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Purpose: The objective of this study was to investigate if the appearance of an orthosis manufactured according to the same biomechanical principles as the orthosis formally used affected patient satisfaction, acceptance of the orthosis and compliance to the given orthotic program. Material and methods: The subjects were children between 3-14 years of age with neurological problems who had been using plastic ankle foot orthoses (PAFO's) and who had applied to renew their orthosis. The parents were asked to fill out a questionnaire inquiring acceptance, satisfaction and compliance to the orthotic program for the PAFO their children had been using. The children, who were able to, were asked to answer the questions on a satisfaction scale. A new orthosis was manufactured utilizing the same biomechanical principles but with children friendly material. Upon using the new orthosis for one week the questionnaires were repeated. Results: The data obtained from the pre-post orthotic application questionnaires were compared. The results showed that there was a statistically significant difference in favour of the orthosis using child friendly material with respect to the answers of both the parents and children for each item in the questionnaires and for the total scores (p

ÖZET Alan, A., Hacettepe Üniversitesi Fizik Tedavi ve Rehabilitasyon Yüksekokulu'na sağlık hizmeti almak üzere başvuranların tercih nedenleri ve beklentileri, Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü Sağlık Kurumları Yönetimi Programı Yüksek Lisans Tezi, Ankara, 2003. Günümüzde sağlık hizmetinden yararlananlar, sağlık kurumlan, hastalıklar ve tedavi yöntemleri konusunda kolay bilgi edinebilmektedirler. Kurum tercihlerinde, deneyimler, beklentiler, imaj, hasta memnuniyeti v.b. nedenler önemli görülmektedir. Bu araştırmanın amacı, sağlık hizmeti veren bir kuruluşta, sağlık hizmeti kullanıcılarının, kurumu tercih etme nedenlerini ve kurumdan beklentilerini ortaya koyabilmektir. Araştırma verileri, 131 hasta ve 113 hasta yakınından anket yöntemiyle elde edilmiştir. Verilerin değerlendirilmesinde araştırma hipotezlerini test etmek için, iki ortalama arasındaki farkın önem kontrolü (t testi) ve tek yönlü varyans analizi (F testi) uygulanmıştır. Kuruma başvuranların tercih nedenleri ve beklentilerine yönelik boyutlar ile bağımsız değişkenler olan anketi dolduran kişi, cinsiyet, yaş, medeni durum, eğitim durumu, sosyal güvenlik durumu, kuruma geliş sayısı, ikamet ettiği yer arasındaki farklılaşma araştırılmıştır. Verilerin analizi sonucunda, `Kurumun Hacettepe Üniversitesi kuruluşu olması, kuruma duyulan güven, hekim önerisi ve hizmetin sürekliliği` nedenleri daha çok etkili, `Hasta yakınlarının tavsiyesi ve kurumda tanıdık olması` daha az etkili nedenler iken, `Kullanılan malzemelerin temizliği, kuruma duyulan güven, uygulanan tedavi hakkında hastaya bilgi verilmesi ve ünitelerin temizliği` önem derecesi fazla, `Kurumun otopark imkanının olması, kurumda kantin bulunması` önem derecesi az beklentiler olarak bulunmuştur. Anahtar Kelimeler: Sağlık hizmetleri, tercih, beklentiler. VI ABSTRACT Alan, A,. Expectations and reasons for preference of patients applyine to Hacettepe University School of Physical Therapy and Rehabilitation, Hacettepe University Health Sciences Institute Master Thesis in Health Institutions Administration, Ankara, 2003. In our time, individuals, who benefit from health care services, are easily informed about the health care institutions, diseases and methods of treatment. Experiences, expectations, image, patient satisfaction etc. Are important for health care institution. The aim of this study was to classify the reason for preference of and the expectations of patients using a health organisation. The data was attained from 133 patients and 113 relatives by means of a questionnaire. For statistical analysis student t tests and variance analysis were used. Independent variables were the gender, age, marital status, years of education, social security status, number of visits to the institution, place of residence (distance from place of residence to instution were treatment is administred). Upon analyzing the data it was seen that, the fact that the instution was a section of Hacettepe University, confidence felt towards the institution, the doctor's recommendations and continuity of the service were factors most effective on preference while being familiar to the institution and recommendation of other patients were the least effective reason for preference. The sanity of the institution and equipment used, confidence felt, towards the institution and informing patients about the treatment were the major expectations while having a car park and snack bar were the minor expectations of patients. Key Words: Health Services, Preference, Expectations 1025