Not just about machines: Analysis of MRI quality determinants in the Turkish health system context

Date

2021-11-01

Author

Özen, İlhan Can

Metadata

Show full item record

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Item Usage Stats

295
views

0
downloads

This study aims to investigate the determinants of the qualityMRI in the Turkish healthcare system. The analysis is doneby analysing the referred cases to a major university radiologydepartment in Turkey, and matching the hospital and MRIuse characteristics of the source institutions, where the originalMRI was taken. Quality of MRI was measured by specialistradiologists. The resulting quality was analysed by genderand imaging area characteristics, source institutional quality,MRI use statistics in source institution and MRI machine useinclination of the source institution. Chi-square and logisticregression were conducted, with regional fixed effects.In the largest dataset, the highest quality institutions havesignificantly higher average expected MRI quality comparedto one level beneath them (0.74 vs. 0.63) (P = 0.02), there isalso a significant MRI quality difference between the secondhighest level of institution, and the third and the fourth(0.63–0.54). Smaller (<0.1) but significant quality difference(P = 0.05) exists for institutions with the lowest two qualitylevels. In the smaller dataset, with data only from the lowesttwo institutional quality groups, with a finer institutionalquality grading, differences in institutional quality is againfound to be a significant driver of MRI quality (P = 0.035).

Subject Keywords

Health economics, Health system development, MRI quality, Turkey

URI

https://hdl.handle.net/11511/94349

Journal

International Journal Of Health Planning And Management

DOI

https://doi.org/10.1002/hpm.3373

Collections

Department of Economics, Article

Suggestions

OpenMETU
Core

A Case study on how public primary schools promote health Çetintürk, Arzu; Akar, Hanife; Department of Social Policy (2013) The main drive of this study is to investigate how urban public primary schools promote health in Turkey with a qualitative study conducted in a middle-sized urban school, in Ankara. The current health promotion practices in Turkish urban public primary schools were examined through a case study utilizing semi-structured interviews conducted with 9 classroom teachers, 2 school administrators, 2 parents that are parent-teacher association members and 2 canteen operators. In addition, a classroom activity was...
Psychometric properties of the Hamilton Depression Rating Scale and other physician-rated psychiatric scales for the assessment of depression in ESRD patients undergoing hemodialysis in Turkey Gençöz, Faruk; Gençöz, Tülin (Informa UK Limited, 2007-08-01) This study aimed to examine the reliability and validity of clinician-rated psychiatric scales for end-stage renal disease (ESRD) patients undergoing hemodialysis (HD) treatment in Turkey. For this, the Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), Global Assessment of Functioning (GAF) Scale, Clinical Global Impression (CGI) Scale, and Mini Mental State Exam (MMSE) were administered to 45 ESRD outpatients undergoing HD treatment. Regarding the reliability of HDRS and HARS, ...
Neoliberal governmentality of health in Turkey,a case study of constitution of "healthy woman" as a subject Bilge-Ülker, Deni; Kalaycıoğlu, H. Sibel.; Department of Sociology (2019) This ultimate aim of this study is to investigate particular experience of neoliberalism in Turkey by focusing on the health domain. For this purpose the study deals with the process of constitution of healthy woman subject through neoliberal discourse in Turkey. According to the literature review, in this study, neoliberal governmentality of health is operationalised with its three different dimensions namely, medicalization, commodification of health and individualization of health. These dimensions have ...
The Case of MRI Repetitions with Direct and Indirect Cost Implications: Evidence from Hacettepe University Hospitals BAŞAR, DİLEK; Özen, İlhan Can; ÖZTÜRK, SELCEN; GÜMELER, EKİM; AKATA, DENİZ; ÇİFTÇİ, ARBAY ÖZDEN (2019-07-01) This study investigates the case of repeated MRIs using data from Hacettepe University Hospitals. Results indicate that almost 34% of MRI consultations have to be repeated within the same year due to suboptimal quality that hinders correct assessment and diagnosis. Suboptimal quality refers to; movement artefacts, use of wrong scan technique or sequence, inexperienced reader and/or shortened time intervals. In fact, almost 30% of those repetitions result in a change in diagnosis. Results suggest that the pr...
Public private partnerships in nutrition education: policy and evidence from Turkey and the European Union Vatansever, Selin; Aslan Akman, Canan; Department of European Studies (2020) Health promotion and nutrition policies gained increased prevalence in public health as a result of the neoliberal transformation in both the EU countries and in Turkey over the last three decades. To better understand the nature and implications of these transformations in public health, this thesis focussed on the development of public private partnerships (PPPs) in the implementation of nutrition policies in the EU member states and Turkey. The research found that PPPs were widely used to implement nutri...

Citation Formats

İ. C. Özen, “Not just about machines: Analysis of MRI quality determinants in the Turkish health system context,” International Journal Of Health Planning And Management, vol. 36, no. 6, pp. 25–36, 2021, Accessed: 00, 2021. [Online]. Available: https://hdl.handle.net/11511/94349.