Year 2020, Volume 22 , Issue 1, Pages 13 - 16 2020-04-30

The Effect of the Ministry of Health’s Periodic Free Drug Policy on Smoking Cessation Polyclinic
Sağlık Bakanlığının Dönemsel Ücretsiz İlaç Politikasının Sigara Bırakma Polikliniğine Olan Etkisi

Şerif KURTULUŞ [1] , Remziye CAN [2] , Zafer SAK [3]


Aim: The aim of this study is to evaluate the effect of periodic free drug applications of the Ministry of Health on Smoking Cessation Polyclinic (SCP) and the success rates of the treatment methods used.
Material and Methods: A total of 1861 patients applied to SCP in a county state hospital in Şanlıurfa between January 1 and December 31, 2017 were included in this study. Patients not smoke for at least six months were accepted as non-smokers. Each patient was followed up for at least six months. The data was calculated as number and percentage.
Results: According to months the highest application was seen in December. In July and November, there was a significant decrease in the number of patients applying to SCP. It was determined that 80.0% of the patients received behavior therapy, 20.0% received pharmacological treatment. Utilization of pharmacological treatment was the lowest in July with no patient and the highest in November with 96.8%. The rate of quitting with pharmacological treatment was 27.4% while this rate was 18.9% with behavioral therapy.
Conclusion: The Ministry of Health's periodic free drug application policy has a direct impact on SCPs. This may be the reason for resistance in patients to smoking cessation with behavioral therapy. Smoking cessation treatments should be provided throughout the year. It is recommended that free drug treatments include all drugs and supply from pharmacies through report. We think that with these arrangements, the compliance of patients to treatment and their determination to quit smoking will increase.

Amaç: Bu çalışmanın amacı Sağlık Bakanlığı’nın dönemsel ücretsiz ilaç uygulamalarının Sigara Bırakma Polikliniği (SBP)’ne olan etkisi ve kullanılan tedavi yöntemlerinin başarı oranlarının değerlendirilmesidir.
Gereç ve Yöntemler: Bu çalışmaya 1 Ocak ve 31 Aralık 2017 tarihleri arasında Şanlıurfa’da bulunan bir ilçe devlet hastanesinde SBP’ye başvuran toplam 1861 hasta dahil edildi. En az altı ay boyunca sigara içmeyen hastalar sigarayı bırakmış olarak kabul edildi. Her hastanın en az altı ay süreyle takibi yapıldı. Elde edilen veriler sayı ve yüzde olarak hesaplandı.
Bulgular: Aylara göre en yüksek başvurunun Aralık ayında olduğu görüldü. Temmuz ve Kasım aylarında ise SBP’ye başvuran hasta sayılarında belirgin bir düşme vardı. Hastaların %80,0’inin davranış terapisi aldığı, %20,0’sinin ise farmakolojik tedavi aldığı tespit edildi. Farmakolojik tedavi uygulaması en düşük hiç hastanın olmadığı Temmuz ayında ve en yüksek ise %96,8 ile Kasım ayında idi. Farmakolojik tedavi ile bırakma oranı %27,4 iken davranış terapisi ile bırakma oranı ise %18,9 idi.
Sonuç: Sağlık Bakanlığı’nın dönemsel ücretsiz ilaç uygulama politikası SBP’yi direkt olarak etkilemektedir. Bu durum, hastalarda davranış terapisi ile sigara bırakmaya karşı bir direnç nedeni olabilmektedir. Sigara bırakma tedavilerinin yıl boyu karşılanması gereklidir. Ücretsiz ilaç tedavilerinin tüm ilaçları kapsaması ve rapor karşılığı eczanelerden temini yoluna gidilmesi önerilir. Bu düzenlemeler ile hastaların tedaviye uyumu ve sigara bırakma kararlılığının artacağını düşünmekteyiz.
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Primary Language en
Subjects Medicine
Journal Section Research Article
Authors

Orcid: 0000-0002-1082-3700
Author: Şerif KURTULUŞ (Primary Author)
Institution: HARRAN ÜNİVERSİTESİ, TIP FAKÜLTESİ
Country: Turkey


Orcid: 0000-0001-5913-6007
Author: Remziye CAN
Institution: Mustafa Kemal Atatürk Vocational and Technical Anatolian High School
Country: Turkey


Orcid: 0000-0002-2388-2259
Author: Zafer SAK
Institution: Harran Universty Medicine Faculty, Department of Chest Diseases
Country: Turkey


Dates

Publication Date : April 30, 2020

Bibtex @research article { dtfd656144, journal = {Duzce Medical Journal}, issn = {}, eissn = {1307-671X}, address = {}, publisher = {Duzce University}, year = {2020}, volume = {22}, pages = {13 - 16}, doi = {10.18678/dtfd.656144}, title = {The Effect of the Ministry of Health’s Periodic Free Drug Policy on Smoking Cessation Polyclinic}, key = {cite}, author = {Kurtuluş, Şerif and Can, Remziye and Sak, Zafer} }
APA Kurtuluş, Ş , Can, R , Sak, Z . (2020). The Effect of the Ministry of Health’s Periodic Free Drug Policy on Smoking Cessation Polyclinic . Duzce Medical Journal , 22 (1) , 13-16 . DOI: 10.18678/dtfd.656144
MLA Kurtuluş, Ş , Can, R , Sak, Z . "The Effect of the Ministry of Health’s Periodic Free Drug Policy on Smoking Cessation Polyclinic" . Duzce Medical Journal 22 (2020 ): 13-16 <https://dergipark.org.tr/en/pub/dtfd/issue/53917/656144>
Chicago Kurtuluş, Ş , Can, R , Sak, Z . "The Effect of the Ministry of Health’s Periodic Free Drug Policy on Smoking Cessation Polyclinic". Duzce Medical Journal 22 (2020 ): 13-16
RIS TY - JOUR T1 - The Effect of the Ministry of Health’s Periodic Free Drug Policy on Smoking Cessation Polyclinic AU - Şerif Kurtuluş , Remziye Can , Zafer Sak Y1 - 2020 PY - 2020 N1 - doi: 10.18678/dtfd.656144 DO - 10.18678/dtfd.656144 T2 - Duzce Medical Journal JF - Journal JO - JOR SP - 13 EP - 16 VL - 22 IS - 1 SN - -1307-671X M3 - doi: 10.18678/dtfd.656144 UR - https://doi.org/10.18678/dtfd.656144 Y2 - 2020 ER -
EndNote %0 Düzce Tıp Fakültesi Dergisi The Effect of the Ministry of Health’s Periodic Free Drug Policy on Smoking Cessation Polyclinic %A Şerif Kurtuluş , Remziye Can , Zafer Sak %T The Effect of the Ministry of Health’s Periodic Free Drug Policy on Smoking Cessation Polyclinic %D 2020 %J Duzce Medical Journal %P -1307-671X %V 22 %N 1 %R doi: 10.18678/dtfd.656144 %U 10.18678/dtfd.656144
ISNAD Kurtuluş, Şerif , Can, Remziye , Sak, Zafer . "The Effect of the Ministry of Health’s Periodic Free Drug Policy on Smoking Cessation Polyclinic". Duzce Medical Journal 22 / 1 (April 2020): 13-16 . https://doi.org/10.18678/dtfd.656144
AMA Kurtuluş Ş , Can R , Sak Z . The Effect of the Ministry of Health’s Periodic Free Drug Policy on Smoking Cessation Polyclinic. Duzce Medical Journal. 2020; 22(1): 13-16.
Vancouver Kurtuluş Ş , Can R , Sak Z . The Effect of the Ministry of Health’s Periodic Free Drug Policy on Smoking Cessation Polyclinic. Duzce Medical Journal. 2020; 22(1): 13-16.
IEEE Ş. Kurtuluş , R. Can and Z. Sak , "The Effect of the Ministry of Health’s Periodic Free Drug Policy on Smoking Cessation Polyclinic", Duzce Medical Journal, vol. 22, no. 1, pp. 13-16, Apr. 2020, doi:10.18678/dtfd.656144