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TÜRKİYE'DE TEMEL SAĞLIK HİZMETLERİ ÜZERİNE BİR İNCELEME: ÇORUM İLİ ÖRNEĞİ

Yıl 2022, Cilt: 8 Sayı: 2, 61 - 92, 03.09.2022

Öz

Günümüzde tüm bireylerin sağlık hizmetlerine ulaşması gerektiği herkesçe kabul edilir olmuştur. 1978 yılında birçok devletin katılımıyla Birleşmiş Milletler tarafından Alma Ata Konferansı düzenlenmişti. Sağlık hizmetlerine, sekiz temel sağlık hizmetine 2000 yılına kadar herkesin erişiminin sağlanacağı katılan devletlerce hedeflenmişti. O günden bugüne sağlık hizmetlerine dair başka uluslararası toplantılarda yapılmıştır; ancak ilk olması sebebiyle Alma Ata önemlidir.
Çalışmada Dünya Sağlık Örgütü’nün temel sağlık hizmetlerini ölçtüğü PCET ölçeği kullanılarak, Çorum il örneği incelenmiştir. Kullanılan veriler üzerinden bugün itibariyle temel sağlık hizmetlerinin verildiği Aile Sağlığı Merkezleri’ne bakılmıştır. Yapılan hizmetin, erişilebilirlik, kapsamlılık, süreklilik ve koordinasyon ölçütlerini karşılayıp karşılamadığına bakılmıştır.

Kaynakça

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  • 5. Akalın, MA (2019), Alma Ata to Astana-3, https://www.academia.edu/37689310/Alma_Atadan_Astanaya_3_Akif_Akal%C4%B1n_, (29.07.2019).
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  • 11. Algın, K. İ. Şahin and M. Top (2004), "Occupational Problems and Solution Suggestions of Family Physicians in Turkey", Hacettepe Journal of Health Administration, 7 (3): 250-276.
  • 12. Ankara Medical Chamber, the news dated June 01, 2017 and titled “The Amendment of Family Medicine Regulation Does Not Meet Physicians' Expectations”, https://ato.org.tr/news/show/217 (07/01/2020).
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  • 14. Baltacı, D. İ. H. Kara T. Bahçebaşı et al. (2011), "Determining the Opinions of Patients Receiving Primary Health Care Services in Düzce Province About Family Physician and Practice: Pilot Study" Konuralp Medical Journal, 3 (2): 9-15.
  • 15. Baykan, ZF Çetinkaya, M. Naçar A. Kaya and M. Ü. Işıldak (2014), "Burnout Status of Family Physicians and Related Factors", Turkish Journal of Family Practice, 18 (3): 122-133.
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  • 17. Bozhüyük, A. S. Özcan H. Kurdak E. Akpınar E. Saatçi & N. Bozdemir (2012), “Healthy Lifestyle and Family Medicine”, Turkish Journal of Family Medicine and Primary Care , 6 (1): 13-22.
  • 18. Bryant, J H and J B Richmond (2008) “Alma-Ata and Primary Health Care: An Evolving Story”, Elsevier İnc..
  • 19. Ceylan, A. A. Tütüncü and K. Benli (2015), "The Place of the Nurse in the Family Medicine System", Student Commission of the Turkish Nurses Association, https://m.Facebook.com/notes/thd-%C3%B6%C4%9Frenci-komisyonu/aile-hekimli%C4%9Fi-sistemi-i%C3%A7erisinde-hem%C5%9Firenin-yeri/785370344871059/, (09/ 01/ 2020).
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A STUDY ON BASİC HEALTHCARE SERVİCES İN TURKEY: CASE OF ÇORUM PROVİNCE

Yıl 2022, Cilt: 8 Sayı: 2, 61 - 92, 03.09.2022

Öz

Today, it is accepted by everyone that all individuals should have access to healthcare services. In 1978, Alma Ata Conference was held by the United Nations with the participation of many states. It was aimed by participating states that everyone would have access to eight primary health services by 2000. Since then, other international meetings on health services have been held, however, Alma Ata is important because it is the first.
In the study, case of Çorum was analyzed using PCET scale, by which WHO measures basic healthcare services. Family Health Centers, where primary health care services are provided today, were examined over the data used. It was analyzed whether services provided met the accessibility, comprehensiveness, continuity and coordination criteria

Kaynakça

  • 1. Ağdemir, H. (2012). “A Research on the Place and Importance of Family Medicine in Health Sector and Satisfaction of Service Beneficiaries and Service Providers”, Çağ University, Institute of Social Sciences, Department of Business Administration, Unpublished Master's Thesis, Mersin.
  • 2. Federation of Family Physicians Associations (AHEF) (2018), News dated 27 March 2018 titled “Hatay Province Federation of Family Physicians Associations and Family Health Centers Visited”, http://ahef.org.tr/Haber/2021/AHEF-Hatay-Ili-Aile-Hekimleri-Dernegini-ve-Aile-Sagligi-Merkezlerini-Ziyaret-Ett.aspx (09/ 01/ 2020).
  • 3. Federation of Family Physicians Associations (AHEF) (2018), “AHEF met with the Minister of Health”, News dated March 22, 2018, http://www.ahef.org. tr/Detay/2020/AHEF-SAGLIK-BAKANI-ILE-GORUSTU.aspx (02/ 01/ 2020).
  • 4. Akalın, MA, Alma Ata to Astana-7 (2019) , https: //www.academia.edu/37784779/Alma_Atadan_Astanaya_7_Akif_Akal%C4%B1n_ (29/ 07/ 2019).
  • 5. Akalın, MA (2019), Alma Ata to Astana-3, https://www.academia.edu/37689310/Alma_Atadan_Astanaya_3_Akif_Akal%C4%B1n_, (29.07.2019).
  • 6. Akman, M. (2014), "The Power of Primary Care in Turkey", Journal of Family Medicine, 18 (2): 70-78.
  • 7. Aksakoğlu, G. B. Kılıç and R. Uçku (2003) "Family Medicine Model/ System Is Not Suitable for Turkey", Journal of Community and Physician, 18: 251-257. 8. Aksakoğlu, G. (2008), "The Story of Socialization in Health", Journal of Memleket Politics and Administration , 8: 7-62.
  • 9. Aktaş, E. Ö. and G. Çakır (2012), “Views of Family Physicians on Family Medicine Practice: A Survey Study”, Ege Journal of Medicine, 51 (1): 21-29.
  • 10. Alcan, S. (2015), “Equity in Health Services and Health-Wages Relation: A Study on Turkey”, Ankara University Institute of Social Sciences, Department of Economics, Unpublished PhD Thesis, Ankara.
  • 11. Algın, K. İ. Şahin and M. Top (2004), "Occupational Problems and Solution Suggestions of Family Physicians in Turkey", Hacettepe Journal of Health Administration, 7 (3): 250-276.
  • 12. Ankara Medical Chamber, the news dated June 01, 2017 and titled “The Amendment of Family Medicine Regulation Does Not Meet Physicians' Expectations”, https://ato.org.tr/news/show/217 (07/01/2020).
  • 13. Ataay, F. (2008), "Health Reform and Civic Rights", Journal of Public Administration, 3 (41): 169-184.
  • 14. Baltacı, D. İ. H. Kara T. Bahçebaşı et al. (2011), "Determining the Opinions of Patients Receiving Primary Health Care Services in Düzce Province About Family Physician and Practice: Pilot Study" Konuralp Medical Journal, 3 (2): 9-15.
  • 15. Baykan, ZF Çetinkaya, M. Naçar A. Kaya and M. Ü. Işıldak (2014), "Burnout Status of Family Physicians and Related Factors", Turkish Journal of Family Practice, 18 (3): 122-133.
  • 16. Beliner, A. S. (2007), Additional Payment (Performance) Methods in Health Centers and Its Effects on Health Care, 5th BHS Symposium, (10-11 May), Manisa.
  • 17. Bozhüyük, A. S. Özcan H. Kurdak E. Akpınar E. Saatçi & N. Bozdemir (2012), “Healthy Lifestyle and Family Medicine”, Turkish Journal of Family Medicine and Primary Care , 6 (1): 13-22.
  • 18. Bryant, J H and J B Richmond (2008) “Alma-Ata and Primary Health Care: An Evolving Story”, Elsevier İnc..
  • 19. Ceylan, A. A. Tütüncü and K. Benli (2015), "The Place of the Nurse in the Family Medicine System", Student Commission of the Turkish Nurses Association, https://m.Facebook.com/notes/thd-%C3%B6%C4%9Frenci-komisyonu/aile-hekimli%C4%9Fi-sistemi-i%C3%A7erisinde-hem%C5%9Firenin-yeri/785370344871059/, (09/ 01/ 2020).
  • 20. Çakmak, Ş. and D. Çakmak (2017), "Historical Development of Healthcare Services in Turkey and Health Transformation Program", Journal of Health Management, 1 (1): 48-58.
  • 21. Çelikay, F. and E. Gümüş (2011) “Empirical Analysis of Health Transformation”, Ankara University SBF JournalThe 66 (3): 55-92. Çetinkaya, F. Z. Baykan and M. Naçar (2013), "The Opinions of Adults on Family Medicine Practice and Application to Family Physicians", TAF Preventive Medicine Bulletin, 12 (1): 49-56.
  • 22. DR TUS News Dated January, 12, 2019 and Titled: "What Will be the Fees of Family Physicians?" https://www.drtus.com/forum/viewtopic.php?t=158451&start=15 (02. 01/ 2020).
  • 23. Durusoy, R. A. Davas, I. Ergin, H. Hassoy and F. A. Tanık (2011), “Family Physician Follow-up Frequency of Pregnant Women Applying to Secondary and Tertiary Healthcare Institutions in İzmir and Affecting Factors”, Turkish Journal of Public Health, 9 (1): 1-16.
  • 24. Grumbach, K. J. V. Selby C. Damberg A. B. Bindman and C. Quesenberry (1999), Alison Truman & Connie Uratsu, “Resolving the Gatekeeper Conundrum What Patients Value in Primary Care and Referrals to Specialists”, Jama, 282(3): 261-266.
  • 25. HASUDER (Association of Public Health Specialists), “Health is Right, Primary Healthcare Organization is the Foundation of Providing This Right”, https://hasuder.org.tr/wp/2019/04/10/saglik-haktir-birinci-basamak-saglik-yapilanmasi-bu-hakki-saglayabilmenin-temelidir/ (08/ 06/ 2019).
  • 26. İlgün, G. and B. Şahin (2016), "Examining the Views of Family Medicine Professionals on Family Medicine Practice", Hacettepe Journal of Health Administration, 19 (2): 115-130.
  • 27. Kartal, Savaş Başar (Deputy President of Public Health Institution of Ministry of Health (2016), "Speech on Public Health Centers", 8th BHS Meeting, İzmir, http: //www. temelsaglikhizmetleri. org/wp-content/uploads/tsh_kitaplar/8tshkitap.pdf, (25/10/2019).
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  • 29. Kılıç, B. (2003), "AKP, Family Medicine and Health "Transformation Program", Public Health and Health Reform, Ankara: TTB Publications.
  • 30. Kol, E. (2015) "Evaluation of Health Reforms in Turkey in Terms of Right to Health", Journal of Social Security 5 (1): 135-164.
  • 31. Koruyucu, K. S. and A. Oksay (2018), "A Type of Out-of-pocket Payments in Health Services: Contributions", Süleyman Demirel University Journal of Social Sciences Institute, 3 (32): 265-313.
  • 32. Kringos, D. S. W. Boerma J. V. Zee and P. Groenewegen (2013), “Europe’s Strong Primary Care Systems Are Linked to Better Population Health but Also To Higher Health Spending”, Health Affairs, 32(4): 686-694.
  • 33. Labonte, R. and T. Shrecker (2011), in "The Threats of Globalization to People's Health", Globalization and Health (Process, Evidence, Policy), (Trans. İlker Kayı and Yeşim Yasin), Istanbul: İnsev Publications.
  • 34. Dim, Nilüfer (2016), Comparative Analysis of Health Services and Health Expenditures in the Framework of Health Economics: The Case of OECD Countries and Turkey, Istanbul University, Institute of Social Sciences, Department of Economics, Unpublished PhD Thesis, Istanbul
  • 35. Medihaber, News dated February 13, 2017 Titled “Family Physician Fees Reduced”, https: //www.medihaber.com/guncel/aile-hekimi-ucretleri-dusuruluyor-h4320. html (07/ 01/ 2020).
  • 36. Medimagazin, News dated December 2, 2019 titled "Family Physicians Are Desperate of New Payment Contract Regulation", https://www.medimagazin.com.tr/hekim/aile-hekimligi/tr-aile-hekimleri-yeni-odeme-sozlesme-yonetmeligi-taslagindan-umutsuz-2-21-84510.html (08/ 01/ 2020).
  • 37. Öcek, Zeliha and Meltem Çiçeklioğlu (Edit. ) (2013). How Family Medicine Transformed the Primary Healthcare Environment. Ankara: TTB Publications.
  • 38. Öztek, Zafer (2006), Health Transformation and Family Medicine, Community Medicine Bulletin, 25 (2): 1-6.
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  • 42. News dated April 3, 2015 Titled: Ministry of Health, "Mehmet Müezzinoğlu Introduced the e-Pulse System" https://www.saglik.gov.tr/TR,1261/mehmet-muezzinoglu-e-nabiz-sistemini-tanitti.html (18/ 08/ 2020).
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  • 44. News dated October 30, 2018, titled: Ministry of Health, "BHS Global Conference Held in Astana" https: //www.saglik.gov.tr/TR,49852/temel-saglik-hizmetleri-kuresel-konferansi-astanada-gerceklestirildi.html (26/ 07/ 2019).
  • 45. Ministry of Health, News entitled “Vaccination Schedule Changed”, https: //hsgm.saglik.gov.tr/tr/haberler/asilama-takviminde-degisiklik-yapildi.html (21/ 08/ 2020).
  • 46. Social Security Institution, Social Security Terms, Social Security Information Series 2013/4, Ankara: Social Security Institution Publication No: 71.
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  • 48. Soyer, A. and Z. Öcek (2007), Our Primary Health Care Accumulation, Picture of Turkey for 2000-2004. Ankara: Turkish Medical Association Publications.
  • 49. Soysal, A. R. Kıraç and A. Alu (2016), "Family Medicine System in Turkey and Satisfaction Measures of Diyarbakır People with the Family Medicine System", Dicle University Journal of FEAS, 6 (10): 76-88.
  • 50. Şentaş, G. (2018), "The Impact of Work Migration on Health Services Utilization and Health Status in Turkey", Hacettepe University Institute of Social Sciences, Department of Health Management, Unpublished PhD Thesis, Ankara.
  • 51. Tezel, B. and Ş. Aydın (Edit. ) (2018), Infant, Child, Adolescent Monitoring Protocols, Ankara, https://hsgm.saglik.gov.tr/depo/birimler/cocuk_ergen_db/dokumanlar/yayinlar/Kitaplar/Bebek_Cocuk_Ergen_Izlem_Protokolleri_2018. pdf (21/ 08/ 2020).
  • 52. Turkish Healthy Cities Association, Health 2020: European Policy Framework Supporting Actions Towards Health and Wellbeing Between Governments and Society, http://www.skb.gov.tr/wp-content/uploads/2010/07/Sa%C4%9Fl%C4%B1k-2020-Kitap%C3%A7%C4%B1k-Mail.pdf (04/ 07/ 2019).
  • 53. TTB, BHS International Conference Declaration (Alma Ata), http: //www.ttb.org. tr/mevzuat/index. php?option=com_content &task=view&id=521&Itemid=36 (10/ 10/ 2019).
  • 54. WHO (1978), Health A Time For Justice Health Care, Geneva, https: //apps. who. int/iris/handle/10665/62749 (20/08/ 2020).
  • 55. TTB, Public Health Branch (2011), "Report on Pro-Public, Egalitarian Socialization, Not Marketing in Healthcare Services", http: //www. ttb. org. tr/halk_sagligi/2011/01/12/saglik-hizmetlerinde-piyasalastirma-degil-kamucu-esitlikci-sosyallestirme/ (23/ 07/ 2019).
  • 56. TTB, News dated 14/06/2020, Titled "How will family physicians carry out the school vaccination of 10 million population?" . https: //www. ttb. org. tr/kollar/_ahek/haber_goster. php?Guid=dbd5ec98-ae10-11ea-a732-c115216aae2a (21/ 08/ 2020).
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  • 58. Turgut, S. S. Öztora A. Çaylan and H. N. Dağdeviren (2018), "Primary Care Patient Satisfaction and Its Relation with Physician Job Satisfaction", Turkish Journal of Family Practice, 22 (2): 78-91.
  • 59. Uğurlu, M. M. T. Eğici O. Yıldırım, M. Örnek & Y. Üstü (2012), "Current Problems and Solutions in Family Medicine Practice-2", Ankara Medical Journal , 12 (1): 4-10.
  • 60. Üstü, Y. and M. Uğurlu (2015), “An Analysis: Is Family Medicine Used Effectively in Turkey?”, Ankara Medical Journal, 15 (4): 244-248.
  • 61. Yereli, A. B. A. M. Köktaş and I. Ş. Selçuk (2014), "Factors Affecting Catastrophic Health Expenditures in Turkey", Journal of Socioeconomics, 22 (22): 276-293.
  • 62. Yücel, Ü. and A. Yüksel, "The Effect of Family Medicine Practice on Midwives' Working Conditions in Turkey", http: //www. saglikcalisanisagligi. org/scssunumlar/ailehekimligiebeler-ummahanyucel-ayseyuksel. pdf (09/ 01/ 2020).
  • Other References 1. WHO, Primary Care Evaluation Tool, https: //www. euro. who. int/__data/assets/pdf_file/0004/107851/PrimaryCareEvalTool. pdf (14/ 08/ 2020) 2. TURKSTAT, Provincial Indicators, https: //biruni. tuik. gov. tr/ilgosterge/?locale=tr (14/08/2020).
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  • 6. WHO, Targets For Health For All, http: //www. euro. who. int/__data/assets/pdf_file/0006/109779/WA_540_GA1_85TA. pdf (10/ 10/ 2019).
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  • 8. WHO, Declaration on Primary Health Care, Astana 2018, https: //www. who. int/primary-health/conference-phc/declaration (25/ 07/ 2019).
  • 9. Official Letter, Date: 28/ 07/ 2020, Number: 72716672-804. 01-39, Subject: PhD Thesis (Songül Demirel Değirmenci).
  • 10. Official Gazette, Constitutional Court Decision, Date: 07/11/2008, Number: 27047.
  • 11. Official Gazette, The Decree Law No. 6514 on the Organization and Duties of the Ministry of Health and its Affiliates and the Law on Amending Certain Laws, Date: 09/12/2004, Number: 25665.
  • 12. Official Gazette, Regulation on Family Medicine Payment and Contract, Date: 30/12/2010, Number: 27801.
  • 13. Official Gazette, Regulation on Family Medicine Implementation, Date: 25/01/2013 Number:28539.
  • 14. Official Gazette, Regulation on General Health Insurance Practices, Date: 18/ 04/ 2014, Number: 28976.
  • 15. Official Gazette, Regulation on the Amendment of the Regulation on General Health Insurance Registration, Premium and Appropriation Transactions, Date: 10/11/2017, Number: 30236.
  • 16. Official Gazette, Family Medicine Law No. 5258, Date: 09/ 12/ 2004, Number: 25665
  • 17. Official Gazette, Regulation on the Payments to be Made to Personnel Employed by the Ministry of Health within the Scope of Family Medicine Practice and Contract Procedures and Principles, Date: 30/ 12/ 2010, Number:27801.
  • 18. Official Gazette, Regulation on Family Medicine Implementation, Date:16/ 05/ 2017, Number: 30068.
Toplam 78 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makalesi
Yazarlar

Songül Demirel Değirmenci 0000-0003-0982-0796

Yayımlanma Tarihi 3 Eylül 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 8 Sayı: 2

Kaynak Göster

APA Demirel Değirmenci, S. (2022). A STUDY ON BASİC HEALTHCARE SERVİCES İN TURKEY: CASE OF ÇORUM PROVİNCE. International Anatolia Academic Online Journal Health Sciences, 8(2), 61-92.

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