Aile hekimliği uygulamasına geçen ilk 11 ilin sağlık göstergeleri üzerinden bu sürece bir bakış
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Tarih
2010
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info:eu-repo/semantics/openAccess
Özet
AMAÇ: Bu çalışma aile hekimliği sürecini aile hekimliğine geçen ilk 11 ilin 2000-2007 yılları arasındaki sağlık düzey göstergeleri üzerinden değerlendirmektir. YÖNTEM: Bu gözlemsel-tanımlayıcı çalışma en az bir yıldır (15.09.2005-14.05.2007 tarihleri arası) aile hekimliği uygulamasına geçmiş 11ilin (sağlık göstergeleri üzerinden Mayıs-Haziran 2008’de yapılmıştır. Bu illerin 2000-2007 yılları arasına ait 20 sağlık düzeyi göstergesi Sağlık Bakanlığından alınmıştır. Ayrıca Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü’nün 2000’den 2006’a kadar olan çalışma yıllıkları verilerden de yararlanılmıştır. BULGULAR: 11 ilde 2005 yılında 2677 hekim ve 6042 ebe hemşire bulunurken 2007 yılında 3496 hekim ve 6075 ebe-hemşire görev almıştır. 81 ilde 2000 yılında DBT3 0 yaş grubunda aşılanma %80 iken 2006 yılında %90 olmuştur. Aynı yıllar için aile hekimliğine geçen ilk 11 ilin DBT3 aşılanma oranı Samsun’da %90 ve %92’dir. Düzce’de gebe başına düşen izlem sayısı 2000 yılında 1,9, 2005’te 2,7, 2007 yılında 3,7; Edirne’de aynı yıllar için sayılar sı sı ile 9,0, 11,0, 4,6’dır.Eskişehir’de loğusa başına düşen izlem sayısı 2000 yılında 1,2, 2005’te 2,1, 2007’de 1,5 iken İzmir’de 1,9, 2,4 ve 2,2’dir. 2000 yılında Düzce’de bebek başına düşen izlem sayısı 2000 yılında 4,0, 2005’te 7,7, 2007’de 10,2; Eskişehir’de aynı yıllar için sayılar sırası ile 5,9, 9,4, 7,9’dur. SONUÇ: Bu uygulama ile birinci basamakta hekim sayısı artmıştır. Aile hekimliği uygulamasında yapılan işlemin performansa dahil olup olmaması sağlık düzeyi göstergesini etkilemektedir. Sağlık düzeyi göstergelerini daha iyi değerlendirmek
AIM: The aim of This study is to eveluata the process On Healt Indicator İn Between 2000 and 2007 years. Of 11 provinces practicing model of Family Medicine firstly. METHOD: This observational-descriptive study was made in May-June 2008 On Healt Indicator Of 11 provincespracticed the model of Family Medicine at least for a year. It vas taken through the Ministry of Health 20 Health Indicators belonging to the years 2000 and 2007 Of these provinces and also we benefited from data in annual studies from 2000 to 2006 of General Directorate of Primary Health Care of the Ministry of Health. RESULTS: There were. 3496 physicians and 6075 nurses, midwives in 2007 when 2677 physicians and 6042 nurse midwives were working in 2005 in 11 provinces. It was 90% in 2006 while immunization of DBT3 in 0 aged group was 80% in 2000 In 81 provinces , It was 92% and 90% in 11 provinces immunization of DBT3 in 0 aged group for the same years. Follow-up per number of pregnant women in Düzce in 2000 was 1.9 and it was 2.7 in 2005, it was 3.7in 2007. During the same years in Edirne the numbers were 9.0, 11.0, 4.6. Follow-up per number of confined in Eskişehir in 2000 was 1.2 and it was 2.1 in 2005 and it was 1.5 in 2007. in İzmir during the same years the numbers were 1.9, 2.4 and 2.2. In Düzce, the number of the observation per infant was 4.0 in 2000 and it was 7.7 in 2005 and it was 10.2 in 2007. In Eskisehir during the same year the numbers were 5.9, 9.4, 7.9. CONCLUSION: the number of physicians in primary care with this application has increased. İn health-level indicators family medicine or primary health care services distinction is not whether the payment per service is deemed to be more specific. To better assess the health status indicators, field studies should be performed.
AIM: The aim of This study is to eveluata the process On Healt Indicator İn Between 2000 and 2007 years. Of 11 provinces practicing model of Family Medicine firstly. METHOD: This observational-descriptive study was made in May-June 2008 On Healt Indicator Of 11 provincespracticed the model of Family Medicine at least for a year. It vas taken through the Ministry of Health 20 Health Indicators belonging to the years 2000 and 2007 Of these provinces and also we benefited from data in annual studies from 2000 to 2006 of General Directorate of Primary Health Care of the Ministry of Health. RESULTS: There were. 3496 physicians and 6075 nurses, midwives in 2007 when 2677 physicians and 6042 nurse midwives were working in 2005 in 11 provinces. It was 90% in 2006 while immunization of DBT3 in 0 aged group was 80% in 2000 In 81 provinces , It was 92% and 90% in 11 provinces immunization of DBT3 in 0 aged group for the same years. Follow-up per number of pregnant women in Düzce in 2000 was 1.9 and it was 2.7 in 2005, it was 3.7in 2007. During the same years in Edirne the numbers were 9.0, 11.0, 4.6. Follow-up per number of confined in Eskişehir in 2000 was 1.2 and it was 2.1 in 2005 and it was 1.5 in 2007. in İzmir during the same years the numbers were 1.9, 2.4 and 2.2. In Düzce, the number of the observation per infant was 4.0 in 2000 and it was 7.7 in 2005 and it was 10.2 in 2007. In Eskisehir during the same year the numbers were 5.9, 9.4, 7.9. CONCLUSION: the number of physicians in primary care with this application has increased. İn health-level indicators family medicine or primary health care services distinction is not whether the payment per service is deemed to be more specific. To better assess the health status indicators, field studies should be performed.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp
Kaynak
TSK Koruyucu Hekimlik Bülteni
WoS Q Değeri
Scopus Q Değeri
Cilt
9
Sayı
5
