Tip 2 diyabetli hastaların aile hekimiyle iletişimi ile ilgili görüş ve deneyimleri: Kalitatif çalışma
Tip 2 diyabetli hastaların aile hekimiyle iletişimi ile ilgili görüş ve deneyimleri: Kalitatif çalışma
Yazar: Ayhan Başer, Duygu; Kahveci, Rabia; Aksoy, Hilal; Döner, Pınar; Kasım, İsmail; Şencan, İrfan; Özkara, Adem
Dergi: Cumhuriyet Tıp Dergisi, Vol. 36 No. 4, 2014
Anahtar kelimeler: Diabetes management, family medicine, patient-physician communication, primary health care systems, qualitative research ; Aile hekimliği, birinci basamak sağlık sistemleri, diyabet yönetimi, hasta hekim iletişimi, kalitatif araştırma

ÖzetAmaç. Bu niteliksel çalışmada, Tip 2 diyabetli hastaların takiplerinde birinci basamağı tercih etme durumlarının, birinci basamaktaki DM yönetimine dair görüşlerinin, aile hekimleri ile aralarındaki iletişiminin ve aile hekimleri ile iletişimlerinde etkili olan faktörlerin ve nedenlerinin saptanması amaçlandı. Yöntem. Çalışmamıza araştırmaya katılmaya gönüllü olanlardan, maksimum çeşitlilik örneklemesi ile seçilmiş 20 Tip 2 diyabetli hasta katıldı. Hastalar ile derinlemesine, yarı yapılandırılmış, yüz yüze görüşmeler yapıldı. Görüşmelerin tümü dijital olarak kaydedildi ve yazıya aktarıldıktan sonra kalitatif olarak analiz edildi. Bulgular. DM hastaları, kapsamlı, bütüncül yaklaşımı ve aile sağlığı merkezine kolay ulaşımından dolayı takiplerinde aile hekimini seçebilmektedirler. Aile hekiminde aradıkları özellikler ise samimiyet, ulaşım kolaylığı, empati ve yüksek bilgi düzeyidir. Sonuç. Çalışmamızda, sağlık hizmetleri içinde çok önemli bir yere sahip olan birinci basamak sağlık sistemlerinde çekirdek yeterliliklerinin, DM gibi kronik hastalıkların yönetiminde hastaların aile hekimlerinden beklentileri doğrultusundaki gereken özellikleri karşıladığı saptandı.Anahtar sözcükler: Aile hekimliği, birinci basamak sağlık sistemleri, diyabet yönetimi, hasta hekim iletişimi, kalitatif araştırma AbstractAim. This qualitative study is aimed to determine the status of type 2 diabetic patients to prefer primary care during follow-up, their views on DM management at primary care, the communication between them and family physician and the influential factors and causes of these factors in communication with family physicians. Methods. 20 Type 2 diabetic patients were selected with maximum variation sampling through the patients volunteered to participate in this research. We conducted in-depth, semi-structured, face to face interviews. Interviews were audio-recorded and transcribed, and qualitatively analyzed afterwards. Results. DM patients may select family physicians during their follow-up due to comprehensive , holistic approach and easy access to physicians and family health center. The expected features of family physicians are friendliness, ease of access, empathy and the high level of knowledge. Conclusion. In our study, we detected that the features of family physicians, in case of following up chronic diseaases such as DM, that are expected by the patients are fully met by the core competencies of family medicine at primary health care, which has a very important place in the system of health services.Keywords: Diabetes management, family medicine, patient-physician communication, primary health care systems, qualitative research

Aim. This qualitative study is aimed to determine the status of Type 2 diabetic patients to prefer primary care during follow-up, their views on DM management at primary care, the communication between them and family physician and the influential factors and causes of these factors in communication with family physicians. Methods. 20 Type 2 diabetic patients were selected with maximum variation sampling through the patients volunteered to participate in this research. We conducted in-depth, semi-structured, face to face interviews. Interviews were audiorecorded and transcribed, and qualitatively analyzed afterwards. Results. DM patients may select family physicians during their follow-up due to comprehensive , holistic approach and easy access to physicians and family health center. The expected features of family physicians are friendliness, ease of access, empathy and the high level of knowledge. Conclusion. In our study, we detected that the features of family physicians, in case of following up chronic diseaases such as DM, that are expected by the patients are fully met by the core competencies of family medicine at primary health care, which has a very important place in the system of health services