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Daily Workload And Service Profile Of Family Physicians In Turkey: A Snapshot Of One-Day Work

Year 2020, Volume 12, Issue 2, 175 - 182, 04.06.2020
https://doi.org/10.18521/ktd.659576

Abstract

Objective: The study aims to determine the daily workload and to analyze the content of workload, to describe the service profile of FPs working in primary care in Turkey. Methods: The study design is descriptive and cross-sectional. A total of 28 FPs from 17 different cities were enrolled into the study. Two surveys, one inquiring the demographic properties of FPs participated and a second encounter form with 43 items inquiring all aspects of FPs’ workload were filled by the participants. Results: A total of 1,215 visits were reported. The average daily workload of FPs participating was 45.7± 16.8 visits. 92.5% of all patients were family physicians’ own registered patients while 7.5% of them were guests. A total of 1,610 RFEs were reported. We categorized them as prescription requests (451, 28%), clinical complaints (447, 27.8%), preventive medicine services (436, 27%), administrative reasons (161, %10) and other reasons (115, 7.2%). Essential hypertension and diseases of musculoskeletal system were the most common diagnoses in prescription requests. Sore throat and cough were the top two clinical complaints. Conclusions: FPs in Turkey are under severe pressure. Prescription requests account for an important percentage of this workload. Measures should be taken to lessen this burden.

References

  • 1. Turkish Ministry of Health.Health statistics yearbook 2013. Available from: http://ekutuphane.sagem.gov.tr/kitaplar/t.c._saglik_bakanligi_saglik_istatistikleri_yilligi_2013.pdf [Last accessed on May 2015].
  • 2. Kringos DS, Boerma GW, Spaan E, Pellny M. A snapshot of the organization and provision of primary care in Turkey. BMC Health Services Research 2011;11:90.
  • 3. Masseria C, Irwin R, Thomson S, Gemmill M, Mossialos E. Primary Care in Europe (policy brief) 2009, 20 – 24. Available from: ec.europa.eu/social/BlobServlet?docId=4739&langId=en
  • 4. Tay Z, Tuncal AN, Atasoylu G, Sertel M, Köroğlu G. Assessment Workload Of Family Physicians And Human Capacıty In Manisa Provınce In 2011. Türk Aile Hek Derg. 2014; 18(1):5-15.
  • 5. Şensoy N, Başak O, Gemalmaz A. Family medicine practice and patient profile in Umurlu the center of family medicine: To what extent it Meets. The Medical Journal of Kocatepe 2009;10:49-56.
  • 6. Topallı R, Aladağ N, Filiz TM, Topsever P, Ciğerli Ö, Görpelioğlu S. Tıp fakültesi aile hekimliği polikliniklerinin sağlık hizmeti sunumundaki yeri: Değirmendere deneyimi. Türk Aile Hek Derg 2003;7:165-170.
  • 7. World Health Organization. International Statistical Classification of Diseases and Related Health Problems 10th Revision. Available from: http://apps.who.int/classifications/icd10/browse/2015/en
  • 8. World Health Organization. The Anatomical Therapeutic Chemical Classification System with Defined Daily Doses (ATC/DDD). Available from: http://www.who.int/classifications/atcddd/en/
  • 9. Health and Social Care Information Center, General practice trends in the UK, 23 January 2013. Available from: http://www.hscic.gov.uk/media/15448/General-Practice-Trends-in-the-UK-to-2013/pdf/gen-prac-trends-2013.pdf
  • 10. U.S. Department of Health & Human Service. Agency for Healthcare Research and Quality.Primary Care Workforce Facts and Stats No. 1. Available from: http://www.ahrq.gov/research/findings/factsheets/primary/pcwork1/index.html
  • 11. Van den Berg MJ, Kringos DS, Marks LK, Klazinga NS. The Dutch health care performance report: seven years of health care performance assessment in the Netherlands. Health Research Policy and Systems 2014;12:1.
  • 12. Selçuk Mungan S. The Implementation Family Practice in Turkey-Current State.Presentation at the Ankara Family Medicine Specialty Training Meeting of the Ministry of Health. December 30th, 2013. Ankara, Turkey.
  • 13. de Silva N, Mendis K. One-day general practice morbidity survey in Sri Lanka. FamPract. 1998 Aug;15(4):323-31.
  • 14. Mimi O, Tong SF, Nordin S, Teng CL, Khoo EM, Abdul-Rahman A, et al. A comparison of morbidity patterns in public and private primary care clinics in Malaysia. Malaysian Family Physician 2011;6(1):19-25
  • 15. Turkish Statistical Institute. Death Statistics, 2013. Available from: http://www.tuik.gov.tr/PreHaberBultenleri.do?id=16050
  • 16. World Health Organization. Worl health Statistics, 2013. Available from: http://apps.who.int/iris/bitstream/10665/81965/1/9789241564588_eng.pdf?ua=1
  • 17. Emmanuel SC, Phua HP, Cheong PY. 2001 survey on primary medical care in Singapore. Singapore Med J. 2004 May;45(5):199-213.

Türkiye’de Aile Hekimlerinin İş Yükü Ve Hizmet Analizi: Bir Günlük Fotoğraf

Year 2020, Volume 12, Issue 2, 175 - 182, 04.06.2020
https://doi.org/10.18521/ktd.659576

Abstract

Amaç:Bu çalışma, Türkiye'de birinci basamakta çalışan aile hekimlerinin günlük iş yükünü belirlemeyi, iş yükünün içeriğini analiz etmeyi ve hizmet profilinitanımlamayı amaçlamaktadır.Gereç ve Yöntem: Çalışma tasarımı tanımlayıcı ve kesitseldir. Çalışmaya 17 farklı şehirden toplam 28 aile hekimi dahil edilmiştir. Biri aile hekimlerinin demografik özelliklerini, diğeri ise iş yüklerini 43 maddede tüm yönleri ile sorgulayan iki anket katılımcılar tarafından doldurulmuştur.Bulgular: İlgili gün içerisinde toplam 1215 muayene kaydı bildirildi. Katılan aile hekimlerinin günlük ortalama iş yükü 45,7 ± 16,8 muayenedir. Tüm hastaların% 92,5'i aile hekimlerinin kendi kayıtlı hastalarıyken % 7,5'i misafirdir. Toplam 1610 başvuru sebebi rapor edilmiştir. Bunlar reçete talepleri (451, % 28), klinik şikayetler (447, % 27.8), koruyucu hekimlik hizmetleri (436, % 27), idari nedenler (161, % 10) ve diğer nedenler (115, % 7.2)olarak sınıflandırılmıştır. Esansiyel hipertansiyon ve kas-iskelet sistemi hastalıkları reçete taleplerinde en sık görülen tanılardır. Boğaz ağrısı ve öksürük en sık görülen iki klinik şikayettir.Sonuç: Türkiye'deki aile hekimleri iş yükü açısından ciddi baskı altındadır. Reçete talepleri bu iş yükünün önemli bir yüzdesini oluşturmaktadır. Bu yükü azaltmak için önlemler alınmalıdır

References

  • 1. Turkish Ministry of Health.Health statistics yearbook 2013. Available from: http://ekutuphane.sagem.gov.tr/kitaplar/t.c._saglik_bakanligi_saglik_istatistikleri_yilligi_2013.pdf [Last accessed on May 2015].
  • 2. Kringos DS, Boerma GW, Spaan E, Pellny M. A snapshot of the organization and provision of primary care in Turkey. BMC Health Services Research 2011;11:90.
  • 3. Masseria C, Irwin R, Thomson S, Gemmill M, Mossialos E. Primary Care in Europe (policy brief) 2009, 20 – 24. Available from: ec.europa.eu/social/BlobServlet?docId=4739&langId=en
  • 4. Tay Z, Tuncal AN, Atasoylu G, Sertel M, Köroğlu G. Assessment Workload Of Family Physicians And Human Capacıty In Manisa Provınce In 2011. Türk Aile Hek Derg. 2014; 18(1):5-15.
  • 5. Şensoy N, Başak O, Gemalmaz A. Family medicine practice and patient profile in Umurlu the center of family medicine: To what extent it Meets. The Medical Journal of Kocatepe 2009;10:49-56.
  • 6. Topallı R, Aladağ N, Filiz TM, Topsever P, Ciğerli Ö, Görpelioğlu S. Tıp fakültesi aile hekimliği polikliniklerinin sağlık hizmeti sunumundaki yeri: Değirmendere deneyimi. Türk Aile Hek Derg 2003;7:165-170.
  • 7. World Health Organization. International Statistical Classification of Diseases and Related Health Problems 10th Revision. Available from: http://apps.who.int/classifications/icd10/browse/2015/en
  • 8. World Health Organization. The Anatomical Therapeutic Chemical Classification System with Defined Daily Doses (ATC/DDD). Available from: http://www.who.int/classifications/atcddd/en/
  • 9. Health and Social Care Information Center, General practice trends in the UK, 23 January 2013. Available from: http://www.hscic.gov.uk/media/15448/General-Practice-Trends-in-the-UK-to-2013/pdf/gen-prac-trends-2013.pdf
  • 10. U.S. Department of Health & Human Service. Agency for Healthcare Research and Quality.Primary Care Workforce Facts and Stats No. 1. Available from: http://www.ahrq.gov/research/findings/factsheets/primary/pcwork1/index.html
  • 11. Van den Berg MJ, Kringos DS, Marks LK, Klazinga NS. The Dutch health care performance report: seven years of health care performance assessment in the Netherlands. Health Research Policy and Systems 2014;12:1.
  • 12. Selçuk Mungan S. The Implementation Family Practice in Turkey-Current State.Presentation at the Ankara Family Medicine Specialty Training Meeting of the Ministry of Health. December 30th, 2013. Ankara, Turkey.
  • 13. de Silva N, Mendis K. One-day general practice morbidity survey in Sri Lanka. FamPract. 1998 Aug;15(4):323-31.
  • 14. Mimi O, Tong SF, Nordin S, Teng CL, Khoo EM, Abdul-Rahman A, et al. A comparison of morbidity patterns in public and private primary care clinics in Malaysia. Malaysian Family Physician 2011;6(1):19-25
  • 15. Turkish Statistical Institute. Death Statistics, 2013. Available from: http://www.tuik.gov.tr/PreHaberBultenleri.do?id=16050
  • 16. World Health Organization. Worl health Statistics, 2013. Available from: http://apps.who.int/iris/bitstream/10665/81965/1/9789241564588_eng.pdf?ua=1
  • 17. Emmanuel SC, Phua HP, Cheong PY. 2001 survey on primary medical care in Singapore. Singapore Med J. 2004 May;45(5):199-213.

Details

Primary Language English
Subjects Health Care Sciences and Services
Published Date Haziran
Journal Section Articles
Authors

Erdinç YAVUZ (Primary Author)
Samsun Training and Research Hospital, Department of Family Medicine, Samsun
0000-0002-3275-8399
Türkiye


Muhteşem Erol YAYLA
Adana City Training and Research Hospital, Department of Family Medicine, Adana
0000-0002-6628-8954
Türkiye


Emrah KIRIMLI
Ümraniye Family Healthcare Center, İstanbul
0000-0002-2080-7595
Türkiye


Uğur BİLGE
Eskişehir Osmangazi University, Faculty of Medicine, Department of Family Medicine, Eskişehir
0000-0002-9310-3070
Türkiye


Sercan BULUT ÇELİK
11th Family Healthcare Center, Batman
0000-0001-7580-1687
Türkiye


Hatice Füsun DEMİRTAŞ
11th Family Healthcare Center, Batman
0000-0003-1229-5419
Türkiye


İlhami ÜNLÜOĞLU
Eskişehir Osmangazi University, Faculty of Medicine, Department of Family Medicine, Eskişehir
0000-0001-8130-1443
Türkiye


Okay BAŞAK
Adnan Menderes University, Faculty of Medicine, Department of Family Medicine, Aydın
0000-0003-4669-3976
Türkiye

Supporting Institution -
Project Number -
Thanks We sincerely thank FPs who participated in this study.
Publication Date June 4, 2020
Published in Issue Year 2020, Volume 12, Issue 2

Cite

Bibtex @research article { ktd659576, journal = {Konuralp Medical Journal}, issn = {1309-3878}, eissn = {1309-3878}, address = {}, publisher = {Duzce University}, year = {2020}, volume = {12}, pages = {175 - 182}, doi = {10.18521/ktd.659576}, title = {Daily Workload And Service Profile Of Family Physicians In Turkey: A Snapshot Of One-Day Work}, key = {cite}, author = {Yavuz, Erdinç and Yayla, Muhteşem Erol and Kırımlı, Emrah and Bilge, Uğur and Bulut Çelik, Sercan and Demirtaş, Hatice Füsun and Ünlüoğlu, İlhami and Başak, Okay} }
APA Yavuz, E. , Yayla, M. E. , Kırımlı, E. , Bilge, U. , Bulut Çelik, S. , Demirtaş, H. F. , Ünlüoğlu, İ. & Başak, O. (2020). Daily Workload And Service Profile Of Family Physicians In Turkey: A Snapshot Of One-Day Work . Konuralp Medical Journal , 12 (2) , 175-182 . DOI: 10.18521/ktd.659576
MLA Yavuz, E. , Yayla, M. E. , Kırımlı, E. , Bilge, U. , Bulut Çelik, S. , Demirtaş, H. F. , Ünlüoğlu, İ. , Başak, O. "Daily Workload And Service Profile Of Family Physicians In Turkey: A Snapshot Of One-Day Work" . Konuralp Medical Journal 12 (2020 ): 175-182 <https://dergipark.org.tr/en/pub/ktd/issue/54743/659576>
Chicago Yavuz, E. , Yayla, M. E. , Kırımlı, E. , Bilge, U. , Bulut Çelik, S. , Demirtaş, H. F. , Ünlüoğlu, İ. , Başak, O. "Daily Workload And Service Profile Of Family Physicians In Turkey: A Snapshot Of One-Day Work". Konuralp Medical Journal 12 (2020 ): 175-182
RIS TY - JOUR T1 - Daily Workload And Service Profile Of Family Physicians In Turkey: A Snapshot Of One-Day Work AU - Erdinç Yavuz , Muhteşem Erol Yayla , Emrah Kırımlı , Uğur Bilge , Sercan Bulut Çelik , Hatice Füsun Demirtaş , İlhami Ünlüoğlu , Okay Başak Y1 - 2020 PY - 2020 N1 - doi: 10.18521/ktd.659576 DO - 10.18521/ktd.659576 T2 - Konuralp Medical Journal JF - Journal JO - JOR SP - 175 EP - 182 VL - 12 IS - 2 SN - 1309-3878-1309-3878 M3 - doi: 10.18521/ktd.659576 UR - https://doi.org/10.18521/ktd.659576 Y2 - 2020 ER -
EndNote %0 Konuralp Medical Journal Daily Workload And Service Profile Of Family Physicians In Turkey: A Snapshot Of One-Day Work %A Erdinç Yavuz , Muhteşem Erol Yayla , Emrah Kırımlı , Uğur Bilge , Sercan Bulut Çelik , Hatice Füsun Demirtaş , İlhami Ünlüoğlu , Okay Başak %T Daily Workload And Service Profile Of Family Physicians In Turkey: A Snapshot Of One-Day Work %D 2020 %J Konuralp Medical Journal %P 1309-3878-1309-3878 %V 12 %N 2 %R doi: 10.18521/ktd.659576 %U 10.18521/ktd.659576
ISNAD Yavuz, Erdinç , Yayla, Muhteşem Erol , Kırımlı, Emrah , Bilge, Uğur , Bulut Çelik, Sercan , Demirtaş, Hatice Füsun , Ünlüoğlu, İlhami , Başak, Okay . "Daily Workload And Service Profile Of Family Physicians In Turkey: A Snapshot Of One-Day Work". Konuralp Medical Journal 12 / 2 (June 2020): 175-182 . https://doi.org/10.18521/ktd.659576
AMA Yavuz E. , Yayla M. E. , Kırımlı E. , Bilge U. , Bulut Çelik S. , Demirtaş H. F. , Ünlüoğlu İ. , Başak O. Daily Workload And Service Profile Of Family Physicians In Turkey: A Snapshot Of One-Day Work. Konuralp Medical Journal. 2020; 12(2): 175-182.
Vancouver Yavuz E. , Yayla M. E. , Kırımlı E. , Bilge U. , Bulut Çelik S. , Demirtaş H. F. , Ünlüoğlu İ. , Başak O. Daily Workload And Service Profile Of Family Physicians In Turkey: A Snapshot Of One-Day Work. Konuralp Medical Journal. 2020; 12(2): 175-182.
IEEE E. Yavuz , M. E. Yayla , E. Kırımlı , U. Bilge , S. Bulut Çelik , H. F. Demirtaş , İ. Ünlüoğlu and O. Başak , "Daily Workload And Service Profile Of Family Physicians In Turkey: A Snapshot Of One-Day Work", Konuralp Medical Journal, vol. 12, no. 2, pp. 175-182, Jun. 2020, doi:10.18521/ktd.659576