Covid-19 Pandemisinin Birinci Basamak Sağlık Hizmetleri ve Aile Hekimlerine Yansıması: Türkiye'de Hekim-Hasta İlişkisi

Öz

Arka Plan ve Amaç: Bu araştırma, COVID-19 pandemisinin birinci basamak sağlık hizmetleri ve aile hekimleri üzerindeki yansıması, özellikle hekim-hasta ilişkisi bağlamında incelemektedir. Bu araştırma, aile hekimlerinin karşılaştıkları zorlukları ve uyum stratejilerini analiz ederek, hekim-hasta ilişkisine ilişkin literatüre katkıda bulunmayı ve gelecekteki pandemi hazırlıkları için içgörüler sağlamayı amaçlamaktadır. Gereç ve Yöntem: COVID-19 salgını sırasında hekimlerin hekim-hasta ilişkisine ilişkin bakış açılarını keşfetmek için nitel bir araştırma tasarımı kullanılmıştır. Çalışma, 10 Mart 2023 ile 11 Nisan 2023 tarihleri arasında Türkiye'nin Antalya kentindeki birinci basamak sağlık hizmetleri (PHC'ler) ve aile hekimleri (FP'ler) ile yapılan görüşmeler yoluyla yürütülmüştür. Örneklem, ölçüt ve kartopu örnekleme yöntemleri kullanılarak seçilen Antalya'daki birinci basamak sağlık hizmetlerinde çalışan 21 hekimden oluşmaktadır. Bulgular: Bu temalar “hekim- hasta etkileşimi”, “numune alımı ve ilaç” ve “hasta memnuniyeti” olarak belirlenmiştir. Sonuç: Bu çalışma COVID-19 pandemisinin birincil sağlık bakımı ve aile hekimleri üzerindeki yansımalarını ortaya koymaktadır. Bulgular, pandemi sırasında hekim-hasta iletişiminin zayıfladığını, hasta memnuniyetinin değiştiğini ve hekimlerin etik kaygılarla karşı karşıya kaldığını göstermektedir. Ayrıca, artan iş yükü ve psikolojik baskı nedeniyle hekimlerin mesleki memnuniyetinin azaldığı belirlenmiştir. Sonuçlar, birincil sağlık bakım hizmetlerinin güçlendirilmesi ve hekimlerin gelecekte benzer kriz durumlarında desteklenmesi gerektiğini göstermektedir.

Anahtar Kelimeler

• Covid 19
• birinci basamak sağlık hizmetleri
• aile hekimi
• pandemi
• hasta-hekim ilişkisi

A Qualitative Research on the Reflection of the Covid-19 Pandemic on Primary Healthcare Services and Family Physicians: The Physician-Patient Relationship in Turkey

Öz

Background and Aim: This research investigates the reflection of the COVID-19 pandemic on primary healthcare services and family physicians. This study analyzes the challenges faced by family physicians. This research seeks to contribute to the literature on the physician-patient relationship and provide insights for future pandemic preparedness. Material and Method: A qualitative research design was employed to explore physicians’ perspectives on the physician-patient relationship during the COVID-19 outbreak. The study was conducted through interviews with primary healthcare centers (PHCs) and family physicians (FPs) in Antalya, Turkey, between March 10, 2023, and April 11, 2023. The sample consisted of 21 physicians working in primary healthcare centers in Antalya, selected using criterion and snowball sampling methods. Results: These themes were identified as ‘Physician-Patient Interaction,’ ‘Sample Collection and Medication’, and ‘Patient Satisfaction.’ Conclusion: This study reveals the reflections of the COVID-19 pandemic on primary health care and family physicians. The findings show that physician-patient communication has weakened during the pandemic, patient satisfaction has varied, and physicians have faced ethical concerns. In addition, it has been determined that physicians' professional satisfaction has decreased due to increased workload and psychological pressure. The results show that primary health care services should be strengthened and physicians should be supported in similar crisises in the future

Anahtar Kelimeler

• Covid-19
• Family Physician
• Pandemic
• Primary healthcare services

Kaynakça

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