USAGE OF TELEMEDICINE IN THE PROVISION OF PRIMARY HEALTH SERVICES: A LITERATURE REVIEW

Öz

In the delivery of healthcare services, primary healthcare services occupy a central place in health systems due to giving priority for prevention, easy accessibility, lower costs, and adequate triage capability. Any efforts to further improve primary healthcare services significantly contribute to the enhancement of public health. In this context, increasing quality and cost-effectiveness can be made in the field of preventive healthcare through the use of telemedicine/e-health technologies in the primary healthcare sector. Our aim is to conduct a literature review on studies that incorporate the most accessible and cost-effective areas of telemedicine applications into primary healthcare delivery with the advancement of technology, and to assess the feasibility of using these areas in our countryIn conclusion, through the literature review, it is believed that the integration of primary healthcare services with telemedicine, particularly for chronic diseases that impose a significant disease burden, pediatric and psychiatric conditions, palliative care patients, and patients unable to manage their own triage due to health anxiety, can further improve health services.

Anahtar Kelimeler

• TELEMEDİCİNE
• PRİMARY HEALTH CARE
• İNTEGRATİON

Birinci Basamak Sağlık Hizmetlerinin Sunumunda Teletıp Kullanımı: Bir Literatür Derlemesi

Öz

Sağlık hizmeti sunumunda, sağlığı korumaya öncelik verilmesi, kolay erişim, düşük maliyet ve uygun yönlendirme yapılabilmesi gibi nedenlerle birinci basamak sağlık hizmetleri, sağlık sistemlerinin merkezinde yer almaktadır. Birinci basamak sağlık hizmetlerini iyileştirmek için yapılan her türlü çalışma, halk sağlığının geliştirilmesine büyük katkı sağlamaktadır. Bu bağlamda teletıp/telesağlık/e-sağlık uygulamaları olarak ifade edilen teknoloji tabanlı uzaktan sunulan hizmetlerin yaygınlığının arttırılması ile özellikle birinci basamak sağlık hizmetlerinde kalite artışı ve maliyet tasarrufu sağlamak mümkün olabilir. Bu derleme çalışmasında amacımız, gelişen teknoloji ile teletıp uygulamalarının uygun, erişilebilir ve düşük maliyetli kullanım alanlarını, birinci basamak sağlık hizmeti sunumuna dahil eden çalışmalar ile ilgili literatür taraması yaparak, bu hizmetlerin ülkemizde kullanım olanaklarını değerlendirebilmektir. Sonuç olarak yapılan literatür taraması ile özellikle ciddi hastalık yükü oluşturan kronik hastalıklarda, pediatrik ve psikiyatrik sağlık problemlerinde, palyatif bakım hastaları ve hastalık kaygısı ile kendi yönlendirmesini sağlayamayan hastalarda birinci basamak sağlık hizmetlerinin teletıp yöntemi ile entegre edilerek sunulması ile sağlık hizmetlerinin iyileştirilebileceği düşünülmektedir.

Anahtar Kelimeler

• Teletıp
• birinci basamak sağlık hizmeti
• entegrasyon

Kaynakça

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