Akademik Veri Yönetim Sistemi
Academy of Strategic Management Journal, cilt.14, sa.SpecialIssue, ss.1-14, 2015 (Scopus)
In health care organizations, decision making is very complicated and could be of both clinical and nonclinical nature. Decision towards patients is usually associated with multiple factors including economic ones, in addition to several treatment options. Leaders and managers in healthcare organizations have to adapt significant pressure to make difficult operational and budgetary decisions by maximizing operational efficiency and reducing unnecessary costs while improving and maintaining high quality. Several factors influence decision making in healthcare organizations. Because of that it is imperative to identify and understand factors that positively or negatively influence the decision making process in such critical and sensitive forms. The purpose of this study is to determine and examine factors that affect decision making process in Healthcare Organizations. A meta-analytic study was done to identify the most cited factors affecting the decision making process in the last five year throughout searching and screening the literature using Ankara University Electronic Library, The Pub Med, SAGEM Library, Google Scholar. Time period for scanning was between October 2014 and February 2015. First, all of the articles were tabulated according to the year of publication, the Author and the resulted factors influencing the decision making process in health care organizations. A lot of studies were found related to our key words of interests but many of them were talking about the factors affecting the decision making process from a clinical perspective and only articles talking about the process from a managerial point of view were included in our study. As a result 48 articles were included as they met our research criteria. Articles of interest were collected, gathered and tabulated according to the resulted factors affecting the decision making process in health care organizations. The following keywords were helpful in articles pickup process (Healthcare organizations, Decision Making, Process, Impact and Factors). During the last five years Knowledge based decision making, Informative decision making and training effect on decision making were the most cited factors 14/48 studies. Followed by 11 studies mentioned the organizational and institutional factor, 7 studies considered the using of specific models for decision making and decision supporting tool a great and a helpful factor in the decision making process. The characteristic of the decision maker as an influencing factor took a part in three studies and was equal to the financial resources which were also taken in consideration in 3 studies also. The timelines of decisions, the delegation of decisions, and shared decision making factors came to play in one to two studies. Decision making in health care organizations is a complicated process because it is of both clinical and non-clinical nature. According to findings, knowledge and evidence informed decision making (EBDM) was the most cited factor to influence the decision making process in health care organizations. However, "the most cited" doesn't mean "the most important". Beside this the use of information and communication technologies and decision support tools, the environmental and institutional factors, the financial factors and the delegation of decisions were also important factors to discuss in this context.