Health Status of Disabled Children and Youth Receiving Public Home Care Services Between 2010 and 2015 in Diyarbakir, Turkey

Year 2016, Volume: 43 Issue: 4, 549 - 553, 25.12.2016

Rojan Gümüş Mehmet Ufuk Aluçlu Seyfettin Sarıbaş

https://doi.org/10.5798/diclemedj.0921.2015.01.0521

Abstract

Objective: The aim of this study was to provide
information on utilization of home health care services provided by
government and determine health status of children and young people who
received this medical care.

Methods: Data for 576 patients who were followed and
recorded by the health staff of the Ministry of Health between 2010 and
2015 were used in this study. Of these patients 234 (40.63 %) were
female and 342 (59.37%) were male. The patients were divided into three
age groups: 0-6 years of age: 93(16.15%), 7–14 years of age:219
(38.02%), and 15–22 years of age: 264 (45.83%).

Results: There was no significant difference in gender
between the age groups (χ2=1.077, p>0.05). In 2015, there was an
increase in the prevalence of home care services across all age groups
(χ2=38.734, p<0.01). Diyarbakir Children Hospital was more efficient
than other hospitals (χ2=42.230, p<0.01) in providing this medical
care. The most common diseases seen among these young patients were
central nervous system diseases, neurodevelopmental diseases, and
acquired brain injuries. In addition, epilepsy, SSPE, and cerebral palsy
were also widely prevalent among this group of children and youth. The
prevalence of cerebral palsy was larger in the 0–6 and 15–22 age groups
(χ2=6.491, p<0.05). A prevalence of central nervous system diseases
was seen most in the 0–6 age group (χ2=11.937, p<0.01). Apart from
these, there were no other significance diseases observed by gender or
age groups.

Conclusion: After favorable adjustments to public home
care services, an increase was seen in the utilization of services in
recent years. As disabled patients need health care in their homes, this
service has to be a primary goal for governments in order to provide
them with a higher quality of life.

Keywords

Home care, children, youth, health status

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