Browsing by Author "Beyhun, NE"

Now showing 1 - 4 of 4
  • No Thumbnail Available
    Item
    A multicenter survey of childhood asthma in Turkey - II: Utilization of asthma drugs, control levels and their determinants
    Soyer, OU; Beyhun, NE; Demir, E; Yildirim, S; Boz, AB; Altinel, N; Cevit, O; Karakas, T; Anlar, Y; Sögüt, A; Altintas, D; Canitez, Y; Büyükdereli, Z; Sekerel, BE
    Many surveys worldwide have consistently demonstrated a low level of asthma control and under-utilization of preventive asthma drugs. However, these studies have been frequently criticized for using population-based samples, which include many patients with no or irregular follow-ups. Our aim, in this study, was to define the extent of asthma drug utilization, control levels, and their determinants among children with asthma attending to pediatric asthma centers in Turkey. Asthmatic children (age range: 6-18 yr) with at least 1-yr follow-up seen at 12 asthma outpatient clinics during a 1-month period with scheduled or unscheduled visits were included and were surveyed with a questionnaire-guided interview. Files from the previous year were evaluated retrospectively to document control levels and their determinants. From 618 children allocated, most were mild asthmatics (85.6%). Almost 30% and 15% of children reported current use of emergency service and hospitalization, respectively; and 51.4% and 53.1% of children with persistent and intermittent disease, respectively, were on daily preventive therapy, including inhaled corticosteroids. Disease severity [odds ratio: 12.6 (95% confidence intervals: 5.3-29.8)], hospitalization within the last year [3.4 (1.4-8.2)], no use of inhaled steroids [2.9 (1.1- 7.3)], and female gender [2.3 (1.1-5.4)] were major predictors of poor asthma control as defined by their physicians. In this national pediatric asthma study, we found a low level of disease control and discrepancies between preventive drug usage and disease severity, which shows that the expectations of guidelines have not been met even in facilitated centers, thus indicating the need to revise the severity-based approach of asthma guidelines. Efforts to implement the control-based approach of new guidelines (Global Initiative for Asthma 2006) would be worthwhile.
  • No Thumbnail Available
    Item
    A multi-center survey of childhood asthma in Turkey - I: The cost and its determinants
    Beyhun, NE; Soyer, ÖU; Kuyucu, S; Sapan, N; Altintas, DU; Yüksel, H; Anlar, FY; Orhan, F; Cevit, Ö; Çokugras, H; Boz, AB; Yazicioglu, M; Tanaç, R; Sekerel, BE
    Successful management of childhood asthma requires a thorough idea of the economic impact of asthma and its determinants, as policy makers and physicians inevitably influence the outcome. The aim of this study was to define the cost of childhood asthma in Turkey and its determinants. In April 2006, a multi-center, national study was performed where data regarding cost and control levels were collected. Asthmatic children (6-18 yr) with at least a 1-yr follow-up seen during a 1-month period with scheduled or unscheduled visits were included. The survey included a questionnaire-guided interview and retrospective evaluation of files. Cost and its determinants during the last year were analyzed. A total of 618 children from 12 asthma centers were surveyed. The total annual cost of childhood asthma was US$1597.4 +/- 236.2 and there was a significant variation in costs between study centers (p < 0.05). Frequent physician visits [odds ratio (95% confidence intervals)] [2.3 (1.6-3.4)], hospitalization [1.9 (1.1-3.3)], asthma severity [1.6 (1.1-2.8)], and school absenteeism due to asthma [1.5 (1.1-2.1)] were major predictors of total annual costs (p < 0.05 for each). The comparable cost of asthma among Turkish children with that reported in developed countries suggests that interventions to decrease the economic burden of pediatric asthma should focus on the cost-effectiveness of anti-allergic household measures and on improving the control levels of asthma.
  • No Thumbnail Available
    Item
    Push and Pull Factors of Why Medical Students Want to Leave Turkiye: A Countrywide Multicenter Study
    Eser, E; Cil, E; Sen Gundogan, NE; Col, M; Ozturk, ENY; Thomas, DT; Sunter, AT; Arslan, HN; Citil, R; Onder, Y; Picakciefe, M; Dede, B; Demirel, C; Aydin, N; Caglayan, C; Aker, AA; Borlu, A; Durmus, H; Can, G; Siddikoglu, E; Sumer, EH; Uygun, T; Alkoy, S; Aycan, KA; Koruk, I; Kuzan, R; Demir, LS; Hacilar, E; Sari, H; Kilinc, Z; Onal, O; Dogan, E; Emek, M; Terzioglu, R; Yapici, G; Erdal, D; Eser, S; Akman, EA; Kosan, Z; Yilmaz, S; Ayoglu, FN; Acikgoz, B; Musal, B; Suner, AF; Erdogan, A; Cilburunoglu, I; Saygun, M; Daymaz, D; Arslantas, D; Onsuz, MF; Beyhun, NE; Ustundag, MG; Ekuklu, G; Tas, FO; Abacigil, F; Oncu, S; Hidiroglu, S; Ozaydin, AN; Pirincci, E; Bulut, I; Tozun, M; Eskiocak, M; Gunel, P; Torun, SD; Yavuz, M; Hasde, M; Camur, D; Gunes, G; Kurt, B; Baysoy, NG; Bakirci, N; Demir, F; Catak, B; Ozyurda, F; Turan, M
    Phenomenon: Physician immigration from other countries is increasing as developed countries continue to be desirable destinations for physicians; however, the determinants of Turkish physicians' migration decisions are still unclear. Despite its wide coverage in the media and among physicians in Turkiye, and being the subject of much debate, there is insufficient data to justify this attention. With this study, we aimed to investigate the tendency of senior medical students in Turkiye to pursue their professional careers abroad and its related factors. Approach: This cross-sectional study involved 9881 senior medical students from 39 different medical schools in Turkiye in 2022. Besides participants' migration decision, we evaluated the push and pull factors related to working, social environment and lifestyle in Turkiye and abroad, medical school education inadequacy, and personal insufficiencies, as well as the socioeconomic variables that may affect the decision to migrate abroad. The analyses were carried out with a participation rate of at least 50%. Findings: Of the medical students, 70.7% had emigration intentions. Approximately 60% of those want to stay abroad permanently, and 61.5% of them took initiatives such as learning a foreign language abroad (54.5%) and taking relevant exams (18.9%). Those who wanted to work in the field of Research & Development were 1.37 (95% CI: 1.22-1.54) times more likely to emigrate. The push factor that was related to emigration intention was the working conditions in the country (OR: 1.89, 95% CI: 1.56-2.28) whereas the social environment/lifestyle abroad was the mere pull factor for the tendency of emigration (OR: 1.73, 95% CI: 1.45-2.06). In addition, the quality problem in medical schools also had a significant impact on students' decisions (OR: 2.20, 95% CI: 1.83-2.65). Insights: Although the percentage of those who want to emigrate definitely was at the same level as in the other developing countries, the tendency to migrate permanently was higher in Turkiye. Improving working conditions in the country and increasing the quality of medical faculties seem vital in preventing the migration of physicians.
  • No Thumbnail Available
    Item
    Push and Pull Factors of Why Medical Students Want to Leave Türkiye: A Countrywide Multicenter Study
    Eser, E; Cil, E; Sen Gundogan, NE; Col, M; Ozturk, ENY; Thomas, DT; Sunter, AT; Arslan, HN; Citil, R; Onder, Y; Picakciefe, M; Dede, B; Demirel, C; Aydin, N; Caglayan, C; Aker, AA; Borlu, A; Durmus, H; Can, G; Siddikoglu, E; Sumer, EH; Uygun, T; Alkoy, S; Aycan, KA; Koruk, I; Kuzan, R; Demir, LS; Hacilar, E; Sari, H; Kilinc, Z; Onal, O; Dogan, E; Emek, M; Terzioglu, R; Yapici, G; Erdal, D; Eser, S; Akman, EA; Kosan, Z; Yilmaz, S; Ayoglu, FN; Acikgoz, B; Musal, B; Suner, AF; Erdogan, A; Cilburunoglu, I; Saygun, M; Daymaz, D; Arslantas, D; Onsuz, MF; Beyhun, NE; Ustundag, MG; Ekuklu, G; Tas, FO; Abacigil, F; Oncu, S; Hidiroglu, S; Ozaydin, AN; Pirincci, E; Bulut, I; Tozun, M; Eskiocak, M; Gunel, P; Torun, SD; Yavuz, M; Hasde, M; Camur, D; Gunes, G; Kurt, B; Baysoy, NG; Bakirci, N; Demir, F; Catak, B; Ozyurda, F; Turan, M
    Phenomenon: Physician immigration from other countries is increasing as developed countries continue to be desirable destinations for physicians; however, the determinants of Turkish physicians' migration decisions are still unclear. Despite its wide coverage in the media and among physicians in T & uuml;rkiye, and being the subject of much debate, there is insufficient data to justify this attention. With this study, we aimed to investigate the tendency of senior medical students in T & uuml;rkiye to pursue their professional careers abroad and its related factors. Approach: This cross-sectional study involved 9881 senior medical students from 39 different medical schools in T & uuml;rkiye in 2022. Besides participants' migration decision, we evaluated the push and pull factors related to working, social environment and lifestyle in T & uuml;rkiye and abroad, medical school education inadequacy, and personal insufficiencies, as well as the socioeconomic variables that may affect the decision to migrate abroad. The analyses were carried out with a participation rate of at least 50%. Findings: Of the medical students, 70.7% had emigration intentions. Approximately 60% of those want to stay abroad permanently, and 61.5% of them took initiatives such as learning a foreign language abroad (54.5%) and taking relevant exams (18.9%). Those who wanted to work in the field of Research & Development were 1.37 (95% CI: 1.22-1.54) times more likely to emigrate. The push factor that was related to emigration intention was the working conditions in the country (OR: 1.89, 95% CI: 1.56-2.28) whereas the social environment/lifestyle abroad was the mere pull factor for the tendency of emigration (OR: 1.73, 95% CI: 1.45-2.06). In addition, the quality problem in medical schools also had a significant impact on students' decisions (OR: 2.20, 95% CI: 1.83-2.65). Insights: Although the percentage of those who want to emigrate definitely was at the same level as in the other developing countries, the tendency to migrate permanently was higher in T & uuml;rkiye. Improving working conditions in the country and increasing the quality of medical faculties seem vital in preventing the migration of physicians.