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Hizmet Hastanesi Mi ? İleri Uç Cerrahi Hastanesi Mi ? : Bir Aylık Geçici Görevlendirme Deneyimi

Year 2020, Volume: 10 Issue: 2, 183 - 190, 15.06.2020
https://doi.org/10.31832/smj.692564

Abstract

AAbstract

Objective:
As a general surgeon who was assigned for a
temporary period of time, we aimed to carry out the scientific analysis of the
patients who were admitted and underwent surgery and received medical
observation service during our one-month temporary service in the General
Surgery Clinic of Hakkari  State
Hospital.



Materials
and methods:
General surgery admissions evaluated by
the emergency department and general surgery clinic in Hakkari  State Hospital between 31 December 2017 - 31
January 2018 were retrospectively evaluated.



Results:
 Of the
521 patients  admitted to the general
surgery outpatient clinic directly as an outpatient or through the consultation
request by the emergency department, 63.15% were the patients requiring
emergency surgery and  44.73% were
diagnosed with surgical acute abdomen. Two patients (5.26%) with an indication
for surgery did not accept surgical treatment. On a patient presented with
firearm injury, damage control surgery was performed for liver and colon
injury. One patient who had intra-vehicle traffic accident was monitored in our
hospital until transferred to an advanced center for observation and medical
treatment due to grade I hepatic injury.



Conclusion:
We are of the opinion that the presented data
analysis of the simultaneous provision of surgical services to both
catastrophic firearm injury cases and elective - emergency surgery cases for
citizens during this mission, which involved the organization of advanced end
surgical hospital, as well as the hospital providing healthcare services, will
be a sample pilot study and will shed light in terms of the problems that
inexperienced personnel to be assigned for such a mission may face with before
the assignment and in terms of the case profile and being prepared for these.

References

  • 1. Ergüder T, Esin S, Kutlu L, Kanyılmaz D. Birinci Basamak Sağlık Hizmet Sunumunda Aile Hekimliği Genel Pratisyenlik. Amme İdaresi Dergisi 2000; 33(4): 103-111.
  • 2. Tekin F. Türkiye’de Sağlık Hizmetleri Ve Finansmanı Sorunu. Türkiye Maliye Eğitimi Sempozyumu, Gebze 1987, 56-85 3. Adrese Dayalı Nüfus Kayıt Sistemi Sonuçları, 2017. (2017,Aralık)
  • 4. Altay B, Gönener D, Demirkıran C. Bir üniversite hastanesinde çalışan hemşirelerin tükenmişlik düzeyleri ve aile desteğinin etkisi. Fırat Tıp Dergisi 2010; 15: 10-16 .
  • 5. Terzi C, Okman U, Eryılmaz M. Türkiye’de Genel Cerrahi İnsan Gücü İş gücü-İş Yükü Raporu. Türk Cerrahi Derneği Yayınları-Ağustos 2009
  • 6. Işık A. Cerrahi Ekibin Vazgeçilmezi Cerrahi El Aletleri: Bilinmesi Gerekenler. Sağlık Bilimleri ve Meslekleri Dergisi 2014; 2: 91-99.
  • 7. Cirhinlioğlu, Z. Sağlık sosyolojisi. Ankara: Nobel Yayınları ; 2001 . 8. Sarı Ö, Atılgan K. G. Sağlık sosyolojisi: Hastalık ve Sağlığa ilişkin Kavramsal Tartışmalar. Konya: Karatay Akademi Yayınları; 2000.
  • 9. Morrell DC, Evans ME, Morris RW, Roland MO. The five minute consultation: effect of time constraint on clinical content and patient satisfaction. Br. Med. J.Clin.1986; 292(3): 870–873.
  • 10. Roland MO, Bartholomew J, Courtenay MJ, Morris RW, Morrell DC. The five minute consultation:effect of time constraint onverbal communication. Br. Med. J.Clin.1986; 292(3):874–876.
  • 11. Landau D, Bachner YG, Elishkewitz K, Goldstein L, Barneboim E. Patients views on optimal visit length in primary care. J. Med. Pract. Manage, 2007; 23: 12–15.
  • 12. Wilson A, McDonald P, Hayes L, Cooney J. Health promotion in the general practice consultation: a minute makes a difference. BMJ 1992; 304(1): 227–230.
  • 13.‘Her Branşta Ilk 100 Hastane’ 2017 Yili Ocak-Ekim Dönemi Poliklinik, Yatiş, Yoğun Bakim Ve Acil Servis Istatistikleri.Ankara TC Sağlık Bakanlığı Kamu Hastaneleri Genel Müdürlüğü;Aralık 2017
  • 14. Pekdemir M, Cete Y, Eray O, Atilla R, Cevik AA,Topuzoglu A. Determination of the epidemiological characteristics of the trauma patients. Ulusal Travma Dergisi 2000; 64: 250-254.
  • 15. Gül M. Epidemiological analysis of trauma cases applying to emergency department, Selçuk Üniversitesi Tıp Fakültesi Dergisi 2003;119:33-36
  • 16. Püsküllüoğlu S ,Açıkalın A ,Ay MO ,Kozacı N Avcı A ,Gülen M , İçme F , Satar S. Analysis of Adult Trauma Patients Admitted to Emergency Department. Cukurova Medical Journal 2015;40(3):569-579.

A Service Hospital? Advanced End Surgery Hospital? : One Month Temporary Assignment Experience.

Year 2020, Volume: 10 Issue: 2, 183 - 190, 15.06.2020
https://doi.org/10.31832/smj.692564

Abstract

References

  • 1. Ergüder T, Esin S, Kutlu L, Kanyılmaz D. Birinci Basamak Sağlık Hizmet Sunumunda Aile Hekimliği Genel Pratisyenlik. Amme İdaresi Dergisi 2000; 33(4): 103-111.
  • 2. Tekin F. Türkiye’de Sağlık Hizmetleri Ve Finansmanı Sorunu. Türkiye Maliye Eğitimi Sempozyumu, Gebze 1987, 56-85 3. Adrese Dayalı Nüfus Kayıt Sistemi Sonuçları, 2017. (2017,Aralık)
  • 4. Altay B, Gönener D, Demirkıran C. Bir üniversite hastanesinde çalışan hemşirelerin tükenmişlik düzeyleri ve aile desteğinin etkisi. Fırat Tıp Dergisi 2010; 15: 10-16 .
  • 5. Terzi C, Okman U, Eryılmaz M. Türkiye’de Genel Cerrahi İnsan Gücü İş gücü-İş Yükü Raporu. Türk Cerrahi Derneği Yayınları-Ağustos 2009
  • 6. Işık A. Cerrahi Ekibin Vazgeçilmezi Cerrahi El Aletleri: Bilinmesi Gerekenler. Sağlık Bilimleri ve Meslekleri Dergisi 2014; 2: 91-99.
  • 7. Cirhinlioğlu, Z. Sağlık sosyolojisi. Ankara: Nobel Yayınları ; 2001 . 8. Sarı Ö, Atılgan K. G. Sağlık sosyolojisi: Hastalık ve Sağlığa ilişkin Kavramsal Tartışmalar. Konya: Karatay Akademi Yayınları; 2000.
  • 9. Morrell DC, Evans ME, Morris RW, Roland MO. The five minute consultation: effect of time constraint on clinical content and patient satisfaction. Br. Med. J.Clin.1986; 292(3): 870–873.
  • 10. Roland MO, Bartholomew J, Courtenay MJ, Morris RW, Morrell DC. The five minute consultation:effect of time constraint onverbal communication. Br. Med. J.Clin.1986; 292(3):874–876.
  • 11. Landau D, Bachner YG, Elishkewitz K, Goldstein L, Barneboim E. Patients views on optimal visit length in primary care. J. Med. Pract. Manage, 2007; 23: 12–15.
  • 12. Wilson A, McDonald P, Hayes L, Cooney J. Health promotion in the general practice consultation: a minute makes a difference. BMJ 1992; 304(1): 227–230.
  • 13.‘Her Branşta Ilk 100 Hastane’ 2017 Yili Ocak-Ekim Dönemi Poliklinik, Yatiş, Yoğun Bakim Ve Acil Servis Istatistikleri.Ankara TC Sağlık Bakanlığı Kamu Hastaneleri Genel Müdürlüğü;Aralık 2017
  • 14. Pekdemir M, Cete Y, Eray O, Atilla R, Cevik AA,Topuzoglu A. Determination of the epidemiological characteristics of the trauma patients. Ulusal Travma Dergisi 2000; 64: 250-254.
  • 15. Gül M. Epidemiological analysis of trauma cases applying to emergency department, Selçuk Üniversitesi Tıp Fakültesi Dergisi 2003;119:33-36
  • 16. Püsküllüoğlu S ,Açıkalın A ,Ay MO ,Kozacı N Avcı A ,Gülen M , İçme F , Satar S. Analysis of Adult Trauma Patients Admitted to Emergency Department. Cukurova Medical Journal 2015;40(3):569-579.
There are 14 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Vahit Gul 0000-0001-9071-0732

Sabahattin Destek 0000-0002-3569-4386

Şahin Kaymak

Publication Date June 15, 2020
Submission Date February 21, 2020
Published in Issue Year 2020 Volume: 10 Issue: 2

Cite

AMA Gul V, Destek S, Kaymak Ş. A Service Hospital? Advanced End Surgery Hospital? : One Month Temporary Assignment Experience. Sakarya Tıp Dergisi. June 2020;10(2):183-190. doi:10.31832/smj.692564

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