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Örgütlerde sıklıkla karşılaşılan ve etkili yönetilmediği taktirde olumsuz birçok örgütsel çıktıya neden olan çatışma, özellikle sağlığın yönetildiği alanlarda daha da önemli olmaktadır. Bu anlamda önemli olan yöneticilerin çatışmayı fark etmeleri ve yönetilmesi gereken bir olgu olduğunu kabul etmeleridir. Bu çalışmanın amacı, sağlık yöneticilerinin bakış açılarıyla çatışma nedenlerini ortaya koymak ve teorideki bilgilerin pratikteki yerini tespit etmektir. Bu amaçla sekiz sağlık yöneticisi ile yarı yapılandırılmış görüşme gerçekleştirilmiştir. Elde edilen veriler tematik analiz yöntemi ile analiz edilmiştir. Araştırma sonucunda sağlık yöneticilerin kendi örgütlerinde yaşamış oldukları çatışma nedenlerinin benzer olduğuna ulaşılmaktadır. Ayrıca çatışmanın yönetilmesi gerektiği ve kurum içerisinde optimal seviyede tutulan bir çatışmanın yararlı olabileceği görüşü tüm yöneticiler tarafından savunulmaktadır.

Purpose: Maintaining a healthy life is the right of every individual. The important matter at this point is accepting early intervention without delaying healthcare demand and taking action for this intervention. Through this study, it was aimed to develop a measurement tool in order to determine the procrastination behavior for health services demand among the individuals at the age of 18 and over. Methods: In the study, a questionnaire form which consists of the demographic variables (gender, age, marital status, learning status, status of chronic diseases, number of applications to the physician, status of access to physician, and health assurance) and informed consent was employed. Healthcare Demand Procrastination Scale (HDPS) was employed as well as the Health Seeking Behavior Scale (HSBS) for the validity of criteria. The findings obtained from the study were evaluated through the programs of SPSS (Statistical Package for Social Sciences) and AMOS. Results: No significant difference was found between the scores obtained through Kendall’s test which was conducted in order to test the content validity of the scale. In order to examine the structure validation of the scale, explanatory and confirmatory factor analysis were performed and as a result of the analysis, values of goodness of fit were found normal and acceptable. Finally, HSBS was employed to ensure the criteria validity of the scale. A positive relationship was found between procrastination behavior of healthcare demand and traditional behavior of health seeking while there was a negative relationship with professional health seeking behavior. In the Pearson correlation coefficient analysis which shows the compatibility of the average test-retest scores of the draft scale, a statistically significant positive relationship was observed between two measurements. Conclusions: As a result of the research, a scale which measures the healthcare demand procrastination behavior in Turkey was obtained. In addition, the behavior of individuals with a certain disease about health procrastination behavior for health services can also be examined through the developed scale.

Objective: Family medicine, which has an important place in the provision of health services, provides a more equitable service delivery in health, and also ensures that health expenditures are more cost-effective. In this study, it was aimed to determine the satisfaction levels with family medicine services of individuals who have received service from family physicians in the central districts of Turkey/Kahramanmaraş during the last year and to examine them in terms of various variables. Materials and Methods: This is an observational study. It is also cross-sectional and descriptive. Accordingly, the STROBE statement was used in the reporting of the study. The "Family Medicine SatisfactionQuestionnaire” was used in the study. The validity and reliability of the questionnaire were carried out within the scope of the study. Before the factor analysis, Kaiser-Meyer Olkin (KMO) and Bartlett tests were conducted to examine the suitability of the data and the sample to the principal component analysis. Values of the exploratory and confirmatory factor analyzes of the study were included in the findings section. Results: While the general satisfaction score of the participants was above the average, it was below the average in terms of family medicine physical equipment and communication sub-dimensions. On the other hand, the dimension in which the satisfaction levels of the participants were the highest was the behavior of family physician dimension. The satisfaction level regarding the benefits of the family medicine system was also above average. No significant difference was found in the general satisfaction status of the participants by gender and whether they have a chronic illness. A significant difference was determined in the satisfaction level of the participants according to the age groups, marital status, educational status, income level, number of children owned. Conclusion: As a result of the study, it was determined that satisfaction with family medicine is generally high. In order to increase the quality of the family medicine system, which is one of the most important elements of primary health care services, patient satisfaction should be continuously evaluated and improvements should be made by detecting the disruptions in service. It is clear that the improvements to be provided in the service delivery processes will increase the satisfaction of the patients.

To examine the relationship between patient empowerment and self-efficacy.Quantitative research design and easy sampling method were used in the study.The study was carried out on 401 adult individuals with acute or chronic diseases in the center of Konya. The Cronbach's Alpha Coefficient of the self-efficacy scale consisting of 23 questions was found to be 0.798 on the first scale. The Cronbach Alpha Coefficient of the second scale patient empowerment scale consisting of 37 questions was found to be 0.852. 51.1% of the participants are women, 20.2% 18-27, 20% 28-35, 20% 36-45, 20% 46-55, 20% 56+ years old is in the range.27.7% of the participants have primary school,18.7% high school, 8.7% associate degree, 33.7% undergraduate, 11.2% graduate education.As a result of the analyzes,no significant difference was found between gender,educational status,chronic diseasesof the patients and the patient empowerment and self-efficacy.A statistically significant low-level relationship was found between patient empowerment and self-efficacy.Studies revealed that the patient actively participated in self-care,managed health status better and improved personal control when the patient empowerment was presented at a high rate.It is very important that patients acquire self-efficacy to fight disease.Therefore,patient empowerment increases in patients with high self-efficacy and thus faster treatment with patient participation is provided.