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    Evaluation of the effects of value-based purchasing applications on cost and efficiency
    (2020) Işık, Mustafa; Gümüş, Emel; Kasap, Ece Uysal
    The importance and effectiveness of value-based procurement come to the forefront in terms of taking the studies based on value-based cost approach as the basis of the use of medicinal products and drugs, which constitute an important cost item in hospitals, and in particular to understand that the only factor in procurement is not the price. The main purpose of this study is to show the applicability of cost-effectiveness and efficiency studies in medical supply chain management in hospitals by carrying out studies on value-based procurement applications within the scope of value-based health services. The “non-price element” article is included in the Public Procurement Law, the main obstacle to value-based price implementation is the basis of the ceiling price procedure in the SUT (Health Implementation Communiqué). Calculating the actual cost and making decisions based on this account should be of priority. In order to avoid unpredictable cost risk, rational purchasing techniques will need to be applied. When we think that reimbursement systems have recently focused on materials and drug use and how they can reduce these costs, it is a fact that value-based payments will come to the fore in the coming period and many products will not be paid. In this context, when evaluating value-based health services, it is necessary to evaluate the issue from a value-based perspective in all processes of the procurement and medical supply management chain and to ensure that decisions are made taking into consideration the side costs that may occur. In the value-based purchasing approach, patient benefit, efficiency, and innovative initiatives should be at the forefront. The correct realization of the results of these perspectives will be possible with the acquisition of a sustainable value-based purchasing approach. With this approach, medical supply chain processes should be considered as strategic basic processes, not as operational support processes.
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    Relationships between leadership behaviour of nurse managers and nurses' levels of job satisfaction and compassion fatigue during the COVID-19 pandemic
    (Wiley, 2023) Eskici, Gulcan Taskiran; Kasap, Ece Uysal; Gumus, Emel
    Aim: To reveal the relationships between the leadership behaviour of nurse managers and nurses' levels of job satisfaction and compassion fatigue during the COVID-19 pandemic.Design and Methods: This descriptive and cross-sectional study was performed with 353 nurse professionals participating from 32 cities across Turkey. The data were collected online between August and November 2020 by using the introductory information form, Minnesota Satisfaction Questionnaire, Leadership Behaviour Questionnaire and Compassion Fatigue subdimension of the Professional Quality of Life Scale. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines were followed in the study.Results: Nurses mostly stated their managers as employee-oriented and change-oriented leaders. Nurses' intrinsic and overall satisfaction was high, extrinsic satisfaction was low and their compassion fatigue was at a critical level during the pandemic. According to nurses' personal and professional characteristics, there were significant differences in job satisfaction, compassion fatigue and change-oriented leadership scores. When nurse managers exhibit employee-oriented leadership behaviour, nurses' compassion fatigue decreases and job satisfaction increases.