Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi

2687-2145

Bandırma Onyedi Eylül Üniversitesi

10.46413/boneyusbad.1812299

Health Management

Sağlık Yönetimi

Kırsalda Yaşayanlarda Öz-Bildirime Dayalı Karşılanamayan Sağlık İhtiyaçları ve Sağlık Hizmetleri Sistemine Güven

Trust in the Healthcare System Among Rural Residents and Self-Reported Unmet Healthcare Needs

https://orcid.org/0000-0002-3393-0496

Pancar

Nüket

KIRKLARELİ ÜNİVERSİTESİ

https://orcid.org/0000-0002-7099-4536

Mercan

Yeliz

KIRKLARELİ ÜNİVERSİTESİ

04 27 2026

8 1 184 198 10 28 2025 03 26 2026

2019

Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi

Amaç: Bu araştırmanın amacı, kırsalda yaşayan bireylerde öz bildirime dayalı karşılanamayan sağlık ihtiyacı ile sağlık hizmetleri sistemine güven düzeyi arasındaki ilişkiyi incelemektir. Gereç ve Yöntem: Kesitsel tipteki bu araştırma Nisan–Haziran 2022 tarihleri arasında, Kırklareli il merkezine bağlı olmayan ve ile bağlı kasaba/belde ve köy yerleşim birimlerinde yaşayan 472 katılımcı ile yürütülmüştür. Bu çalışmada kırsal yerleşim, il merkezi dışında kalan kasaba/belde ve köy yerleşim alanları olarak tanımlanmıştır. Veriler Kişisel Bilgi Formu ve Sağlık Hizmetleri Sistemine Çok Boyutlu Güven Ölçeği (MTHCSS) ile toplanmıştır. Bulgular: Yaş ortalaması 59.28 ± 11.64 olan katılımcıların %58.3’ü kasaba/beldede yaşamaktaydı. MTHCSS genel puan ortalaması 62.43 ± 12.22 idi. Son 12 ay içinde öz-bildirime dayalı karşılanamayan sağlık ihtiyacı prevalansı %30.3’tü. Öz-bildirime dayalı karşılanamayan sağlık ihtiyacı bulunan katılımcıların %67.1’i sağlık profesyonellerine, %82.5’i sağlık bakım/muayene hizmetlerine ve %41.3’ü hastalık ile ilgili ekipman/ilaç/hastalık yönetimi ile ilgili bilgiye erişememişti. Son 12 ay içerisinde karşılanamayan sağlık hizmeti gereksinimi bildiren ve sağlık profesyonellerine ya da sağlık/muayene hizmetlerine erişemeyen katılımcılarda, MTHCSS toplam ve tüm alt boyut medyan puanlarının anlamlı derecede daha düşük olduğu saptanmıştır (p

Aim: The aim of this study was to examine the relationship between self-reported unmet healthcare need and the level of trust in the healthcare system among rural residents.Material and Method: This cross-sectional study was conducted between April and June 2022 with 472 participants living in towns and villages affiliated with Kırklareli province, excluding the provincial center. In this study, rural settlement was defined as small-town and village residential areas located outside the provincial center. Data were collected using the Personal Information Form and the Multidimensional Trust in Healthcare Systems Scale (MTHCSS). Results: A total of 58.3% of the participants, whose mean age was 59.28 ± 11.64, lived in towns. The mean MTHCSS overall score was found to be 62.43 ± 12.22. The prevalence of self-reported unmet healthcare needs in the last 12 months was 30.3%. Among the participants with self-reported unmet healthcare needs, 67.1% could not access healthcare professionals, 82.5% could not access healthcare/examination services, and 41.3% could not access information on disease-related equipment/medication/disease management. It was found that the median scores of the overall MTHCSS and all its subdimensions were significantly lower among participants who reported unmet healthcare needs and among those who were unable to access healthcare professionals or healthcare/examination services in the last 12 months (p < 0.001). Conclusion: Targeted interventions aimed at improving appointment system accessibility and reducing structural barriers in rural areas may contribute to strengthening trust in the healthcare system.

Trust Healthcare systems Medical Staff Needs and Demand

Güven Sağlık sistemleri Sağlık personeli İhtiyaçlar ve talep

None

Yok

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