Quality of birth care and risk factors of length of stay after birth: A machine learning approach.

Aim: Length of stay (LOS) is an outcome measure and is assumed to be related to quality. The objective of this study is to examine the quality of birth care and risk factors associated with LOS after birth.

Methods: A nationwide population-based Turkish Demographic and Health Survey (TDHS) was used for the year 2018.

Multivariate Relationships Between Health Outcomes and Health System Performance Indicators: An Integrated Factor Analysis With Canonical Correlations.

Objectives: This study aimed to investigate the relationships between sets of variables related to health system performance indicators and health outcomes.

Methods: The relationships between a set of health outcomes and a set of health system performance indicators of a developing country were examined using multivariate statistical analysis techniques. A combinative strategy of explanatory factor analysis and the canonical correlation coefficient was used to define linear structural relationships between study variables.

Efficiency effects of public hospital closures in the context of public hospital reform: a multistep efficiency analysis.

In the wake of hospital reforms introduced in 2011 in Turkey, public hospitals were grouped into associations with joint management and some shared operational and administrative functions, similar in some ways to hospital trusts in the English National Health Service. Reorganization of public hospitals effect hospital and market area characteristics and existence of hospitals. The objective of this study is to examine the effect of closure on competitive hospital performances.

Exploring Predictors of Preterm Birth: A Comparative Study of Turkish and Syrian Refugee Women.

Objective: This study is designed to explore associated sociodemographic, birth-related and household characteristics with preterm birth (< 37 weeks) among Turkish and Syrian refugee women.

Methods: The data utilized in this study were obtained from the Turkey Demographic and Health Survey (TDHS) conducted in 2018. Various statistical analyses, including descriptive statistics, independent sample t-tests, and Chi-square tests, were employed to examine the differences in study variables between Turkish and Syrian refugee women.

Does increasing the number of beds or health workers contribute to the rational use of scarce public health resources?

Turkey makes substantial investments to increase the number of qualified beds in hospitals, the shortage in health professionals remains one of the main obstacles of the health system in the country. To address this research gap, the study aims to formulate a rational solution for the dilemma on whether to invest in beds or health professionals contribute to the rational use of scarce public health resources. Data for testing the model were derived from the Turkish Statistical Institute across 81 provinces in Turkey.

Distributive Pattern of Health Services Utilization Under Public Health Reform and Promotion in Turkey.

Objectives: Inclusive health policies and health promotion to ensure strong primary healthcare systems are main tenets of health reforms in developing countries, such as Turkey. Nevertheless, there has been a lack of interest regarding the assessment of equity in health services utilization under public health reform and promotion of primary care. This study aims to analyze equity by measuring deviations from proportionality in the relationship between the utilization of health services and income using indices and curve approaches.

Associated patient demographic characteristics and disease-related self-care behaviors with diabetes: a mediation model.

Objective: The burden of diabetes is increasing rapidly in Turkey; however, there is insufficient information regarding the interrelated factors of diabetes. This study aims to fill this gap by investigating associated characteristics and self-care behaviors of patients with diabetes.

Methods: Path analysis was used to test interrelated factors of diabetes.

Intensive Care Unit Services Preparedness for the Pandemic: An Efficiency Analysis.

Intensive care unit (ICU) services efficiency and the shortage of critical care professionals has been a challenge during pandemic. Thus, preparing ICUs is a prominent part of any pandemic response. The objective of this study is to examine the efficiencies of ICU services in Turkey right before the pandemic.

Cluster analysis of health systems in Europe according to life expectancy at birth.

Purpose: The aim of this study was to group European countries according to life expectancy at birth and to determine the impact of economic growth and financial indicators on European country groups.

Method: This study planned and conducted by using life expectancy at birth time series, economic growth and financial development indicators data for the period of 1980 to 2015. European countries are classified in terms of life expectancy (LE) at birth time series data from 1980 to 2015 by using hierarchical clustering analysis method.

Oncology services efficiency in the age of pandemic: A jackknife and bootstrap sensitivity analysis for robustness check of DEA scores.

Background: Developing countries face great challenges in health care because of changing disease dynamics and the increasing burden of chronic diseases such as cancers. Thus, effective operational design of health services is critical to better manage scarce health care resources. This study aimed to examine the spatial distribution of the efficiency of Turkey's oncology services.

Health behaviors and health services accessibility factors associated with diabetes: a propensity score matching analysis.

: Despite the increasing burden of diabetes in Turkey, there is a lack of information regarding behaviors and accessibility factors associated with diabetes. This study aims to explore diabetes prevalence and to identify the associated health behaviors and accessibility factors. : Data was gathered from TurkStat-Health Survey for the year 2014.

The effect of increases in the Syrian refugee population in Turkey on public maternal and child health outcomes.

Our purpose in this study is to explore the effect that increases in the Syrian refugee population could have on public maternal and child health outcomes. Data collected from official records from 81 Turkish provinces in 2018, and then, subjected to mediating analysis using a path analytic approach to examine the interrelationships between the Syrian population, adolescent marriage, and economic integration factors on refugee maternal and child health outcomes. An increase in the Syrian population would lead to a rise in adolescent birth rates and under-5 mortality under the mediating effect of an increase in adolescent female marriage.

Poverty effects of public health reforms in Turkey: A focus on out-of-pocket payments.

Rationale, Aims, And Objectives: Expanded financial coverage is critical to fight against poverty through public health reforms in developing countries. This study explores inequity in public health financing reforms in Turkey between 2003 and 2015.

Methods: This paper has two parts.

Nonclinical predictors of caesarean section: a path analytic approach.

The objective of this study was to explore nonclinical predictors of cesarean sections (CS) and how they interact with each other, specifically in Turkey. Data was gathered from official statistical records for the year 2017 from the 81 different provinces throughout Turkey. A path analytic model was constructed to examine the interrelationships between socioeconomic factors, utilization of health services, patient satisfaction, and number of CS procedures.

Prevalence of upper respiratory tract infections and associated factors among children in Turkey.

Purpose: Upper respiratory tract infections (URIs) are the most common diseases observed in children aged 0-6 years in Turkey. This study was conducted to investigate URIs in 0-6 year-old children in Turkey.

Design And Methods: Data of children aged 0-6 years who were included in the 2014 Turkey Health Survey conducted by the Turkish Statistical Institute were collected from their parents.

Integrated k-means clustering with data envelopment analysis of public hospital efficiency.

The goal of this study is to integrate k-means clustering with data envelopment analysis to examine technical efficiencies in public hospitals in Turkey. A two-step analysis procedure involving provinces and public hospitals is applied in this study. The first step examines similar provinces in terms of welfare state indicators by using k-means clustering and silhouette (Sil) cluster validity index measures.

Politics and health outcomes: A path analytic approach.

Social and health policies and political participation are associated with each political tradition related to public health outcomes. However, there is a lack of evidence for the relationship between policy and outcomes. This study seeks to determine the relationship between politics, labour and welfare state indicators, economic inequality, and health outcome indicators.

Explanatory Factors of Quality of Care from Cataract Patients' Perspectives.

Purpose: The purpose of this study is to examine explanatory factors of perceived quality of care among cataract surgery patients.

Methods: This study was administered to 264 cataract patients within one eye hospital located in Ankara, Turkey. The study was designed to determine the latent structure of quality of care.