, were computerized. Statistical program was used for data analysis.Exploratory factor analysis was applied in the study to measure constructvalidity. The reliability (Cronbach's alpha) of the data which were intendedfor overall effectiveness of NGOs data set, and each effectiveness of NGOssubscale items were tested.  Correlationanalysis was conducted in order to determine the direction and strength of therelationships among the effectiveness of NGOs. Finally, stepwise regressionanalysis was conducted to determine the effects of independent variables on thedependent variable. Statistically, p value which was equal or less than 0,05was accepted to be significant.Results: The obtained data were analyzed with thestatistical analysis program and the findings were interpreted. As a result,explanatory factor analysis and internal reliability analyses were conducted tothe scale. For the effectiveness of NGOs data set, Kaiser-Meyer-Olkinillustration value realized as 0.93, 19 variables are formed under two factorsand explained 83,33% of the variance. These factors are named as basicfunctions; and secondary functions. The reliability tests were conducted ondata for internal consistency. The general Cronbach’s alpha is found 0.98 foreffectiveness of NGOs data sets, over the recommended value of 0.70 forreliability analysis. In the study there is no significant difference was foundbetween the answers given by the health managers according to the gender, joband type of NGOs. In order to analyze the relationship among dimensions ofeffectiveness of NGOs, correlation coefficient values were calculated. Therewas a significant positive correlation between the dimensions of effectivenessof NGOs. Regression analysis is applied to determine the importance ofindependent variables on dependent variables. It is found out that R squarevalue in regression analyses is in the sufficient level for the researches madein social sciences. The regression analysis aims to determine the relativeimportance of effectiveness of NGOs dimensions on adequacy of NGOs. Using thestepwise method, it was found that the overall model explains 0.32 of thevariation in effectiveness of NGOs (p<0.001 R2 = 0.32). The Beta coefficients are calculatedand according to the regression analysis performed, it has determined that onlybasic functions has a significant effect on adequacy of NGOs. Conclusions: NGOs, one of the main indicators ofdemocratic societies, need to work adequately and effectively. According toresults, to ensure NGOs’ activities sufficiently should focus on basic functionof NGOs rather than secondary functions. First of all employees wanted toensure physiological and safety needs. Improvements to be made in the effectivenessof basic functions will also enhance the adequacy of NGO activities. This studytakes a micro stand by focusing on the views of healthcare managers on theeffectiveness of NGOs. It is limited by the region and it can be carried out incountry wide.