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Hekimlerin Tanı Koymasını Zorlaştıran Faktörlerin AHP ile Tespit Edilmesine Yönelik Bir Araştırma

Yıl 2023, Cilt: 14 Sayı: 38, 458 - 473, 25.05.2023

Betül Akalın Mehmet Beşir Demirbaş

https://doi.org/10.21076/vizyoner.1144343
Cited By: 1

Öz

Doğru tanı koymak hem hekimlik mesleği hem de hastanın sağlığı açısından oldukça önemlidir. Bu kapsamda tanı koyma sürecinde hekim hastada rahatsızlığa sebep olan şikayetlerinin sebebini ortaya koyabilmek için hastadan bir dizi tetkik istemektedir. Hastalık öyküsünün tam anlamıyla aktarılamaması ve gereksiz tetkik gibi durumlar hem zaman hem de ekonomik kayıp anlamına gelmektedir. Hasta ile hekim arasında yaşanabilecek iletişim sorunları tanı koymada problem yaşanmasına sebep olabilmektedir. Bu çerçevede çalışmanın amacı hekimlerin, hastaya tanı koyma sürecinde yaşadıkları zorlukların tespit ve önceliklendirilmesinin yapılmasıdır. Bu amaçla çalışmada sistematik derleme yapılarak sekiz ana kriter oluşturulmuş bu kriterler, çok kriterli karar verme yöntemlerinden biri olan Analitik Hiyerarşi Süreci yöntemi ile önceliklendirilmiştir. Bu kapsamda AHP anketi oluşturularak, beşi deneme grubu, beşi Gaziantep ve 10’u İstanbul’da görev yapan toplamda 20 hekime uygulanmıştır. Anket bulguları dikkate alındığında Gaziantep ve İstanbul’da görev yapan hekimlerin öncelik sıralaması arasında farklılıklar olduğu görülmüştür.

Anahtar Kelimeler

AHP Tanı Koyma Tetkik Hastalık Öyküsü

Kaynakça

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  • Ağar, A. (2020). Yaşlılarda ortaya çıkan psikolojik değişiklikler. Geriatrik Bilimler Dergisi, 3(2), 75–80. https://doi.org/10.47141/geriatrik.744968
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  • Bükecik, E., Şahin, S., Abay, H., Kaplan, S. ve Düzgün, A. A. (2019). Mülteci kadınlar ve üreme sağlığı: sağlık hizmetlerine ulaşmalarını etkileyen faktörler, engeller ve çözüm önerileri. SDÜ Sağlık Bilimleri Dergisi, 10(4), 460–464. https://doi.org/10.22312/sdusbed.531868
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  • Çakmak, Z. (2017). Rehberlik ve araştırma merkezi personelinin öğrenme güçlüğü olan bireylerin değerlendirilme süreçlerine ilişkin görüşleri. [Yüksek Lisans Tezi]. Anadolu Üniversitesi.
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A Research on Determining Factors That Make Diagnosis Difficult for Physicians with AHP

Yıl 2023, Cilt: 14 Sayı: 38, 458 - 473, 25.05.2023

Betül Akalın Mehmet Beşir Demirbaş

https://doi.org/10.21076/vizyoner.1144343
Cited By: 1

Öz

A correct diagnosis is very important both for the medical profession and for the patient's health. In this regard, during the diagnostic process, the doctor demands a series of examinations from the patient in order to find out the cause of the complaints that the patient has. Situations such as the inability to provide a complete medical history and unnecessary examinations mean both a loss of time and an economic loss. Communication problems between patient and physician can lead to problems in diagnosis. With this in mind, the aim of the study is to identify and prioritize the difficulties physicians face in diagnosing patients. To this end, the study establishes eight main criteria by systematic compilation and prioritized these criteria using the Analytical Hierarchy Process (AHP) method, which is one of the multi-criteria decision-making methods. In this context, the AHP questionnaire is created and applied to a total of 20 physicians, five of whom are part of the experimental group, five of whom worked in Gaziantep and 10 of whom work in Istanbul. The results of the survey show that there are differences in the priority order of physicians working in Gaziantep and Istanbul.

Anahtar Kelimeler

AHP Diagnosis Examination Disease History

Kaynakça

  • Abudayyeh, O., Asce, M., Zidan, S. J., Yehia, S. ve Randolph, D. (2007). Contracting model using AHP. Journal of Management, 23(2), 88–96. https://doi.org/10.1061/(ASCE)0742-597X(2007)23:2(88)
  • Ağar, A. (2020). Yaşlılarda ortaya çıkan psikolojik değişiklikler. Geriatrik Bilimler Dergisi, 3(2), 75–80. https://doi.org/10.47141/geriatrik.744968
  • Akbolat, M. ve Ünğan M. C. (2019). Sağlık iletişimi. M. Akbolat ve M. C. Ünğan (Ed.), Prof. Dr. Gültekin Yıldız anı kitabı (s. 1-20), Sakarya Üniversitesi Basımevi.
  • Atlı T. ve Atmış V., (2019). Yaşlı hastada anamnez ve fizik muayene. (3), 43–54.
  • Aydin, N. (2013). Determination of accuracy of nursing diagnoses used by nursing students in their nursing care plans. International Journal of Caring Sciences, 6(2), 252–257.
  • Azık, F. M., Gümüş, D., Ergen, S. ve Çayır, A. (2009). Hemofagositik lenfohistiyositozis tanısında zorluklar: Olgu sunumu. Dicle Tıp Dergisi, 36(3), 213–215.
  • Berner, E. S. ve Graber, M. L. (2008). Overconfidence as a cause of diagnostic error in medicine. American Journal of Medicine, 121(5). https://doi.org/10.1016/j.amjmed.2008.01.001
  • Bhushan, N. ve Rai, K. (2013). Applying the analytic hierarchy process. journal of chemical ınformation and modeling. R. Roy (Ed.), Strategic decision making içinde (s. 3-24). Springer.
  • Boztaş, M. H. ve Arısoy, Ö. (2010). Tıbbi hastalıklarda depresyon: tanısal sorunlar. Psikiyatride Güncel Yaklaşımlar, 2(3), 318–332.
  • Bükecik, E., Şahin, S., Abay, H., Kaplan, S. ve Düzgün, A. A. (2019). Mülteci kadınlar ve üreme sağlığı: sağlık hizmetlerine ulaşmalarını etkileyen faktörler, engeller ve çözüm önerileri. SDÜ Sağlık Bilimleri Dergisi, 10(4), 460–464. https://doi.org/10.22312/sdusbed.531868
  • Bürgy, M. (2017). Die wahnhafte depression: Diagnostik, phänomenologie und therapie. Nervenarzt, 88(5), 529–537. https://doi.org/10.1007/s00115-016-0149-2
  • Cheng, E. W. L. ve Li, H. (2002). Construction partnering process and associated critical success factors: quantitative investigation. Journal of Management in Engineering, 18(4), 194–202. https://doi.org/10.1061/(ASCE)0742-597X(2002)18:4(194)
  • Çakmak, Z. (2017). Rehberlik ve araştırma merkezi personelinin öğrenme güçlüğü olan bireylerin değerlendirilme süreçlerine ilişkin görüşleri. [Yüksek Lisans Tezi]. Anadolu Üniversitesi.
  • Çaman, Ö. K. ve Özvarış, Ş. B. (2010). Uluslararası göç ve kadın sağlığı. Sağlık ve Toplum, 4, 1–12.
  • De Haan, J., Vandecaveye, V., Han, S. N., Van De Vijver, K. K. ve Amant, F. (2016). Difficulties with diagnosis of malignancies in pregnancy. Best Practice and Research: Clinical Obstetrics and Gynaecology, 33(2016), 19–32. http://dx.doi.org/10.1016/j.bpobgyn.2015.10.005
  • Demir, F. (2014). Tanı ve tarama test sonuçlarının klinik karar verme sürecinde kullanılması. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 5(2), 91–95.
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  • Kayhan, S. ve Akgüneş, A. (2011). Histopathologically diagnosed pulmonary complicated hydatid cyst cases. Türkiye Parazitolojii Dergisi, 35(4), 189–193. https://doi.org/10.5152/tpd.2011.49
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  • Leal, J. E. (2020). AHP-express: A simplified version of the analytical hierarchy process method. MethodsX, 7(2020), 1-11. https://doi.org/10.1016/j.mex.2019.11.021
  • Melillo, P. ve Pecchia, L. (2016). What is the appropriate sample size to run analytic hierarchy process in a survey-based research. ISAJP Journal, 2003, 1-2. https://doi.org/10.13033/isahp.y2016.130
  • Meyer, A. N. D., Payne, V. L., Meeks, D. W., Rao, R. ve Singh, H. (2013). Physicians’ diagnostic accuracy, confidence, and resource requests: A vignette study. JAMA Internal Medicine, 173(21), 1952–1961. https://doi.org/10.1001/jamainternmed.2013.10081
  • Mitchell, A. J., Rao, S. ve Vaze, A. (2011). Can general practitioners identify people with distress and mild depression? A meta-analysis of clinical accuracy. Journal of Affective Disorders, 130(1–2), 26–36. https://doi.org/10.1016/j.jad.2010.07.028
  • Möller, H. J. (2009). Development of DSM-V and ICD-11: Tendencies and potential of new classifications in psychiatry at the current state of knowledge. Psychiatry and Clinical Neurosciences, 63(5), 595–612. https://doi.org/10.1111/j.1440-1819.2009.02020.x
  • NIH. (2020). Cancer Statistics, National Cancer Institute. https://www.cancer.gov/about-cancer/understanding/statistics adresinden 22 Şubat 2022 tarihinde alınmıştır.
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  • Oğuzlar, A. (2007). Analitik hiyerarşi süreci ile müşteri şikâyetlerinin analizi. Akdeniz İ.İ.B.F. Dergisi, (14), 122–134.
  • Orhan, A. ve Abali, O. (2011). Bipolar disorder from childhood to adolescence: A review about diagnostic difficulties and comorbidities. Journal of Mood Disorders, 1(3), 126. https://doi.org/10.5455/jmood.20110906023427
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  • Peng, X. ve Dai, F. (2009). Information systems risk evaluation based on the AHP-Fuzzy algorithm. Proceedings-2009 International Conference on Networking and Digital Society, ICNDS 2009, 2, 178–180. https://doi.org/10.1109/ICNDS.2009.124
  • Rifà Ros, R., Rodríguez Monforte, M., Pérez Pérez, I., Lamoglia Puig, M. ve Costa Tutusaus, L. (2019). Relationship between diagnostic accuracy and attitudes towards diagnoses in undergraduate nursing students. Educacion Medica, 20, 33–38. https://doi.org/10.1016/j.edumed.2017.12.007
  • Saaty, T. L. ve Vargas, L. (2012). Driven demand and operations management models. T. L. Saaty ve L. Vargas (Ed.), Models, methods, concepts & applications of the analytic hierarchy process (2. Baskı) içinde (s. 1-20). https://doi.org/10.1007/978-1-4614-3597-6
  • Saaty, T. L. ve Ozdemir, M. S. (2003). Why the magic number seven plus or minus two. Mathematical and Computer Modelling, 38(3–4), 233–244. https://doi.org/10.1016/S0895-7177(03)90083-5
  • Saaty, T. L. (1986). Axiomatic foundation of the analytic hierarchy process. Management Science, 32(7), 841–855.
  • Saaty, T. L. (1990). How to make a decision: the analytic hierarchy process. European Journal of Operational Research, 48(1), 9–26. https://doi.org/10.1016/0377-2217(90)90057-I
  • Saaty, T. L. (1996). Decision making with dependence and feedback: the analytic network process. http://www.rwspublications.com/books/anp/decision-making-with-dependence-and-feedback/ adresinden 15 Mayıs 2022 tarihide alınmıştır.
  • Saaty, T. L. (2001). Deriving the AHP 1-9 scale from first principles. Sixth International Symposium. http://www.isahp.org/2001Proceedings/Papers/125-P.pdf adresinden 27 Nisan 2022 tarihinde alınmıştır.
  • Saaty, T. L. (2008). Decision making with the Analytic Hierarchy Process. Int. J. Services Sciences, 1(1), 83–98.
  • Sarkar, U., Bonacum, D., Strull, W., Spitzmueller, C., Jin, N., López, A., Singh, H. (2012). Challenges of making a diagnosis in the outpatient setting: A multi-site survey of primary care physicians. BMJ Quality and Safety, 21(8), 641–648. https://doi.org/10.1136/bmjqs-2011-000541
  • Satapathy, B. K., Majumdar, A. ve Tomar, B. S. (2010). Optimal design of flyash filled composite friction materials using combined analytical hierarchy process and technique for order preference by similarity to ideal solutions approach. Materials and Design, 31(4), 1937–1944. http://doi.org/10.1016/j.matdes.2009.10.047
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  • Wind, Y. ve Saaty, T. L. (1980). Marketing applications of the Analytic Hierarchy Process. Management Science, 26(7), 641-658. https://doi.org/10.1287/mnsc.26.7.641
  • Yılmaz, F. T., Sabanciogullari, S. ve Aldemir, K. (2015). The opinions of nursing students regarding the nursing process and their levels of proficiency in Turkey. Journal of Caring Sciences, 4(4), 265–275. https://doi.org/10.15171/jcs.2015.027
  • Young, K. D., Younos, T., Dymond, R. L., Kibler, D. F. ve Lee, D. H. (2010). Application of the Analytic Hierarchy Process for selecting and modeling stormwater best management practices. Journal of Contemporary Water Research & Education, 146(1), 50–63. https://doi.org/10.1111/j.1936-704x.2010.00391.x
  • Zhou, Y. D. ve Shi, M. L. (2009). Rail transit project risk evaluation based on AHP model. 2009 2nd International Conference on Information and Computing Science, 3(1), 236–238. https://doi.org/10.1109/ICIC.2009.265
Toplam 75 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Politikası
Bölüm Araştırma Makaleleri
Yazarlar

Betül Akalın 0000-0003-0402-2461

Mehmet Beşir Demirbaş 0000-0002-5137-0496

Erken Görünüm Tarihi 22 Mayıs 2023
Yayımlanma Tarihi 25 Mayıs 2023
Gönderilme Tarihi 16 Temmuz 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 14 Sayı: 38

Kaynak Göster

APA Akalın, B., & Demirbaş, M. B. (2023). Hekimlerin Tanı Koymasını Zorlaştıran Faktörlerin AHP ile Tespit Edilmesine Yönelik Bir Araştırma. Süleyman Demirel Üniversitesi Vizyoner Dergisi, 14(38), 458-473. https://doi.org/10.21076/vizyoner.1144343

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Enderun
https://doi.org/10.59274/enderun.1427113
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