Strong primary care for the sustainability of the health system

Öz

SUMMARY Although the name of all health systems in the changing world has changed, primary health care practices, whose central role has not changed, should take the place they deserve with determined health policies. A cost-effective health service delivery is provided in health systems where all patients are the first point of reference, with a strong door-holding family medicine practice. This is the key to sustainability in subsidizing health services. With a good primary care, nearly 90% of common diseases in the community are treated. Countries with a strong primary care structure and referral chain have lower health-related costs and higher clinical success in diseases. Providing easy preventive health services locally; If this cannot be done before the diseases appear, it allows the earliest diagnosis and clinical regulation before complications occur.

Anahtar Kelimeler

• strong primary care
• family medicine practices
• deficiencies in family medicine practice
• family medicine

Destekleyen Kurum

Conflict of interest:The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. This research did not receive and specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Teşekkür

Acknowledgments: I thank my dear wife Aybüke Tuğçe METİN very much for her patience and support during the writing process.

Kaynakça

1. Başer DA, Kahveci R, Meltem K, KASIM İ, Şencan İ, Özkara A. Etkin sağlık sistemleri için güçlü birinci basamak. Ankara Medical Journal. 2015;15(1).
2. Beasley JW, Starfield B, van Weel C, Rosser WW, Haq CL. Global health and primary care research. The Journal of the American Board of Family Medicine. 2007;20(6):518-26.
3. Macinko J, Starfield B, Shi L. The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970–1998. Health services research. 2003;38(3):831-65.
4. Cathcart G. Primary care in the driver’s seat? Organizational reform in European primary care. Wiley Online Library; 2007.
5. Bodenheimer T. Primary care-will it survive? New England Journal of Medicine. 2006;355(9):861.
6. Starfield B. Primary Care and Equity in Health: The Importance to Effectiveness and Equity of Responsiveness to Peoples' Needs. Humanity & Society. 2009;33(1-2):56-73. doi: 10.1177/016059760903300105.
7. Politzer R, Regan J, Shi L, Starfield B, Xu J. Primary care quality: community health center and health maintenance organization. Southern medical journal. 2003;96(8):787-95.
8. Kringos DS, Boerma WG, Hutchinson A, Van der Zee J, Groenewegen PP. The breadth of primary care: a systematic literature review of its core dimensions. BMC health services research. 2010;10(1):1-13.

9. Organization WH. The world health report 2000: health systems: improving performance: World Health Organization; 2000.
10. Başak O, Atay E, Polatlı D. Birinci basamak sağlık hizmetleri ve aile hekimliği: pratisyen hekimlerin yaklaşımları. Türkiye Aile Hekimliği Dergisi. 2002;6(1).
11. Özcan F, Ünlüoğlu İ. Türkiye’de ve dünya’da aile hekimliği. Sendrom. 1996;8(7):83-5.
12. Akman E, Tarim M. Türkiye ve ingiltere sağlik sistemleri: birinci basamak sağlik hizmetleri karşilaştirmasi. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi.6(2):303-16.
13. Dünyada Aile Hekimliği 2017 Available at: https://sakaryaism.saglik.gov.tr/TR-34675/dunyada-aile-hekimligi.html. Accessed December 14,2022
14. Mollahaliloğlu S, Kosdak M, Sanisoğlu Y, Boz D, Demirok A.B, Ed. Akdağ R. Birinci Basamak Sağlık Hizmetlerinde Hasta Memnuniyeti Araştırma Raporu. Araştırma serisi:4. T.C. Sağlık Bakanlığı, Refik Saydam Hıfzıssıhha Merkezi Başkanlığı Hıfzıssıhha Mektebi Müdürlüğü, Ankara: Opus Basın Yayın; 2010: 1-249. In: T.C. Sağlık Bakanlığı RSHMBHMM, editor. 2010.
15. Aydın S. Aile Hekimliği: Sağlık Sisteminde Merkezi Role Talip Olmak. Aile Hekimliği Dergisi. 2007;1(3):10-5.