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

Yıl 2026, Cilt: 8 Sayı: 1 , 184 - 198 , 27.04.2026

Nüket Pancar , Yeliz Mercan

https://doi.org/10.46413/boneyusbad.1812299

https://izlik.org/JA76BZ22HC

Öz

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<0.001).
Sonuç: Kırsal bölgelerde randevu sistemine erişimin kolaylaştırılmasına ve yapısal engellerin azaltılmasına yönelik hedeflenmiş müdahaleler, sağlık sistemine duyulan güvenin artırılmasına katkı sağlayabilir.

Anahtar Kelimeler

Güven , Sağlık sistemleri , Sağlık personeli , İhtiyaçlar ve talep

Etik Beyan

İnsan katılımcılar üzerinde yapılan çalışmalarda gerçekleştirilen tüm işlemler, kurumsal ve/veya ulusal araştırma komitesinin etik standartlarına ve 1964 Helsinki Bildirgesi ve sonraki değişiklikleri veya karşılaştırılabilir etik standartlarına uygun olarak gerçekleştirilmiştir. Etik onay, Kırklareli Üniversitesi Rektörlüğü Bilimsel Araştırma ve Yayın Etiği Kurulu'ndan (08/06/2022- E-35523585-302.99-49286) alınmıştır. Ölçeğin kullanımı için ilgili yazardan izin alınmıştır. Katılımcılardan Bilgilendirilmiş Gönüllü Onam Formu alınmıştır.

Destekleyen Kurum

Yok.

Proje Numarası

Yok

Teşekkür

Yok

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

https://izlik.org/JA76BZ22HC

Öz

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.

Anahtar Kelimeler

Trust , Healthcare systems , Medical Staff , Needs and Demand

Etik Beyan

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Ethical approval was received from the Kirklareli University Rectorate Scientific Research and Publication Ethics Committee (08/06/2022- E-35523585-302.99-49286). Permission was obtained from the relevant author to use the scale. An Informed Voluntary Consent Form was received from the participants.

Destekleyen Kurum

None

Proje Numarası

Yok

Teşekkür

None

Kaynakça

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