HOME HEALTH SERVİCES IN TURKEY: A CASE STUDY BASED ON PATIENT SURVEY OF HOME HEALTH CARE USERS IN THE PROVINCE OF ANKARA

Yıl 2016, Cilt: 1 Sayı: 2, 77 - 97, 16.08.2016

Nazan Torun , Dilaver Tengılımoğlu M. Mahmud Khan

Öz

With the aging of the population, it is important to develop alternative models of providing medical as well as other support services related to psychological, social, economic, and legal needs of the elderly. Developing an effective and efficient home health care system will be helpful in improving the quality of life of home health patients.

This study was conducted to understand the quality of home health services offered through the Ministry of Health (MoH) hospitals to the population in Ankara. Home health patients were randomly selected from the service users in eight MoH hospitals. Information was collected on socio-economic and demographic characteristics of patients and their satisfaction with the services received. Descriptive and multivariate analyses were carried out understand factors affecting patient satisfaction with home health services.

The results indicate that a significant proportion of home health service users are not elderly. Most of the users of the service belong to very low economic status. Average satisfaction score improves with age of the patient but declines with patient’s economic status. Home health care workers being skilled, being sensitive to the needs of the patients and not tired when they arrive for service provision, significantly improves reported satisfaction scores of patients. In general, satisfaction level with home health care service is very high in the Ankara province. In almost 100% cases, patients report timely arrival of home health care workers. In almost all cases, the first home visit happened within five days after the submission of application for home health services.

Home health service is a relatively new system in Turkey but the results indicate that the system is working well in general. The service, however, needs to be integrated with other social support mechanisms in place to improve quality of life of home health care patients in a more effective manner.

Anahtar Kelimeler

home healthcare services, patient satisfaction, health worker attributes, social services

Kaynakça

• Akdemir, N. (2001). Sustinability in Health Service: Homecare Service. New Turkey Health Special Edition, Vol. 39: 926-934.
• Aksoy, M. (2011). First İnternational Homecare Services Congress. Antalya, 57.
• Aydın, D. (2005). Concept and Extent of Homecare: Homecare Services. Ankara: Healthy Generation Society,14-15.
• Benjamin, M.R. (1997). Pain Control in Home Care. In: Spratt, J. S., Hawley, Rhonda L., Hoye, Robert E.(eds). Home Health Care: Principles and Practices. GR/St. Lucie Press,49-82.
• Bentur, N. (2001). Hospital at home: What is its place in the health system. Health Policy, 71-79.
• Çoban, M. (2003). Determination Opinion about Homecare Services: A Practice for nurses and doctors in Ankara Training Hospital, Unpublished. Ms Thesis, Ankara. Ankara Üniversitesi Sağlık Bilimleri Enstitüsü.
• Hsiao, W. (2000). The background document of finance of primary and health care services in underdeveloped countries. World Bank.
• Karahan, A. and Güven, S. (2002). Homecare in old age. Geriatry, Vol, 5,:4
• Karamercan, E. (2001). Homecare: a new fact in health services. New Turkey Health Special Edition, Vol. 39:935-944
• Özer, Ö and Santas, F. (2012). Provided by public homecare services and finance Acıbadem University Journal of health Science, Vol. 3, (2): 100
• Ülker, S. et al. (1995). Group report of basic principles about homecare services. Journal of nursing of Şişli Etfal Hospital.
• Spratt, J. and et al. (1997). Home Health Care: Principles and Practices, GR/St. Lucie Press.
• Stanhope, M. et al. (1996). Community Health Nurse İn Home Health and Hospital Care.
• Tanli, S. (1996). Marketing of homecare services: A proposal of company plan 1996 Unpublished Ms Thesis, İstanbul University Institute of Social Sciences , İstanbul.
• Turkey Statistical Agency. http://www.tuik.gov.tr/Start.doc
• WHO 1999 Home Based Long Term Care, Home Care Issues and Evidence. Retrieved 4 March, 2014. WHO/HSC/LTH/99/2: http://www.who.int/chp/knowledge /publications/home_based_and_ltc_issues_evidence.pdf
• WHO 2000a Home-Based Long Term Care, WHO Technical Report Series 898, Geneva. Retrieved 4 March, 2014.http://whqlibdoc.who.int/trs/WHO_TRS_898.pdf
• WHO 2000b Long Term Care Laws in Five Developed Countries: A Review. Retrieved 4 March, 2014. http://www.who.int/chp/knowledge/publications/ltc_laws_5devel
• oped_countries.pdf