Araştırma Makalesi
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Medical Equipment Warehouse Location Selection in Hospitals: A Case Study

Yıl 2025, Cilt: 7 Sayı: 1, 1 - 14
https://doi.org/10.47899/ijss.1551545

Öz

Layout planning in hospitals is a critical element that directly affects operational efficiency and patient care. An effective layout design improves service quality by optimizing patient and healthcare staff flow. Literature emphasizes the importance of minimizing patient and staff travel distances and prioritizing departmental integration in hospital buildings. This paper aims to guide hospital managers in making informed decisions by comprehensively addressing the factors that should be considered in the selection of storage areas in hospitals. Strategic storage areas for medical supplies improve operational efficiency and provide quick access to supplies and equipment, thus avoiding delays in patient care. Using the Analytic Hierarchy Process (AHP) method, this study examines the effects of warehouse locations on operational efficiency, material flow and patient care processes. The AHP analysis revealed that “Location” criterion has the highest importance in warehouse location selection, “Cost” criterion ranks second and “Hygiene and Sterilization Conditions” and “Physical Characteristics” criteria also play an important role. These findings show that the AHP method is an effective tool in warehouse layout and makes an important contribution to strategic decision-making processes. As a result, hospital layout planning has long-term effects in terms of capital investments and has a significant impact on daily operations. This study provides a comprehensive analysis of how the AHP method can be used effectively in hospital warehouse layout, emphasizing the need to update and extend the analysis in line with different types of hospitals and changing needs.

Kaynakça

  • Abbasi, E., Ahmadi, S. H., Naderi, S., & Vahdani, F. A. (2017). Modelling of layout design and selection of appropriate design with a case study. International Journal of Industrial and Systems Engineering, 25(2), 251-264.
  • Alanjari, P., RazaviAlavi, S., & AbouRizk, S. (2014). Material and facility layout planning in construction projects using simulation. Proceedings of the Winter Simulation Conference (s. 3388-3398). Savannah: İEEE.
  • Aliefendioğlu, Y., & Bostanci, S. (2021). Şehir hastanesi yatırımları ve gayrimenkul katma değer yönetimi i̇lişkisi. Atatürk Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 25, 26-43.
  • Ariff, H., Salit, M. S., Ismail, N., & Nukman, Y. (2012). Use of analytical hierarchy process (ahp) for selecting the best design concept. Jurnal Teknologi., 49(A), 1-18.
  • Arish, I. (2012). A Framework for Genetic Algorithm Application in Hospital Facility Layout Design. IUP Journal of Operations Management, 11(4), 16-21.
  • Arnolds, I. V., , & Nickel, S. (2013). Multi-period layout planning for hospital wards. Socio-Economic Planning Sciences, 47(3), 220-237.
  • Arnolds, I., & Nickel, S. (2015). Layout planning problems in health care. International Series in Operations Research &Amp; Management Science, 109-152.
  • Asl, A. D., Wong, K. Y., & Tiwari, M. K. (2015). Unequal-area stochastic facility layout problems: solutions using improved covariance matrix adaptation evolution strategy, particle swarm optimisation, and genetic algorithm. International Journal of Production Research, 54(3), 799-823.
  • Butler, T. W., Karwan, K. R., Sweigart, J. R., & Reeves , G. R. (1992). An Integrative Model-Based Approach to Hospital Layout. IIE Transactions, 24(2), 144–152.
  • Chamberlain, A. (2012). A Time-Series Analysis of External Efficacy. Public Opinion Quarterly, 76(1), 117-130.
  • Chen, C. F. (2006). Applying the Analytical Hierarchy Process (AHP) Approach to Convention Site Selection. Journal of Travel Research, 45(2), 167–174.
  • Choi, Y., Lawler, E., Boenecke, C. A., Ponatoski, E. R., & Zimring, C. (2011). Developing a multi-systemic fall prevention model, incorporating the physical environment, the care process and technology: a systematic review. Journal of Advanced Nursing, 67(12), 2501-2524.
  • Cubukcuoglu, C., Nourian, P., Tasgetiren, M. F., Sariyildiz, I. S., & Azadi, S. (2021). Hospital layout design renovation as a Quadratic Assignment Problem with geodesic distances. Journal of Building Engineering, 44, 1-19.
  • De vries, G., Bertrand, J. W., & Vissers, J. M. (1999). Design requirements for health care production control systems. Production Planning & Control, 10(6), 59–569.
  • Drira, A., Pierreval, H., & Hajri-Gabouj, S. (2007). Facility layout problems: A survey. Annual Reviews in Control, 31(2), 255-267.
  • Durmuş, A. (2023). Inventory management in hospitals: an application of abc-ved-sde matrix analysis for medical supplies. İşletme, 4(2), 353-372.
  • Fogliatto, F. S., Tortorella, G. L., Anzanello, M. J., & Tonetto, L. M. (2019). Lean-Oriented Layout Design of a Health Care Facility. Quality Management in Health Care, 28(1), 25-32.
  • Goodwill, A. M., Allen, J. C., & Kolarevic, D. (2014). Improvement of Thematic Classification in Offender Profiling: Classifying Serbian Homicides Using Multiple Correspondence, Cluster, and Discriminant Function Analyses. Journal of Investigative Psychology and Offender Profiling, 11(3), 221-236.
  • Hahn, P. M., & Krarup, J. (2001). A hospital facility layout problem finally solved. Journal of Intelligent Manufacturing, 12, 487–496.
  • Hamacher, H. W., Nickel, S., & Tenfelde-Podehl, D. (2002). Facilities Layout for Social Institutions. Operations Research Proceedings 2001. Berlin, : Springer .
  • Hanggara, F. D. (2020). Facility layout planning in small industry to increase efficiency (case study: big boy bakery, batam, kepulauan riau, indonesia). Journal of Industrial Engineering Management, 5(2), 11-20.
  • Hassanain, A. A., Eldosoky, M. A., & Soliman, A. M. (2023). Healthcare Facilities Redesign Using Multicriteria Decision-Making: Fuzzy TOPSIS and Graph Heuristic Theories. Journal of Healthcare Engineering, 2023(1), 1-18.
  • Helber, S., Böhme, D., & Oucherif, F. (2016). A hierarchical facility layout planning approach for large and complex hospitals. Flex Serv Manuf J, 28, 5–29.
  • Helber, S., Böhme, D., Oucherif, F., Lagershausen, S., & Kasper, S. (2015). A hierarchical facility layout planning approach for large and complex hospitals. Flexible Services and Manufacturing Journal, 28(1-2), 5-29.
  • Heragu, S. S. (2016). Facilities design. New York: Crc Press.
  • Hicks, C., McGovern, T., Prior, G., & Smith, I. M. (2015). Applying lean principles to the design of healthcare facilities. International Journal of Production Economics, 170, 677-686.
  • Hoadley, E. D., Jorgensen, B., Masters, C., Tuma, N., & Wulff, S. (2010). Strategic facilities planning: A focus on health care. Journal of Service Science (JSS), 3(1), 15-22.
  • Huo, J., Liu, J., & Gao, H. (2021). An NSGA-II Algorithm with Adaptive Local Search for a New Double-Row Model Solution to a Multi-Floor Hospital Facility Layout Problem. Appl. Sci., 11(4), 1-22.
  • Kamanzi, D. (2023). Supply chain management practices and quality performance of butaro level ii teaching hospital. Journal of Procurement &Amp; Supply Chain, 7(1), 64-87.
  • Karvonen, S., Eskola, M., Haukilahti, A., & Porkkala, T. (2022). Patient-flow analysis for planning a focused hospital layout: tampere heart hospital case. HERD: Health Environments Research &Amp; Design Journal, 15(3), 264-276.
  • Kulwiec, R. A. (1982). Materials Handling Handbook. New York: John Wiley & Sons.
  • Lambert, R. D., J. E., Brown, S. D., & Kay, B. J. (1986). Effects of Identification with Governing Parties on Feelings of Political Efficacy and Trust. Canadian Journal of Political Science, 19(4), 705-728.
  • Li, Y., Liao, P., Song, Y., & Chi, H. (2023). A systematic decision-support approach for healthcare facility layout design integrating resource flow and space adjacency optimization with simulation-based performance evaluation. Journal of Building Engineering, 77, 1-20.
  • Li, Y., Zhang, Y., & Cao, L. (2020). Evaluation and Selection of Hospital Layout Based on an Integrated Simulation Method. 2020 Winter Simulation Conference (WSC) (s. 2560-2568). Orlando: IEEE.
  • Lin, Q., & Wang, D. (2019). Facility Layout Planning with SHELL and Fuzzy AHP Method Based on Human Reliability for Operating Theatre. Journal of Healthcare Engineering, 2019(1), 1-12.
  • Mishra, V. (2024). Planning and Selection of Facility Layout in Healthcare Services. Hosp Top., 10(1), 35-43.
  • Monga, R., & Khurana, V. (2015). Facility Layout Planning: A Review. International Journal of Innovative Research in Science, Engineering and Technology, 4(3), 976-980.
  • Munaa, N., Ardini, L., & Inayah, Z. (2021). Lean hospital: strategy of operational financing efficiency in supply chain management. Jurnal Manajemen Kesehatan Indonesia, 9(1), 72-77.
  • Murugesan, V. S., Sequeira, A. H., Shetty , D. S., & Jauhar , S. K. (2020). Enhancement of mail operational performance of India post facility layout using AHP. International Journal of System Assurance Engineering and Management, 11, 261–273.
  • Ozcan, Y. A. (2009). Quantitative Methods in Health Care Management: Techniques and Applications. Jossey-Bass.
  • Saaty, T. L. (1980). The analytic hierarchy process: planning, priority setting. New York: McGraw Hill International Book Co.
  • Saaty, T. L. (2008). Decision making with the analytic hierarchy process. International Journal of Services Sciences, 1(1), 83-98.
  • Schmidt, K., Babac, A., Pauer, F., Damm, K., & Schulenburg, J. G. (2016). Measuring patients’ priorities using the analytic hierarchy process in comparison with best-worst-scaling and rating cards: methodological aspects and ranking tasks. Health Economics Review, 6(50), 1-11.
  • Teran-Somohano, A., & Smith, A. E. (2023). sequential space syntax approach for healthcare facility layout design. Computers & Industrial Engineering, 177, 1-17.
  • Tompkins, J. A., White, J. A., Bozer, Y. A., & Tanchoco, J. M. (2010). Facilities planning. John Wiley & Sons.
  • Uçkun, D. N. (2017). Hastane i̇şletmeciliğinde etkin stok yönetimi eskişehir i̇li i̇laç stokları uygulaması. Anadolu Üniversitesi Sosyal Bilimler Dergisi, 17(2), 85-98.
  • Vos, L., Groothuis, S., & van Merode, G. G. (2007). Evaluating hospital design from an operations management perspective. Health Care Manage Sci, 10, 357–364.
  • Wheeler, C., Blencowe, A., Jacklin, A., & Franklin, B. D. (2021). Combining research and design: a mixed methods approach aimed at understanding and optimising inpatient medication storage systems. Plos One, 16(12), e0260197.
  • Yuniar, C. R., & Hidayat, W. (2022). Competitive strategy through supply chain management on pharmacy installation: comparison study in two hospitals. Airlangga Journal of Innovation Management, 3(1), 18-32.
  • Zakarian, A., & Kusiak, A. (1999). Forming teams: an analytical approach., (s. 85-97).
  • Zhou, Y., Wang, Y., Li, C., Ding, L., & Wang, C. (2024). Automatic generative design and optimization of hospital building layouts in consideration of public health emergency. Engineering, Construction and Architectural Management, 31(4), 1391-1407.

Hastanelerde Tıbbi Malzeme Depo Yeri Seçimi: Bir Vaka Çalışması

Yıl 2025, Cilt: 7 Sayı: 1, 1 - 14
https://doi.org/10.47899/ijss.1551545

Öz

Hastanelerde yerleşim planlaması, operasyonel verimliliği ve hasta bakımını doğrudan etkileyen kritik bir unsurdur. Etkili bir yerleşim tasarımı, hasta ve sağlık personeli akışını optimize ederek hizmet kalitesini artırır. Literatür, hastane binalarında hasta ve personel seyahat mesafelerinin minimize edilmesi ve departman entegrasyonuna öncelik verilmesinin önemini vurgulamaktadır. Bu makale, hastanelerde depolama alanlarının seçiminde dikkate alınması gereken faktörleri kapsamlı bir şekilde ele alarak hastane yöneticilerine bilinçli kararlar verme konusunda rehberlik etmeyi amaçlamaktadır. Tıbbi malzemelerin stratejik depolama alanları, operasyonel verimliliği artırarak malzeme ve ekipmana hızlı erişim sağlar ve böylece hasta bakımında gecikmeleri önler. Analitik Hiyerarşi Süreci (AHP) yöntemi kullanılarak yapılan bu çalışmada, depo konumlarının operasyonel verimlilik, malzeme akışı ve hasta bakım süreçleri üzerindeki etkileri incelenmiştir. AHP analizi, "Konum (Lokasyon)" kriterinin depo yeri seçiminde en yüksek öneme sahip olduğunu, "Maliyet" kriterisinin ikinci sırada yer aldığını ve "Hijyen ve Sterilizasyon Koşulları" ile "Fiziksel Özellikler" kriterlerinin de önemli rol oynadığını ortaya koymuştur. Bu bulgular, AHP yönteminin depo yerleşiminde etkili bir araç olduğunu ve stratejik karar verme süreçlerinde önemli bir katkı sağladığını göstermektedir. Sonuç olarak, hastane yerleşim planlaması, sermaye yatırımları açısından uzun vadeli etkiler yaratmakta ve günlük operasyonlar üzerinde belirgin bir etki sağlamaktadır. Bu çalışma, AHP yönteminin hastane depo yerleşiminde nasıl etkili bir şekilde kullanılabileceğine dair kapsamlı bir analiz sunarak, farklı hastane türleri ve değişen ihtiyaçlar doğrultusunda analizlerin güncellenmesi ve genişletilmesi gerekliliğini vurgulamaktadır.

Kaynakça

  • Abbasi, E., Ahmadi, S. H., Naderi, S., & Vahdani, F. A. (2017). Modelling of layout design and selection of appropriate design with a case study. International Journal of Industrial and Systems Engineering, 25(2), 251-264.
  • Alanjari, P., RazaviAlavi, S., & AbouRizk, S. (2014). Material and facility layout planning in construction projects using simulation. Proceedings of the Winter Simulation Conference (s. 3388-3398). Savannah: İEEE.
  • Aliefendioğlu, Y., & Bostanci, S. (2021). Şehir hastanesi yatırımları ve gayrimenkul katma değer yönetimi i̇lişkisi. Atatürk Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 25, 26-43.
  • Ariff, H., Salit, M. S., Ismail, N., & Nukman, Y. (2012). Use of analytical hierarchy process (ahp) for selecting the best design concept. Jurnal Teknologi., 49(A), 1-18.
  • Arish, I. (2012). A Framework for Genetic Algorithm Application in Hospital Facility Layout Design. IUP Journal of Operations Management, 11(4), 16-21.
  • Arnolds, I. V., , & Nickel, S. (2013). Multi-period layout planning for hospital wards. Socio-Economic Planning Sciences, 47(3), 220-237.
  • Arnolds, I., & Nickel, S. (2015). Layout planning problems in health care. International Series in Operations Research &Amp; Management Science, 109-152.
  • Asl, A. D., Wong, K. Y., & Tiwari, M. K. (2015). Unequal-area stochastic facility layout problems: solutions using improved covariance matrix adaptation evolution strategy, particle swarm optimisation, and genetic algorithm. International Journal of Production Research, 54(3), 799-823.
  • Butler, T. W., Karwan, K. R., Sweigart, J. R., & Reeves , G. R. (1992). An Integrative Model-Based Approach to Hospital Layout. IIE Transactions, 24(2), 144–152.
  • Chamberlain, A. (2012). A Time-Series Analysis of External Efficacy. Public Opinion Quarterly, 76(1), 117-130.
  • Chen, C. F. (2006). Applying the Analytical Hierarchy Process (AHP) Approach to Convention Site Selection. Journal of Travel Research, 45(2), 167–174.
  • Choi, Y., Lawler, E., Boenecke, C. A., Ponatoski, E. R., & Zimring, C. (2011). Developing a multi-systemic fall prevention model, incorporating the physical environment, the care process and technology: a systematic review. Journal of Advanced Nursing, 67(12), 2501-2524.
  • Cubukcuoglu, C., Nourian, P., Tasgetiren, M. F., Sariyildiz, I. S., & Azadi, S. (2021). Hospital layout design renovation as a Quadratic Assignment Problem with geodesic distances. Journal of Building Engineering, 44, 1-19.
  • De vries, G., Bertrand, J. W., & Vissers, J. M. (1999). Design requirements for health care production control systems. Production Planning & Control, 10(6), 59–569.
  • Drira, A., Pierreval, H., & Hajri-Gabouj, S. (2007). Facility layout problems: A survey. Annual Reviews in Control, 31(2), 255-267.
  • Durmuş, A. (2023). Inventory management in hospitals: an application of abc-ved-sde matrix analysis for medical supplies. İşletme, 4(2), 353-372.
  • Fogliatto, F. S., Tortorella, G. L., Anzanello, M. J., & Tonetto, L. M. (2019). Lean-Oriented Layout Design of a Health Care Facility. Quality Management in Health Care, 28(1), 25-32.
  • Goodwill, A. M., Allen, J. C., & Kolarevic, D. (2014). Improvement of Thematic Classification in Offender Profiling: Classifying Serbian Homicides Using Multiple Correspondence, Cluster, and Discriminant Function Analyses. Journal of Investigative Psychology and Offender Profiling, 11(3), 221-236.
  • Hahn, P. M., & Krarup, J. (2001). A hospital facility layout problem finally solved. Journal of Intelligent Manufacturing, 12, 487–496.
  • Hamacher, H. W., Nickel, S., & Tenfelde-Podehl, D. (2002). Facilities Layout for Social Institutions. Operations Research Proceedings 2001. Berlin, : Springer .
  • Hanggara, F. D. (2020). Facility layout planning in small industry to increase efficiency (case study: big boy bakery, batam, kepulauan riau, indonesia). Journal of Industrial Engineering Management, 5(2), 11-20.
  • Hassanain, A. A., Eldosoky, M. A., & Soliman, A. M. (2023). Healthcare Facilities Redesign Using Multicriteria Decision-Making: Fuzzy TOPSIS and Graph Heuristic Theories. Journal of Healthcare Engineering, 2023(1), 1-18.
  • Helber, S., Böhme, D., & Oucherif, F. (2016). A hierarchical facility layout planning approach for large and complex hospitals. Flex Serv Manuf J, 28, 5–29.
  • Helber, S., Böhme, D., Oucherif, F., Lagershausen, S., & Kasper, S. (2015). A hierarchical facility layout planning approach for large and complex hospitals. Flexible Services and Manufacturing Journal, 28(1-2), 5-29.
  • Heragu, S. S. (2016). Facilities design. New York: Crc Press.
  • Hicks, C., McGovern, T., Prior, G., & Smith, I. M. (2015). Applying lean principles to the design of healthcare facilities. International Journal of Production Economics, 170, 677-686.
  • Hoadley, E. D., Jorgensen, B., Masters, C., Tuma, N., & Wulff, S. (2010). Strategic facilities planning: A focus on health care. Journal of Service Science (JSS), 3(1), 15-22.
  • Huo, J., Liu, J., & Gao, H. (2021). An NSGA-II Algorithm with Adaptive Local Search for a New Double-Row Model Solution to a Multi-Floor Hospital Facility Layout Problem. Appl. Sci., 11(4), 1-22.
  • Kamanzi, D. (2023). Supply chain management practices and quality performance of butaro level ii teaching hospital. Journal of Procurement &Amp; Supply Chain, 7(1), 64-87.
  • Karvonen, S., Eskola, M., Haukilahti, A., & Porkkala, T. (2022). Patient-flow analysis for planning a focused hospital layout: tampere heart hospital case. HERD: Health Environments Research &Amp; Design Journal, 15(3), 264-276.
  • Kulwiec, R. A. (1982). Materials Handling Handbook. New York: John Wiley & Sons.
  • Lambert, R. D., J. E., Brown, S. D., & Kay, B. J. (1986). Effects of Identification with Governing Parties on Feelings of Political Efficacy and Trust. Canadian Journal of Political Science, 19(4), 705-728.
  • Li, Y., Liao, P., Song, Y., & Chi, H. (2023). A systematic decision-support approach for healthcare facility layout design integrating resource flow and space adjacency optimization with simulation-based performance evaluation. Journal of Building Engineering, 77, 1-20.
  • Li, Y., Zhang, Y., & Cao, L. (2020). Evaluation and Selection of Hospital Layout Based on an Integrated Simulation Method. 2020 Winter Simulation Conference (WSC) (s. 2560-2568). Orlando: IEEE.
  • Lin, Q., & Wang, D. (2019). Facility Layout Planning with SHELL and Fuzzy AHP Method Based on Human Reliability for Operating Theatre. Journal of Healthcare Engineering, 2019(1), 1-12.
  • Mishra, V. (2024). Planning and Selection of Facility Layout in Healthcare Services. Hosp Top., 10(1), 35-43.
  • Monga, R., & Khurana, V. (2015). Facility Layout Planning: A Review. International Journal of Innovative Research in Science, Engineering and Technology, 4(3), 976-980.
  • Munaa, N., Ardini, L., & Inayah, Z. (2021). Lean hospital: strategy of operational financing efficiency in supply chain management. Jurnal Manajemen Kesehatan Indonesia, 9(1), 72-77.
  • Murugesan, V. S., Sequeira, A. H., Shetty , D. S., & Jauhar , S. K. (2020). Enhancement of mail operational performance of India post facility layout using AHP. International Journal of System Assurance Engineering and Management, 11, 261–273.
  • Ozcan, Y. A. (2009). Quantitative Methods in Health Care Management: Techniques and Applications. Jossey-Bass.
  • Saaty, T. L. (1980). The analytic hierarchy process: planning, priority setting. New York: McGraw Hill International Book Co.
  • Saaty, T. L. (2008). Decision making with the analytic hierarchy process. International Journal of Services Sciences, 1(1), 83-98.
  • Schmidt, K., Babac, A., Pauer, F., Damm, K., & Schulenburg, J. G. (2016). Measuring patients’ priorities using the analytic hierarchy process in comparison with best-worst-scaling and rating cards: methodological aspects and ranking tasks. Health Economics Review, 6(50), 1-11.
  • Teran-Somohano, A., & Smith, A. E. (2023). sequential space syntax approach for healthcare facility layout design. Computers & Industrial Engineering, 177, 1-17.
  • Tompkins, J. A., White, J. A., Bozer, Y. A., & Tanchoco, J. M. (2010). Facilities planning. John Wiley & Sons.
  • Uçkun, D. N. (2017). Hastane i̇şletmeciliğinde etkin stok yönetimi eskişehir i̇li i̇laç stokları uygulaması. Anadolu Üniversitesi Sosyal Bilimler Dergisi, 17(2), 85-98.
  • Vos, L., Groothuis, S., & van Merode, G. G. (2007). Evaluating hospital design from an operations management perspective. Health Care Manage Sci, 10, 357–364.
  • Wheeler, C., Blencowe, A., Jacklin, A., & Franklin, B. D. (2021). Combining research and design: a mixed methods approach aimed at understanding and optimising inpatient medication storage systems. Plos One, 16(12), e0260197.
  • Yuniar, C. R., & Hidayat, W. (2022). Competitive strategy through supply chain management on pharmacy installation: comparison study in two hospitals. Airlangga Journal of Innovation Management, 3(1), 18-32.
  • Zakarian, A., & Kusiak, A. (1999). Forming teams: an analytical approach., (s. 85-97).
  • Zhou, Y., Wang, Y., Li, C., Ding, L., & Wang, C. (2024). Automatic generative design and optimization of hospital building layouts in consideration of public health emergency. Engineering, Construction and Architectural Management, 31(4), 1391-1407.
Toplam 51 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular İşletme
Bölüm Araştırma Makaleleri
Yazarlar

Alkan Durmuş 0000-0002-5806-9962

Erken Görünüm Tarihi 17 Ocak 2025
Yayımlanma Tarihi
Gönderilme Tarihi 17 Eylül 2024
Kabul Tarihi 13 Ocak 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 7 Sayı: 1

Kaynak Göster

APA Durmuş, A. (2025). Hastanelerde Tıbbi Malzeme Depo Yeri Seçimi: Bir Vaka Çalışması. İzmir Sosyal Bilimler Dergisi, 7(1), 1-14. https://doi.org/10.47899/ijss.1551545
İzmir Sosyal Bilimler Dergisi © 2019
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tarafından taranmaktadır.

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