Aile hekimliği uygulamalarının Doğankent Sağlık, Eğitim ve Araştırma Bölgesindeki durumu/The condition of family medicine practices in the Doğankent Health, Training and Research Region

Ozet Amac: Saglik hizmetlerinin temel amaci, kisilerin ve toplumun sagliginin korunmasi ve gelistirilmesidir. Bunlari saglayacak en onemli arac, saglik hizmeti sunumudur. Bu amacla Turkiye’deki temel saglik hizmetleri, aile hekimligi uygulamalari temelinde yeniden duzenlenmistir. Bu calisma, Adana ili kirsalinda, aile hekimligi uygulamalarini hizmeti alanlar ve sunanlar acisindan degerlendirmek amaciyla planlanmistir. Yontem: Veriler, Adana ili Dogankent saglik, egitim ve arastirma bolgesindeki kirsal alanda birinci basamak saglik hizmetinden yararlanan 543 eriskin ile hizmeti sunan 43 saglik personelinden Nisan-Eylul 2011 tarihlerinde yuz yuze gorusmeyle toplanmistir. Bulgular: Hizmeti alanlar %44.0 muayene, %43.5 recete yazdirmak icin basvurduklarini bildirmislerdir. Surekli ayni kisilerden hizmet almalarini, her ilaci receteye yazdirabilmelerini, her eczaneden ilac alimini ve sevksiz her yere gidebilmelerini avantaj, mesai disi hizmet alamamalarini ise dezavantaj olarak nitelemislerdir. ASM calisanlari calisma ortami ve ucretlerinden buyuk oranda memnun olduklari belirtmis, bunun yaninda calisma kosullari ile ilgili bazi yakinmalarda bulunmuslardir. TSM calisanlarinin %77’si, genel olarak bu yeni sistemde kendilerine deger verilmediginden yakinmislardir. Sonuc: Saglik hizmeti kullanicilari, mesai disi saglik hizmeti alamamakta ve her muayenede para odemektedir. Birinci basamak saglik hizmetleri, kesintisiz ve tamamen ucretsiz olarak sunulmalidir. Anahtar Kelimeler: Aile hekimligi, temel saglik hizmeti, memnuniyet, aile sagligi merkezi, kirsal bolge Abstract Objective: The primary objective of health care services is to protect and improve the health of individuals and populations. The most important facility ensuring this objective is provided by healthcare services. For this objective, basic healthcare services in Turkey have been rearranged on the basis of family medicine practices. This study was planned to evaluate of the family medicine practices for both users and servers in the rural area of Adana Province. Method: The data were collected between April and September 2011, face-to-face, from 43 healthcare personnel at primary health care services and from 543 adult patients residing in the Dogankent Health, Training and Research Region in Adana Province. Results: The users applying for health- care healthcare services reported that their reasons were as follows: medical examination 44.0%, prescription, 43.5%. They also stated that the advantages of using the service were: encountering the same personnel, obtaining the prescription for the medications they demanded applying to all hospitals without referral. The disadvantage was unavailability of healthcare outside of official working hours. Personnel of family health centers reported that they were mostly satisfied the working atmosphere and salaries while they complained about their working conditions. Seventy-seven percent of the community health care centers personnel complained that they were ignored by the new system. Conclusion: Health care users are not able to receive service out of working hours and also pay for each medical examination. Primary health care services should be continuous and free of charge. Key Words: Family medicine, primary health care, satisfaction, family health center, rural area