Objectives: The aim of this study is to use of available resources effectively and efficiently, to determine the situation of recource allocation, priority setting and to offer an insight into future planning in delivery of health services in Turkish Armed Forces (TAF). Study Design: This study was conducted using qualitative focus group method and it is a descriptive and qualitative study. Questions to be asked in the focus group discussions, the location and the time of discussions and the participants was determined by review of the literature. Methods: Focus group interviews lasted between approximately 90-120 minutes, respectively, to each focus group, 9 chief phsycians, 13 doctors /dentists, 6 nurses, 8 health noncommissioned officers, 7 officers, 6 noncommissioned officers and 6 health administrators were attended. Results: The result of focus group discussions; priority settings in military health services must be done and to preventive health care would be prioritised. The military hospitals in Internal Security Operation Area should be strengthened in terms of medical personnel and medical supplies and be full-fledged hospital. There was found that secondary care should be met from civilian hospitals in the other regions. Conclusion: It is evaluated that the study will be contributed to set of priorities in TAF military health services take the investments in the public or private health sectors and operational requirements into consideration, the studies carried out by TAF Medical Command in order to restructure of the military hospitals, to be employed the recources allocated for health services and health personnel graduated from Gulhane Military Medical Academy such as physicians, health noncommissioned officer and nurses in real requirement positions.
Background and Aim: One of the most effective ways to improve efficiency in organizations is human resources management. Job Anchors and Organizational Commitment are constructs having important implications for human resources management practices, especially in efficiency. The purpose of this perusal was to study a structural equation model (SEM) of the impact of job anchors and organizational commitment on efficiency in a military hospital. Methods: The statistical population of this study was the personnel of a military hospital, which gathered accomplishing simple random sampling method. As a result, the research used two hundred and thirty questionnaires so to analyse, accomplishing as survey was developmental-applied, that was, requirement data with questionnaires. To measure efficiency, organizational commitment and job anchors variables respectively the Persian version of Hersey & Goldsmith, Meyer & Allen, and Schein questionnaires standard were used. In order to test the research conceptual model, structural equations modelling based on partial least squares method was used, and the model was analysed using AMOS statistical software. Results: The results of data analysis demonstrated that hidden variables such as organizational commitment, job anchors, and efficiency had acceptable convergent validity, and the fitness of the conceptual model was confirmed. Based on the research model analysis, organizational commitment did not have impact on efficiency, and job anchors had a positive and significant impact on efficiency. Eventually, the modified model showed that organizational commitment variable moderates the connection between job anchors and efficiency. Conclusion: In light of the findings of this research, managers of military organizations should develop programs to create and improve organizational commitment in personnel. Furthermore, they should pay attention to employees' characteristics and the proportion of their occupation with job anchors in cases of changing and promoting employees. Implementing aforementioned items will have a positive impact on improving the efficiency of military organizations.
