土耳其的家庭医疗：试点实施的观察结果
Family practice in Turkey: Observations from a pilot implementation.
作者信息
Yaman Hakan, Güneş Evrim Didem
机构信息
a Faculty of Medicine, Department of Family Medicine , University of Akdeniz , Antalya , Turkey ;
b Operations and Information Systems Group, College of Business Administration and Economics Sariyer , Koç University , Istanbul , Turkey.
出版信息
Scand J Prim Health Care. 2016;34(1):81-2. doi: 10.3109/02813432.2016.1144432. Epub 2016 Feb 19.
OBJECTIVE
Turkey has implemented family practice on a pilot basis as part of the reform in health care, since 2005. This paper aims to understand and describe the prevalent practice patterns and clinic characteristics during the transition period.
DESIGN
A cross-sectional descriptive study design was used.
SUBJECTS
An online survey was conducted among Turkish GPs working as primary care doctors (without vocational training) during the reform period. Clinic and GP characteristics are analysed with descriptive statistics.
RESULTS
List size is an important factor; larger lists lead to shorter consultation time and a longer wait for patients. GPs are generally satisfied with the reform.
CONCLUSION
During the transition to family practice access of patients to health care has improved and GPs are satisfied with their job.
KEY POINTS
Patients in Turkey have adequate access to primary health care services. The waiting time for consultation is relatively short. Basic prevention activities occupy the majority of the GPs' time. Reducing the panel size and introducing appointment systems may be useful.
目的
自2005年以来，土耳其已将家庭医疗作为医疗保健改革的一部分进行试点实施。本文旨在了解和描述转型期普遍存在的医疗模式和诊所特征。
设计
采用横断面描述性研究设计。
研究对象
在改革期间，对作为初级保健医生（未经职业培训）工作的土耳其全科医生进行了在线调查。诊所和全科医生的特征采用描述性统计进行分析。
结果
患者名单规模是一个重要因素；名单越大，咨询时间越短，患者等待时间越长。全科医生总体上对改革感到满意。
结论
在向家庭医疗转型期间，患者获得医疗保健的机会有所改善，全科医生对其工作感到满意。
要点
土耳其患者能够充分获得初级卫生保健服务。咨询等待时间相对较短。基本预防活动占据了全科医生的大部分时间。减少患者名单规模并引入预约系统可能会有所帮助。
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