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    Costs analysis of diabetes mellitus: A study based on hospital invoices and diagnosis related groups
    (Elsevier Sci Ltd, 2020) Top, Mehmet; Aslan, Hüseyin Mert; Akyurek, Cagdas Erkan; Aslan, Emine Çetin
    Objectives: DM (Diabetes mellitus) is a serious community health problem and considered a burden of disease for social security institutions, households, and society. The objective was to analyse the costs of inpatients with diabetes mellitus. Study Design: This study has a descriptive, cross-sectional and retrospective research approach. Method: In the study, diagnosis related groups (DRGs) related with diabetes mellitus were analysed with regard to hospital invoices and DRG costing. This is a retrospective study on 649 patients who were hospitalized with the diagnosis of Type 1 (83 patients) and Type 2 diabetes mellitus (566 patients) in the year of 2013 at Ankara Numune Education and Research Hospital in Turkey. The study included patients with diagnoses of E10 Type 1 diabetes mellitus and E11 Type 2 diabetes mellitus. Type 1 and Type 2 DM costs were calculated by examining inpatient treatment invoices of related patients. DM treatment costs were limited according to hospital services. Results: The average age of diabetes mellitus patients in the study was 57.24 +/- 15.79 years old and the average length of stay for these patients was calculated as 9.56 +/- 10.35 days. The average amount of service activity invoice was calculated as $714.90 and average DRG amount was $1223.40 for 649 inpatients with the diagnosis of diabetes mellitus in 2013. A significant difference was found in average hospital costs between Type 1 and Type 2 diabetes mellitus patients. Conclusion: Disease cost analyses in hospitals are required in order to prioritize healthcare services, use resources efficiently and decrease the financial burden of diseases on the society. (C) 2020 Fellowship of Postgraduate Medicine. Published by Elsevier Ltd. All rights reserved.
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    The effect of macro-control and organizational support perception on nurses and physicians intention to quit during the COVID-19 pandemic
    (Wiley, 2022) Çetin Aslan, Emine; Türkmen, İbrahim; Top, Mehmet
    AimThe aim of this study is to determine the effect of organizational support and COVID-19 macro-control perception levels on intention to quit in physicians and nurses. BackgroundDuring the pandemic process, healthcare workers faced great health risks and workloads. Many health workers are considering quitting their job. MethodA cross-sectional and explanatory research. The sample of the study consisted of 300 nurses and 73 physicians. To collect data, COVID-19 perception of macro-control, perceived organizational support, and intention to quit scales were used. Structural equation modeling was used. ResultsCOVID-19 macro-control perception and perceived organizational support have a negative effect on the intention to quit. The perceived organizational support has a partial mediating role, on the COVID-19 macro-control perception and the intention to quit. ConclusionThis study demonstrated that the macro measures taken against the pandemic and the organizational support received by the nurses and physicians, who are the main actors in the fight against the epidemic, negatively affected their intention to leave. Implications for nursing practice and clinical relevanceTo reduce the intention to quit health workers during the COVID-19 pandemic, scientific-based macro-control measures should be taken, and organizational support should be provided.