COVID-19 Pandemi Döneminde Sağlık Sistemine Duyulan Güvenin Çok Boyutlu Olarak Değerlendirilmesi

Öz

Bu çalışmada, COVID-19 pandemi döneminde sağlık sistemine duyulan güvenin çok boyutlu olarak değerlendirilmesi amaçlanmıştır. Çalışma tanımlayıcı tipte kesitsel bir araştırmadır. Çalışmanın evrenini Bandırma’da yaşayan 18-65 yaş arası okur-yazar bireyler, örneklemini ise çalışmaya gönüllü olarak katılan 393 birey oluşturmuştur. Veri toplama aracı olarak “Sağlık Hizmetleri Sistemi Çok Boyutlu Güven Ölçeği” ve “Kişisel Bilgi Formu” kullanılmıştır. İstatistiksel analizler için NCSS 2007 programı kullanılmıştır. Ölçeğin Cronbach’s Alpha katsayısı 0,908 bulunmuştur. Çalışmada COVID-19 pandemi döneminde sağlık hizmetleri sistemine duyulan güvenin orta düzeyde olduğu tespit edilmiştir. Katılımcıların %61,3’ünün koronavirüse hiç yakalanmadığı ve %89,8’inin COVID-19 aşısı yaptırdığı bulunmuştur. Yaş grubuna göre sağlık hizmeti maliyetini karşılayan kişi/kuruma güven puanları arasında istatistiksel olarak anlamlı farklılık olduğu, 18-25 genç yaş grubunun güven düzeyinin, 26-45 yaş grubundan daha yüksek olduğu bulunmuştur. Eğitim düzeyine göre sağlık hizmeti maliyetini karşılayan kişi/kuruma güven puanları arasında da istatistiksel açıdan anlamlı farklılık olduğu, ön lisans ve lisans mezunu katılımcıların güven düzeyinin ortaöğretim mezunlarından daha yüksek olduğu bulunmuştur. Çalışmada kronik hastalığı olan katılımcıların güven düzeyi hastalığı olmayanlardan düşük bulunmuştur. Pandemi döneminde sağlık sistemine duyulan güven düzeyinin ölçülmesi ve özellikle düşük güven düzeyi üzerinde etkili olan faktörlerin belirlenerek, bu alanlara yönelik politikalar geliştirilmesi önerilmektedir.

Anahtar Kelimeler

• COVID-19
• Sağlık sistemine güven
• Pandemi
• Sağlık politikası

Multidimensional Evaluation of Trust in Healthcare System During The COVID-19 Pandemic

Abstract

This study aimed to evaluate trust in the healthcare system in a multidimensional manner during the COVID-19 pandemic. The study was a descriptive cross-sectional study. Individuals between the ages of 18 and 65 living in Bandırma constituted the population of the study, and 393 participants who willingly consented formed the sample. The “Multidimensional Trust in Health Care Systems Scale” and the “Personal Information Form” served as data collection tools. The statistical evaluation involved using NCSS 2007, and Cronbach's alpha coefficient of the scale was calculated to be 0.908. According to the research findings, there was a moderate level of trust in the healthcare system during the COVID-19 pandemic. Participants who had never experienced the coronavirus comprised 61.3%, and among them, 89.8% received the COVID-19 vaccine. It was determined that the statistically significant difference between the trust level of the person/institution that covers the health care costs according to the age group. The confidence level of the 18–25 young age group was more significant than the 26–45 older age group. There was also a statistically significant difference between the trust level of the person/institution that covers the health care costs according to the education level, and the trust level of the associate and undergraduate graduates is higher than the secondary school graduates. In line with the results of the study, participants without chronic diseases had a higher trust level compared to those with chronic diseases. It is advisable to measure the level of trust in the healthcare system during the pandemic and to formulate policies, particularly by identifying the factors influencing the low level of trust.

Keywords

• COVID-19
• Trust in healthcare system
• Pandemic
• Health policy

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