İstanbul’da Bir Aile Sağlığı Merkezine Başvuranların Hizmetleri Bilme ve Yararlanma Durumları ile Memnuniyetlerinin Araştırılması

Nurten Elki̇n, A. Önal, Bedia Özyildirim, Gülbin Gökçay
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Abstract

Aim: In the family practice, the family doctor accompanied with the family health center employee renders integrated services to people registered in their department from physical, psychological and social points. The purpose of this research is to investigate the cognition, utilization, and satisfaction state of family practice services by the public of a family health center found at any district of Istanbul. Method: The research in question was done at the prefecture of Istanbul, at a family health center between the dates September 2013 and January 2014. We have applied the Cognition, Utilization and Satisfaction State of services survey (HBYMDA) developed by the researcher, we have collected data through the face-to-face method and applied the Patients Evaluate General/ Family Practice (EUROPEP) survey. The total points for HBYMDA was 24. Whereas the total point for EUROPEP was 115. Results: 302 (76%) of the persons who participated in the survey were women, and 98 (24%) men. The average age of the group was 37.17±14.10 years. The average age of women was 42±13.04 and 42.57±15.85 for men. The average of the total points for HBYMDA was calculated as 11.54±5.80. The average total point of EUROPEP was 93.87±21.32. The services that persons know the most, use the most and are satisfied the most are listed respectively, as following inspection, diagnosis and therapy, injection and medical dressing services, emergency services, free laboratory services. Whereas the services that participants know the less, use the less and are satisfied the less are listed respectively as following therapy of tuberculosis through direct observation, taking measures concerning contagious disease towards people and environment, military examination, and periodic examination. Conclusion: It is determined that the group of low social-economical-cultural uses more family practice services and that situation is related to the knowing, utilization and satisfaction state of the services.
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伊斯坦布尔家庭保健中心申请人对服务的了解和利用情况及满意度调查
目的:在家庭医生服务中,家庭医生与家庭保健中心的员工一起,从生理、心理和社会角度为在其部门登记的人提供综合服务。本研究旨在调查伊斯坦布尔任何一个区的家庭保健中心的公众对家庭医生服务的认知、使用和满意度情况。研究方法:本研究于 2013 年 9 月至 2014 年 1 月期间在伊斯坦布尔市的一家家庭保健中心进行。我们采用了由研究者开发的认知、使用和满意度服务状况调查(HBYMDA),通过面对面的方式收集数据,并采用了 "患者对全科/家庭医生的评价"(EUROPEP)调查。HBYMDA 的总分是 24 分。而 EUROPEP 的总分是 115 分。调查结果显示参与调查的人员中有 302 名女性(占 76%)和 98 名男性(占 24%)。平均年龄为(37.17±14.10)岁。女性的平均年龄为(42±13.04)岁,男性的平均年龄为(42.57±15.85)岁。HBYMDA 总分的平均值为 11.54±5.80。EUROPEP的平均总分为93.87±21.32。参与者最了解、最常用和最满意的服务分别是:检查、诊断和治疗、注射和医用敷料服务、急救服务、免费实验室服务。而参与者了解较少、使用较少、满意度较低的服务项目分别为:通过直接观察进行肺结核治疗、对人和环境采取传染病措施、军事检查、定期检查。结论可以确定,社会经济文化水平较低的群体使用较多的家庭医生服务,这种情况与对服务的了解、使用和满意程度有关。
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