Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Yeniliklerin Yayılması Teorisi Kapsamında İleri Tıbbi Teknolojik Cihazların Hekimler Tarafından Değerlendirilmesi: Bir Araştırma
The Evaluation of New Technologies by Physicians in the Scope of the Diffussion of Theory Innovations: A Research
Sezer KORKMAZa, Gamze ARIKANa, Yasemin KURUMLUa
aAnkara Hacı Bayram Veli Üniversitesi İktisadi ve İdari Bilimler Fakültesi, Sağlık Yönetimi Bölümü, Ankara, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2021;6(1):94-103
doi: 10.5336/healthsci.2020-74307
Article Language: TR
Full Text
ÖZET
 Amaç: Mal ve hizmet piyasalarında yer alan işletmeler, dijital yeniliklere (inovasyonlara) yoğun biçimde uyum sağlamaya çalışmaktadır. Dijital inovasyonlar konusunda uyum sağlamaya çalışan en önemli sektörlerden birisi de sağlıktır. Dolayısıyla bu çalışmanın amacı, sağlık sektöründe sağlık hizmeti sunucuları olan hekimlerin dijital inovasyonlara bakış açılarını ortaya koymaktır. Gereç ve Yöntemler: Bu amaç doğrultusunda sağlık hizmeti sunan hekimlerin dijital ya da ileri tıbbi teknolojik cihazlarla ilgili görüşleri, yeniliklerin yayılması teorisi kapsamında belirlenmeye çalışılmış ve bir eğitim araştırma hastanesinde çalışan 110 hekime anket uygulaması yapılmıştır. Araştırma için Ankara Hacı Bayram Veli Üniversitesi Etik Komisyonundan etik kurul onayı alınmıştır. Bununla birlikte araştırmanın yapıldığı eğitim ve araştırma hastanesinden başhekimlik tarafından hekimlere uygulanan anket için gerekli izin de alınmıştır. Çalışmada, yeniliklerin yayılması teorisi baz alınarak ileri tıbbi teknolojik cihazlara uyum süreçleri; göreceli fayda, uyumluluk, sadelik, denenebilirlik ve gözlemlenebilirlik parametreleri dikkate alınarak gerekli analizler yapılmıştır. Bulgular: Anket uygulaması sonucunda, hekimlerin algıladıkları risk düzeyinin, demografik değişkenler bazında farklılık gösterip göstermediğine bakılmış ve farklılığın hastanede ve bölümde çalıştıkları yıl düzeyinde olduğu görülmüştür. Yıl bazında teknolojik cihazların kullanımı ve algılanan risk düzeyi arasında da anlamlı bir farklılığın olduğu belirlenmiştir. Çalışmada ayrıca yenilik içeren tıbbi teknolojilerin getirdiği riskler ile yeniliklerin yayılması teorisindeki boyutlar arasındaki ilişki de analiz edilmiştir. Sonuç: Araştırmada elde edilen bulgular, hekimlerin yeniliğe açık olduğunu, yenilik içeren tıbbi teknolojilerin getirdiği riskleri değerlendirdiklerini ortaya koymuştur. Ayrıca, ileri tıbbi teknolojilerin hekimlerin mesleki gelişimlerine katkı sağladığı belirlenmiştir. İleri tıbbi teknolojik cihazların kullanımının hastanedeki verimliliği artırması ve yenilik içeren tıbbi teknolojilerin getirdiği riskler ile yeniliklerin yayılması teorisindeki boyutlar arasında zayıf bir ilişkinin olması da çalışmada elde edilen diğer sonuçlardır.

Anahtar Kelimeler: Yeniliklerin yayılması teorisi; tıbbi cihaz; hekim; risk
ABSTRACT
 Objective: Corporations in the goods and services markets are trying to adapt to digital innovations intensively. One of the most important sectors trying to adapt to digital innovations is health. Therefore, the aim of this study is to reveal the perspectives of physicians who are healthcare providers in the health sector to digital innovations. Material and Methods: For this purpose, the opinions of physicians providing health services about digital or advanced medical technological devices were tried to be determined within the scope of the diffusion of innovations and a questionnaire was applied to 110 physicians working in an education and research hospital. Ethics committee approval was obtained from the Ankara Hacı Bayram Veli University Ethics Commission for the research. In addition, the necessary permission was obtained from the training and research hospital where the research was conducted for the questionnaire applied to the physicians by the head physician. In the study, adaptation processes to advanced medical technological devices based on the theory of diffusion of innovations; relative advantage, compatibility, simplicity, trialability and observability parameters were examined. Results: As a result of the questionnaire application, it was examined whether the level of risk perceived by physicians varies on the basis of demographic variables and the difference was found to be at the level of the year they worked in the hospital and department. It was also determined that there was a significant difference between the use of technological devices and perceived risk levels on a yearly basis. The relationship between the risks posed by innovative medical technologies and the dimensions in the diffusion of innovations was analyzed. Conclusion: Findings obtained in the research revealed that physicians are open to innovations and evaluate the risks brought by innovative medical technologies. In addition, it has been determined that advanced medical technologies contribute to the professional development of physicians. The other results obtained in the study were the use of advanced medical technological devices increased the efficiency in the hospital and showed the weak relationship between the risks posed by innovative medical technologies and the dimensions of the spread of innovations theory.

Keywords: Diffusion of innovation theory; medical device; pyhsician; risk
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