The effect of payment and working system of specialist surgeons on the rate of negative appendectomy in different types of hospitals in Turkey

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dc.contributor.authorKılıç, Mehmet
dc.contributor.authorBalcı, Serdar
dc.contributor.authorIrkkan, Çiğdem
dc.contributor.authorYetişir, Fahri
dc.contributor.authorSalman, Akgün Ebru Şarer
dc.contributor.authorÖzkardeş, Alper Bilal
dc.contributor.authorGüler, Gülnur
dc.date.accessioned2020-04-30T13:33:34Z
dc.date.available2020-04-30T13:33:34Z
dc.date.issued2013
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractAim. The negative outcome following appendectomy in those with presumptive diagnosis of acute appendicitis varies from 10-20%. We aimed to evaluate the rate of negative appendectomies and to investigate whether the fee-for-service policy and working system of hospitals for doctors increases the rate of negative appendectomies or not. Methods. The number of appendectomies with the presumptive diagnosis of acute appendicitis in Turkey is 85350 in 2010; 3437 patients selected by simple random sampling from randomly selected 42 hospitals. The effect of payment system and working system of state, private and university hospitals for doctors on the rate of negative appendectomies were evaluated. Fee for service payment system is valid in the state and private hospitals. Specialist surgeons are on duty for 24 hours in state hospitals. Results. The negative appendectomy rate was 13.5% in state hospitals, 18.5% in university hospitals and 20.8% in private hospitals. The rate of negative appendectomy in state hospitals in which surgeons were on duty for 24 hours was significantly lower than the university and private hospitals in which surgeons were on call (p<0.001) Fee for service had no direct effect on the rate of negative appendectomy, since this rate was higher in private hospitals, and lowest in the state hospitals. Conclusion. The negative appendectomy rate was significantly lower in state hospitals where the specialist surgeons were on duty for 24 hours. The data obtained is contradictory to the common belief that payment policy increases the negative appendectomy rates.en_US
dc.identifier.endpage119en_US
dc.identifier.issn0394-9508
dc.identifier.issue2en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage115en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12684/675
dc.identifier.volume26en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofChirurgia (Turin)en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAppendectomy; Appendicitis.; Fee-for-service plansen_US
dc.titleThe effect of payment and working system of specialist surgeons on the rate of negative appendectomy in different types of hospitals in Turkeyen_US
dc.typeArticleen_US

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