The effect of the health transformation program on medical specialty preference


Thesis Type: Postgraduate

Institution Of The Thesis: Bursa Uludağ University, Sağlık Bilimleri Enstitüsü, Turkey

Approval Date: 2019

Thesis Language: Turkish

Student: İlknur Arslan

Consultant: ELİF ATICI

Abstract:

Introduction: It is stated in the literature that the Health Transformation Program brings a working environment that leads to an increase in medical malpractice, medical malpractice suits and violence. In this study, it is aimed to determine the opinions of the resident physicians participating in the research on this issue and whether this has an effect on the preferences of the physicians. Material and Methods: A cross-sectional study was conducted to learn the thoughts and attitudes of the participants. 205 resident physicians who have been studying in Bursa have attended this study. The data were collected through a questionnaire consisting of 7 sections and 27 questions developed by the researcher in line with the literature review. Results: Violence towards the physician, medical malpractice and the risk of being prosecuted affect the preferences of the specialist. Participation is high as systemrelated problems are the causes of medical malpractice and violence against physicians. Those who take into consideration the workload and accompanying problems are trained in the internal branches and those who prefer according to their ideals receive training in the surgical branches. There is an inverse relationship between exposure to violence in undergraduate education and the preference of surgical medical sciences. The workload of those exposed to violence in surgical branches and specialist training process is significantly higher. The gendered approach is effective in the choice of specialty. Discussion and Conclusion: The implementation of the Performance Related Additional Payment System, which is one of the components of the Health Transformation Program, and the failure to apply the referral system leads to consequences that increase the workload, reduce the quality of services that prioritize patient benefit, adversely affect specialist training, and increase the risk of violence against the physician, medical malpractice and litigation. This situation affects the preferences of the physicians. The primary objective sholud be to eliminate system problems and to focus on quality rather than quantity.