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

Vahit Gul; Sabahattin Destek; Şahin Kaymak

doi:10.31832/smj.692564

Araştırma Makalesi

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

Yıl 2020, , 183 - 190, 15.06.2020

Vahit Gul , Sabahattin Destek , Şahin Kaymak

https://doi.org/10.31832/smj.692564

Öz

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.

Anahtar Kelimeler

gezici cerrahi, hastane cerrahi bölümü, kırsal hastaneler

Kaynakça

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.