Social pressure and populism about the sense of state obligation to provide health care is an essential problem that must be solved. But, in republic state, it cannot be easy to take care of. So, it is sought for the solutions in organizational level in context of productivity, quality, reducing cost, role of health workforce. From this point, changing the method of measuring productive for any health organization to allocate the resources properly, the ways of improving quality by reducing cost, empowerment of health staff, which increases leadership and engagement to ensure improvements for more sustainable healthcare systems are new innovation areas. When considered that the funds which is financed for healthcare expenses cannot be increased because of the fact that there is global recession since 2008. So, global production has been depleting. Accordingly, the aim of this study is to investigate new imperative innovation areas in healthcare organizations for sustainable healthcare system.

The commissioning of health services is emphasis of primary care led national health services through primary care groups. Commissioning includes assessing need, setting priorities, allocating resources, and influencing providers, involving patients and public Clinical commissioning groups (CCGs) are responsible for the majority of the National Health Service (NHS) budget, controlling around £69 billion in 2015. NHS England is responsible for commissioning primary care and specialized health care services in secondary care. The aim of this study is identifying knowledge of physicians, nurses and health manager of primary and secondary health care setting about clinical health commissioning in Turkey. Family practice centers and secondary care centers were chosen randomly in Edirne province. Qualitative and quantitative method were used. The results indicate that providers believe CCGs have the potential to improve quality in primary care. There is statistically difference between health professionals and their CCGs knowledge. Physicians have higher scale points than others.

The paper checks if there is a linear correlation between burden of disease and 14 indicators below. The paper studies if there is a linear correlation between burden of disease and the following human resource indicators: practicing physicians / 100000 population, general practitioners / 100000 population, pediatricians / 100000 population, practicing nurses / 100000 population, practicing caring persons / 100000 population, practicing pharmacists / 1000000 population, physicians employed by hospital / 100000 population, nurses and midwives employed by hospital / 100000 population. The linear correlation between burden of disease and the following technical resource indicators was studied: total hospital beds / 100000 population, CT / 100000 population, MRI / 100000 population, radiation therapy equipment / 100000 population. The linear correlation between burden of disease and the following infrastructure indicators was assessed: % of population connected to water supply system, % of population connected to sewage system, septic tank, or other hygienic means of sewage disposal. WHO data from 2004 was used for the following European and Central Asian countries: Albania, Andorra, Armenia, Azerbaijan, Belarus, Belgium, Bosnia & Herzegovina, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Georgia, Germany, Greece, Hungary, Iceland, Ireland, Israel, Italy, Kazakhstan, Kyrgyzstan, Latvia, Lithuania, Luxembourg, FYR Macedonia, Malta, Moldova, Netherlands, Norway, Poland, Portugal, Romania, Russia, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Tajikistan, Turkey, Turkmenistan, Ukraine United Kingdom and Uzbekistan. Pearson linear correlation coefficient was calculated for all paired indicators and subsequent scatter diagrams were drawn. The r correlation coefficient was compared with critical values of a = 0.05 and a = 0.01. It was found a linear correlation between burden of disease and the following indicators: general practitioners / 100000 population, pediatricians / 100000 population, practicing caring persons / 100000 population and physicians employed by hospital / 100000 population. It was found a strong linear correlation between burden of disease and the following indicators: practicing pharmacists / 1000000 population, total hospital beds / 100000 population, CT / 100000 population, and MRI / 100000 population. It was found a very strong linear correlation between burden of disease and the following indicators: % of population connected to water supply system, % of population connected to sewage system, septic tank, or other hygienic means of sewage disposal. The research shows the resources which have a linear correlation with burden of disease, and to what degree. It provides policymakers a hint to improve allocation efficiency, an insight regarding flaws of health systems and sheds light upon the influence of non-specific factors (infrastructure) upon the health system.

The purpose of this research is the creation and experimental study of a new locally-anesthetized aromotherapeutic phytoprotect "LMKsolutio" for analgesia through healthy or damaged skin. As a simple and objectively measurable and tamper-resistant local pain stimulus, we used a straight-line low-voltage electrical current with standardized parameters, from a "Galvanostat" device, giving 0 to 50 mA. When applied by spreading or spraying without dressings on healthy or damaged skin of the "LMKsolutio" at a dose of 0.02ml / cm2, the increase in the threshold of irritability (sensitivity) as an objective indicator for somatic (skin and mucous membrane) analgesia and deep somatic (in the muscles, tendons, periosteum or joint capsules) pain is a rapid onset (3-5 minutes), between 15 and 40 minutes the irritability threshold is 18 - 36 - 44 times higher and up to 50 minutes is kept up to 12-20 times higher. After 24-48 hours, a slight transient local allergic reaction to the Lavender oil that can be prevented by premedication is possible

The world has witnessed remarkable changes in healthcare since neoliberal policies came into force. Like European countries, Turkey also has implemented the liberal policies, the health transformation program launched in 2003 and paved the way to privatization activities in healthcare sector. The structure of hospitals and health services delivery will start to change with Public Private Partnership Model. This study was aimed at developing a scale on health professionals’ perceptions about health sector privatization in Turkey. Based on previous studies and professional findings, twenty-five sample statements were used to evaluate the perception of health staff on privatization in the Turkish health services. Research sample consists of 325 health workers who actually work in family healthcare centers and secondary public hospitals (physicians, nurses and allied health professionals) in Edirne Province and in its’ districts. The surveys were analyzed by IBM SPSS Statistic 20.0 and IBM SPSS Amos 23.0 programs via reliability, validity and factor analysis. The content validity of the scale was found as relevant for the study (CVI=>0.87). Moreover, face validity score reflected that statements could be clearly understood (90%). The Keiser- Meyer-Olkin Measure of Sampling Adequacy indicated that sample is useful and suitable for factor analysis process (0,879). Again, the Cronbach’s Alpha of the F1 is 0,848 and F2 is 0,703. According to the split half method, the scale is highly reliable. CFA results show that the model does fit data adequately. (Chi Square: 168,041, CMIN/DF: 2,241, GFI: 0,927, AGFI: 0,898, CFI: 0,930, RMSEA: 0,063, PCLOSE: 0,049). To sum up, reliability and validity analysis of the privatization scale conducted by authors indicated that privatization scale could be used as a valid and reliable tool to measure the privatization perception of health staff in the health sector.

One of most frequently encountered case in providing emergency health services before hospitalization is judicial cases. Approach to judicial cases are quietly important in context of protection of material evidences. 112 Emergency Health Staff take place on scene among arriving team in a short time when the case occurs. By law 112 Emergency Health, teams are responsible for protection of evidences while they furnish medical intervention to those who are ill/injured or died. Although priority of emergency health staff is to provide emergency medical interventions. They are also responsible for gathering, protecting and saving of the evidence in the scene. The evidence is good to solve the controversy, to prove the act of criminal, to reveal the details of criminal, to determine the individuals related criminal. Thus, it is very important in context of judicial cases. Although the attentive studies which are helded by emergency health staff while protecting material evidences would accelerate the judicial process in context of revealing that concrete case, damaging the material evidence of during medical intervention would make judicial process hard. In this regard, arranging course on the approach to judicial cases for active health staff would contribute to reveal