In recent years, many healthcare organisations in the world have been changing in the direction of a professional management leaving behind a model of physician dominance. As one of the most essential functions in hospitals, professional management is vital in order to achieve performance efficiently. The main point which must not be ignored is that the education, the knowledge and the skills are key elements for professional management in the healthcare sector. This issue is also currently one of the major topical issues in the Turkish healthcare system to overcome existing management problems. The study assesses the roles of physicians for the future environment by analysing the management roles of Turkish physicians based on available data.
Albreht, T. , M. Cesen , D. Hindle , E. Jakubowski , B. Kramberger , V.K. Petric , M. Premik and M. Toth (2002). Health care systems in transition-Slovenia . European Observatory on Health Care Systems, 4(3).
2.
Bodur, S. (2002). Job satisfaction of health care staff employed at health centres in Turkey . Occupational Medicine, 52(6), 353–55 .
3.
Celik, Y. , S.S. Celik , H.D. Bulut , M. Khan and A. Kisa (2001). Inappropriate use of hospital beds: A case study of university hospital in Turkey . World Hospital & Health Services, 37(1), 6–13 , 33–34 .
4.
Cerniauskas, G. and L. Murauskiene (2000). Health care systems in transition-Lithuania. In E. Tragakes (ed.) European observatory on health care systems. Copenhagen .
5.
Degeling, P. , S. Maxwell , J. Kennedy and B. Coyle (2003). Medicine, management, and modernisation: A dance macabre?British Medical Journal, 326(March), 649–52 .
6.
Ersoy, K. , S. Kavuncubasi and Y. Ozcan (1997). Technical efficiencies of Turkish hospitals: DEA approach . Journal of Medical Systems, 21(2), 67–74 .
7.
Giray, A.U. (2003). Health system in Turkey, 2002. Ankara, Turkey: The Ministry of Health .
8.
Glouberman, S. and H. Mintzberg (2001). Managing the care of health and the cure of disease . P-Part I: Differentiation, Health Care Manage Rev., 26(1), 56–92 .
9.
Goldstein, S.M. and P.T. Ward (2004). Performance effects of physicians’ involvement in hospital strategic decisions . Journal of Service Research, 6(4), 361–72 .
10.
Guo, K.I. (2003). A study of the skills and roles of senior-level health care managers . Health Care Manager, 22(2), 152–58 .
11.
Healy, J. and M. McKee (2002). Improving performance within the hospital. In M. McKee and J. Healy (eds) Hospitals in a changing Europe (pp. 205–25). European Observatory on Health Care Systems Series: Open University Press .
12.
Jakab, M. , A. Preker and A. Harding (2002). Linking organizational structure to the external environment: Experiences from hospital reform in transition economies. In M. McKee and J. Healy (eds) Hospitals in a changing Europe (pp. 177–202). European Observatory on Health Care Systems Series: Open University Press .
13.
Jesse, M. (2000). Health Care Systems in Transition-Estonia, European. In O. Schaefer , L. White and M. McKee (eds) Observatory on health care systems. Copenhagen .
14.
Kaya, S. , K. Eroǧlu , G. Vural , M. Shwartz and J.D. Restuccia (2001). Factors affecting appropriateness of hospital utilization in two hospitals in Turkey . Journal of Medical Systems, 25(6), 373–83 .
15.
Kisa, A. and K. Ersoy (2005). The need for time management training is universal: Evidence from Turkey . Hospital Topics, 83(1), 13–19 .
16.
Leatt, P. (1994). Physicians in health care management: 1. Physicians as managers: Roles and future challenges . Canadian Medical Association Journal, 150(2), 171–76 .
17.
Lega, F. and C. DePietro (2005). Converging patterns in hospital organisation: Beyond the professional bureaucracy . Health Policy, 74(3), 261–81 .
18.
Liebler, J.G. and C.R. McConnell (2004). Day-to-day management for the health professional-as-manager. In Management Principles for Health Professionals, Fourth Edition, Jones-Bartlett Publishers .
19.
Mahon, A. and R. Young (2006). Health care managers as a critical component of the health care workforce. In C.A. Dubois , M. McKee and E. Nolte (eds) Human resources for health (pp. 116–39). European Observatory on Health Care Systems Series: Open University Press .
20.
McConnell, C.R. (2002). The health care professional as a manager: Finding the critical balance in a dual role . Health Care Manager, 20(3), 1–10 .
21.
McKee, M. , J. Healy , N. Edwards and A. Harrison (2002). Pressures for change. In M. McKee and J. Healy (eds) Hospitals in a changing Europe (pp. 36–58). European Observatory on Health Care Systems Series: Open University Press .
22.
MoH (2003). Transformation programme in health. Ankara, Turkey: Ministry of Health .
23.
MoH (2007). Unpublished Statistical Database. Turkey: Ministry of Health.
24.
MoH (2010). Health Statistics Yearbook, 2008. Official Web site of Ministry of Health, Turkey (www.saglik.gov.tr, access 10.05.2010).
25.
Muscat, N.A. and K. Grech (2006). Malta. In B. Rechel , C.A. Dubois , M. McKee (eds) The health care workforce in Europe: Learning from experience (pp. 59–70). World Health Organization on behalf of the European Observatory on Health Systems and Policies. Trowbridge Wilts: The Cromwell Press .
26.
OECD and World Bank (2008). OECD reviews of health systems—Turkey. OECD Publishing
27.
Official Website of Hacettepe University Faculty of Medicinewww.tip.hacettepe.edu.tr (access: 15.05.2010).
28.
Orgev, C. (2004). Sakarya ili kamu hastahanelerinde yöneticilerin deǧişen hasta talepleri karşsısındaki tutumları üzerine bir araŞtırma . Erciyes Üniversitesi Saǧlık Bilimleri Dergisi, 13(3), 30–38 . (A research on attitudes across changing patient behaviours of managers in public hospitals in Sakarya province. Journal of Erciyes University Health Sciences).
29.
Ozgen, O . and A. Ozturk (1994). Devlet hastanelerinde karşılaşılan yönetim sorunları ve bir model önerisi . Verimlilik Dergisi, 1, 7–26 (Management challenges confronted in the state hospitals and a model proposal. The Journal of Productivity).
30.
Ozgulbas, N. and A. Kisa (2006). Wasteful use of financial resources in public hospitals in Turkey: A trend analysis , Health Care Manager, 33(4): 86–92 .
31.
Ozturk, H. , N. Bahcecik and S.L. Baumann (2006). Nursing satisfaction and job enrichment in Turkey . Nursing Science Quarterly, 19(4), 360–65 .
32.
Padaiga, Z. , L. Starkiene , Z. Logminiene and J. Reamy (2006). Lithuania. In B. Rechel , C.A. Dubois , M. McKee (eds) The health care workforce in Europe: Learning from experience (pp. 47–58). World Health Organization on behalf of the European Observatory on Health Systems and Policies. Trowbridge, Wilts: The Cromwell Press .
33.
Pillay, R. (2008). Managerial competencies of hospital managers in South Africa: A survey of managers in the public and private sectors . Human Resources for Health, 6(4), 1–7 .
34.
Pool, J. (1991). Hospital management: Integrating the dual hierarchy?International Journal of Health Planning and Management, 6(3), 193–207 .
35.
Saglik Bakanligi (2007). Turkiye’de Sagliga Bakis 2007. Saglik Bakanligi Refik Saydam Hifzissihha Merkezi Genel Baskanligi Hifzissihha Genel Mudurlugu, Ankara .
36.
Sahin, I. and Y. Ozcan ( 2000 ). Public sector hospital efficiency for provincial markets in Turkey . Journal of Medical System, 24(6), 307–20 .
37.
Savaş, S. , O. Karahan and O. Saka (2002). Health care systems in transition—Turkey. In S. Thomson and E. Mossialos (eds) European observatory on health care systems. Copenhagen .
38.
Schwartz, R.W. and K.H. Cohn (2002). The necessity for physician involvement in strategic planning in health care organisations . The American Journal of Surgery, 184(3), 269–78 .
39.
Snook, D.I. (2004). Hospital organization and management. In F.W. Lawrence (ed.) Health care administration (Fourth Edition). Jones and Bartlett Publis. Inc.
40.
SSI (2009). Health Statistics, Website of Social Security Institution in Turkey (www.sgk.gov.tr).
41.
Taner, T. and J. Antony (2006). Comparing public and private hospital care service quality in Turkey . Leadership in Health Services, 19(2), 1–10 .
42.
Travis, P. et al. (2004). Overcoming health-systems constraints to achieve the Millennium Development Goals . The Lancet, 364, 900–906 .
43.
Tengilimoglu, D. and A. Kisa (2005). Conflict management in public university hospitals in Turkey: A pilot study . The Health Care Manager, 24(1), 55–60 .
44.
Tengilimoglu, D. , A. Kisa and S.F. Dziegielewski (2000). What patients know about their rights in Turkey . Journal of Health & Social Policy, 12(1), 53–69 .
45.
Weinbrenner, S. and R. Busse (2006). Germany. In B. Rechel , C.A. Dubois and M. McKee (eds) The health care workforce in Europe: Learning from experience (pp. 33–46). World Health Organization on behalf of the European Observatory on Health Systems and Policies.
46.
WHO (2006). Working together for Health. The World Health Report 2006. Geneva, Switzerland .
47.
WHO (2007). European Health for All Database, World Health Organization Updated November 2007.
48.
World Bank (2003). Turkey reforming the health sector for improved access and efficiency- Volume II. World Bank Background Papers, Report No: 24358-TU, March.
49.
World Bank (2009). Health transformation and social security reform project in support of the second phase of the health transformation program (apl 2). Project appraisal document. Report No. 46115-TR.
50.
Yildirim, H.H. (2005). SayşEtay’ın Saǧlık Bakanlıǧı hastanelerine ilişkin denetim raporu ve Türkiye’deki saglık yönetimsizliǧi (Control report about the Ministry of Health hospitals of the Court of Accounts and health non-management in Turkey) (Accessed from www.absaglik.com on 03.01.2007).
