Amaç: Bu araştırmada, Şanlıurfa’da birinci basamak sağlık hizmetlerini çok boyutlu olarak değerlendirmek ve birinci basamak sağlık hizmetleri ile ilişkili faktörleri belirlemek amaçlandı. Yöntem: Araştırma kesitsel tiptedir. Araştırma örneği, 30 küme örneklemi yöntemi ile seçildi. Her kümede 10'ar kişi olmak üzere toplam 300 kişi araştırmaya alındı. Araştırma verisi yapılandırılmış bir sosyo-demografik durum anketi ve yetişkin birinci basamak sağlık hizmetleri değerlendirme gereci genişletilmiş sürümü kullanılarak toplandı. Bulgular: Alt ve türetilmiş boyutlarda en yüksek puan ortalamaları hekimle olan bağlılık düzeyi, kültürel yetkinlik, kayıt ve bilgi koordinasyonu ve tıbbi bakımın sürekliliği boyutlarında, sırasıyla 3.43±1.00, 2.89±0.74, 2.77±0.84 ve 2.50±0.51 olarak saptandı. Sadece hekime bağlılık düzeyi puan ortalaması 3’ün üzerinde idi. İlk başvuru boyutunu, mevsimlik tarım işçisi olmak 1.9 kat, evde kronik hastalığı olmayan birey bulunması 2.7 kat olumsuz yönde etkilemektedir. Süreklilik boyutu, kadınlarda 1.8 kat, evde Türkçe/Kürtçe konuşanlarda 2.0 kat olumsuz olarak etkilenmektedir. Kapsayıcılık boyutu, kadınlarda 2.8 kat, evde engelli birey varlığında 3.5 kat, orta/alt sosyal sınıftaki bireylerde 7.0 kat daha olumsuz etkilenmektedir. Eşgüdüm boyutu, sağlık güvencesi olmayanlarda 3.3 kat, ilkokul altı eğitim düzeyinde olanlarda 2.4 kat daha fazla olumsuz yönde etkilenmektedir. Sonuç: Bu durum birinci basamak sağlık hizmetlerinin geliştirilmesi için daha fazla çabaya ihtiyaç olduğunu göstermektedir.
Aim: In this study, it was aimed to evaluate the primary health care services in Şanlıurfa in a multidimensional way and to determine the factors associated with primary health care services. Method: The research was of cross-sectional type. The research sample was selected using the 30 cluster sampling method. A total of 300 people, 10 individuals in each cluster, were included in the study. Research data were collected using a structured socio-demographic status questionnaire and the Adult Primary Care Assessment Tool Extended Version. Results: The highest mean scores in sub and derived domains were seen in the extent of affiliation with a doctor, culturally competent, coordination (ınformation systems) and ongoing care were found 3.43±1.00, 2.89±0.74, 2.77±0.84 and 2.50±0.51, respectively. Only the mean score for the extent of affiliation with a doctor was above 3 points. First contact dimension was affected negatively by being a seasonal agricultural worker 1.9 times and having an individual without chronic diseases at home 2.7 times. Ongoing care dimension was adversely affected 1.8 times for women and 2.0 times for those who speak Turkish / Kurdish at home. Comprehensiveness dimension was negatively affected 2.8 times for women, 3.5 times for the presence of disabled individuals at home, and 7.0 times for individuals in the middle/lower social class. Coordination dimension was negatively affected 3.3 times more for those without health insurance and 2.4 times more for those with less than primary education level. Conclusion: This situation indicates that more efforts are needed to improve primary health care services.
Primary Language | Turkish |
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Subjects | Health Care Administration |
Journal Section | Articles |
Authors | |
Publication Date | December 15, 2021 |
Submission Date | March 7, 2021 |
Acceptance Date | September 7, 2021 |
Published in Issue | Year 2021 Volume: 14 Issue: 3 |
MEU Journal of Health Sciences Assoc was began to the publishing process in 2008 under the supervision of Assoc. Prof. Gönül Aslan, Editor-in-Chief, and affiliated to Mersin University Institute of Health Sciences. In March 2015, Prof. Dr. Caferi Tayyar Şaşmaz undertook the Editor-in Chief position and since then he has been in charge.
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