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Journals / Öneri Dergisi / 2026 / Cilt: 21 Sayı: 65

Bureaucratic Reputation of Healthcare Institutions Based on Patient Empowerment: A Study on Scale Adaptation, Validity, Reliability

Hasta Güçlendirmeye Göre Sağlık Kurumlarının Bürokratik İtibarı: Ölçek Uyarlama, Geçerlik, Güvenirlik Çalışması

Çağla Pınar Utkutuğ(ANKARA HACI BAYRAM VELİ ÜNİVERSİTESİ, İKTİSADİ VE İDARİ BİLİMLER FAKÜLTESİ, SAĞLIK YÖNETİMİ BÖLÜMÜ)0000-0002-4147-9519
Ahmet Yiğit(ANKARA HACI BAYRAM VELİ ÜNİVERSİTESİ, İKTİSADİ VE İDARİ BİLİMLER FAKÜLTESİ, SAĞLIK YÖNETİMİ BÖLÜMÜ)0000-0002-8527-0928
Muhammed Ali Özoğul(Ankara Hacı Bayram Veli Üniversitesi Lisansüstü Eğitim Enstitüsü Sağlık Kurumları Yöneticiliği)0009-0001-3538-6869
Pages
326–345
Publication Date
2026-01-29
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Furthermore, the findings reveal that as citizens' patient empowerment level increases, the contribution of affiliated institutions like Turkish Medicines and Medical Devices Agency to the Ministry of Health’s reputation decreases; conversely, as patient empowerment decreases, the contribution of such affiliated institutions increases.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Bureaucratic reputation is a set of symbolic beliefs about an institution's unique or distinguishable capacities, roles, and responsibilities.
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Key Findings & Data:The primary aim of this study is to adapt the Bureaucratic Reputation Scale, developed by Lee and Van Ryzin (2019), which comprises 10 items within a single dimension, into the Turkish literature.
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Conclusion & Impact:Furthermore, the findings reveal that as citizens' patient empowerment level increases, the contribution of affiliated institutions like Turkish Medicines and Medical Devices Agency to the Ministry of Health’s reputation decreases; conversely, as patient empowerment decreases, the contribution of such affiliated institutions increases.
🔬Design:Survey & Empirical Study
📍Scope:2019 Verileri
⚙️Variables:Bürokratik itibar · Hasta güçlendirme · İlaç takip sistemi

Abstract

Bureaucratic reputation is a set of symbolic beliefs about an institution's unique or distinguishable capacities, roles, and responsibilities. The primary aim of this study is to adapt the Bureaucratic Reputation Scale, developed by Lee and Van Ryzin (2019), which comprises 10 items within a single dimension, into the Turkish literature. In line with this purpose, the moderating role of patient empowerment in the impact of the bureaucratic reputation of the Turkish Medicines and Medical Devices Agency, which developed the Pharmaceutical Track and Trace System application, on the corporate reputation of the Republic of Türkiye Ministry of Health has been tested. Using a structured online survey, data were collected from 1,527 young adult volunteer healthcare users aged 18 to 32 across Türkiye. According to the findings, the Bureaucratic Reputation scale consists of 10 items within a single dimension consistent with the original. The current structure meets the reliability and validity conditions and, as predicted by the literature, directly positively affects corporate reputation of Ministry of Health. Furthermore, the findings reveal that as citizens' patient empowerment level increases, the contribution of affiliated institutions like Turkish Medicines and Medical Devices Agency to the Ministry of Health’s reputation decreases; conversely, as patient empowerment decreases, the contribution of such affiliated institutions increases. As a result, in order to more accurately assess the reputation of public institutions in the healthcare sector, it is suggested that factors such as affiliated structures, the characteristics of the target audience, and the level of patient empowerment be taken into account. Additionally, it is recommended that future research focus on information sources and information asymmetry to contribute to managerial strategies.

Özet

Bürokratik itibar, bir kurumun benzersiz, ayırt edilebilir kapasitesi, rolleri ve yükümlülükleri hakkındaki sembolik inançlar kümesidir. Çalışmanın temel amacı, Lee ve Van Ryzin (2019) tarafından geliştirilen, 10 ifadeden oluşan tek boyutlu Bürokratik İtibar Ölçeği’ni (Bureaucratic Reputation Scale) Türkçe literatüre kazandırmaktır. Bu amaç doğrultusunda İlaç Takip Sistemi uygulamasını geliştiren Türkiye İlaç ve Tıbbı Cihaz Kurumu’nun bürokratik itibarının Sağlık Bakanlığı’nın kurumsal itibarına etkisinde hasta güçlendirmenin düzenleyici rolü test edilmiştir. Yapılandırılmış çevrimiçi anket ile Türkiye genelinde 18-32 yaş arası genç yetişkin 1527 gönüllü sağlık hizmeti kullanıcısına ulaşılmıştır. Bulgulara göre, Bürokratik İtibar ölçeği orijinali ile uyumlu olarak 10 madde ve tek faktörden oluşmaktadır. Yapı güvenirlik ve geçerlik koşullarını sağlamakta, literatürün öngördüğü gibi kurumsal itibarı doğrudan olumlu yönde etkilemektedir. Ayrıca vatandaşların hasta güçlendirme düzeyi arttıkça, Türkiye İlaç ve Tıbbı Cihaz Kurumu gibi bağlı kurumun Sağlık Bakanlığı itibarına katkısı azalmakta; hasta güçlendirme düzeyi azaldıkça Türkiye İlaç ve Tıbbı Cihaz Kurumu gibi bağlı kurumun Sağlık Bakanlığı itibarına katkısı artmaktadır. Sonuç olarak sağlık sektöründe kamu kurumlarının itibarının doğru değerlendirilmesi için bağlı yapılar, hedef kitlenin özellikleri ve hasta güçlendirme düzeyi gibi etkenlerin dikkate alınması, bu doğrultuda bilgi kaynakları ve bilgi asimetrisine odaklanan gelecekteki araştırmalarla yönetsel stratejilere katkı sağlanması önerilmektedir.

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Cite This Article

Utkutuğ, Ç. P., Yiğit, A., Özoğul, M. A. (2026). Bureaucratic Reputation of Healthcare Institutions Based on Patient Empowerment: A Study on Scale Adaptation, Validity, Reliability. Öneri Dergisi, Cilt: 21 Sayı: 65, 326–345. https://doi.org/10.14783/maruoneri.1780536

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