Öz
Amaç
Bu çalışmada sağlık sigorta şirketlerinin çalışma modellerini etkileyen kriterlerin önem derecelerinin belirlenmesi ve en uygun çalışma modelinin seçimi için bir karar destek yaklaşımı oluşturulması amaçlanmıştır.
Yöntemler
Çalışma modelleri ve etkileyen kriterler alan yazın taraması ile tespit edilerek; ağırlıkları ve sıralamaları sağlık yönetimi, iş sağlığı ve güvenliği, yönetim ve strateji, bankacılık ve sigortacılık ve işletme alanlarından 5 uzman tarafından değerlendirilmiştir. Kriterlerin önem derecelerinin tespiti için analitik hiyerarşi süreci (AHS) yöntemi; çalışma modellerinin sıralamaları için ise karmaşık orantılı değerlendirme (COPRAS) yöntemi kullanılmıştır.
Bulgular
AHS sonuçlarına göre; sağlık sigorta şirketlerinin çalışma modellerini etkileyen en önemli kriterlerin ağırlıkları %23,04 maliyet etkinliği, %20,38 müşteri memnuniyeti ve %18,84 çalışan verimliliği olarak bulunmuştur. COPRAS sonuçlarına göre ise sağlık sigorta şirketleri için en uygun çalışma modelleri ağırlıkları %18,02 hibrit çalışma, %15,76 esnek çalışma ve %14,58 yarı zamanlı-proje bazlı çalışma olarak belirlenmiştir.
Sonuç
Sonuç olarak, bu modellerin yaygınlaştırılması için uzaktan çalışmayı destekleyen güçlü bir teknolojik altyapı, bulut tabanlı sistemler, sanal özel ağ çözümleri, video konferans araçları ve proje yönetimi yazılımları gibi araçların kullanımı sürece entegre edilmelidir. Çalışma saatlerinden ziyade iş çıktısına odaklanan bir değerlendirme sistemi kurulmalıdır. Esnek ve proje bazlı çalışanlar için veri güvenliği politikaları net bir şekilde tanımlanarak yetkilendirilmiş erişim modeli benimsenmelidir. Ekiplerin etkin yönetimi için çevrimiçi proje yönetim platformları kullanılmalı ve proje bazlı hakediş ödeme sistemleri devreye alınmalıdır. Bu doğrultuda, sağlık sigorta şirketlerinin öncelikle iş süreçlerini analiz ederek hangi modelin hangi departman veya görev için daha uygun olduğunu belirlemeleri gerekir. Şirketlerin, bu modelleri stratejik bir yaklaşımla harmanlayarak hem çalışan memnuniyetlerini artırması hem de operasyonel verimliliklerini sağlayabilmesi mümkündür.
Anahtar Kelimeler: Sağlık yönetimi, sağlık tesisleri, sağlık sigorta şirketleri, çalışma modeli, karar verme teknikleri
Kaynakça
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